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WP0042217
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042217
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Last modified
8/8/2022 2:20:41 PM
Creation date
3/18/2022 10:38:38 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042217
PE
4380
STREET_NUMBER
20547
Direction
E
STREET_NAME
WALNUT
STREET_TYPE
DR
City
LINDEN
Zip
95236-
APN
09131020
ENTERED_DATE
6/28/2021 12:00:00 AM
SITE_LOCATION
20547 E WALNUT DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ia Rock & Ready Mix <br /> calf 0 E. - Lodi, CA 95240 133627 <br /> 1200 E.Turner Rd. <br /> (209) 368-5824 <br /> •` (209) 368-5351 <br /> ME DATE / t' ~�P L1ri <br /> / NA — PHONE_ -- <br /> i.i 1 - <br /> ADDRESS /" I-�i �r ,�� <br /> AM❑ TRUCK NO. TR <br /> JOB SITE I` TIME <br /> TIME i / AM❑ IN PM❑ <br /> PRICE AMOUNT <br /> OUT 1 " '" PM DESCRIPTION <br /> QTY. r. ry Vii`<.L"r.r- �?�j• <br /> t'a <br /> IPMENT RENTED <br /> HAND TROWEL <br /> CAUTI(N m rtar, HAND FLOAT <br /> Freshly mixed cemencause skm EDGER <br /> concrete or grOUt may psed TRAILER - <br /> Minlury• possible and wash exp skin <br /> e p ram tl with water. If <br /> Skin areas P . p y et into eyes, <br /> any cement mixtures 9 eatedI <br /> rinse immediately aromr t?rtedical <br /> W ith water and et p <br /> attention. KEE�OUT O REACH <br /> OF CHILDREN. <br /> SALES&RENTAL AGR <br /> • <br /> after use,lessee$25 agrees to pay It the equipment is not properly cleanedto. n$ <br /> •If the equipment is used more than h^'O hours- <br /> if <br /> has been delivered' <br /> charged. <br /> a,,d sign this agreement.T ayreement <br /> .The lessee acknowledges tahal�eee bat chargeP good condition__ - <br /> c:nsideratlon he agrees to pay <br /> mortgage the leased equipment and to return the same tr it 9 <br /> sate and secure and the othf (Merchant agreement <br /> if credit voucher) <br /> .The lessee acknowledges that he has inspected said trailer,trailer hitch and according to card issue , <br /> ui ment while it is in his <br /> and that he has found the trailer and hook-' <br /> save equ,prrnia Roo <br /> &Rea <br /> agreeing to assume all responsibility for said leased eq pro property that may occ <br /> •The lessee further agrees to indemnity a to his person or P P y accident,the ----- <br /> m u or damage ---- <br /> Irom any I ry. In the event of any ---- <br /> pense or k-___ --- <br /> proximate result of Its being In his custody. -- <br /> to comply with all laws of the State covering the use of to <br /> rornia Rook&Ready Mix. and all citations and pen <br /> •The lessee agreesfor lire,theft,confiscation, Merchant Cop' <br /> surae all responsibility <br /> possession W11 P <br /> THANK Y0iJ <br /> damage encountered Uhtow charg <br /> We are not responsible for any pLEASE COME RGRIN <br /> materials cuntoom work ngrtlethe areasthe custolmerre nested. <br /> while dump 9 <br /> 1 NATURE <br /> X <br />
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