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WP0042659
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042659
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Last modified
9/6/2023 8:20:06 AM
Creation date
8/17/2023 1:36:55 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042659
PE
4366
STREET_NUMBER
25352
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540002
ENTERED_DATE
10/14/2021 12:00:00 AM
SITE_LOCATION
25352 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Address: 25352 N. Magnolia Place, Acampo ID: WP0042659 <br /> --------- ---- - <br /> Rock & Ready Mx <br /> . California R i <br /> 1200 E.Turner Rd. a LO139160 <br /> (209) 368-5351 F"409) 368-5824 <br /> DATE <br /> NAME r 20 f 5 I W30 <br /> ADDRESS 2 53,52 PHONE <br /> JOB SITE lQ� <br /> IME PM[3 TRUCK NO. RAIL . <br /> TIME Z O d AM❑ T <br /> OUT PM❑ IN M [3 <br /> —UT—y— DESCRIPTION PRICE AMOUNT <br /> 222 <br /> EOUIPMENT RENTED PRICEIDAY SUBTOTAL <br /> CAUTION HAND TROWEL SALESTAX <br /> Freshly mixed cement, mortar, HAND FLOAT <br /> concrete or grout may cause skin EDGER EQUIPMENT <br /> injury. Avoid contact with skin RENTAL <br /> where possible and wash exposed TRAILER CLEANING <br /> skin areas promptly with water. If <br /> any cement mixtures get into eyes, CHARGE <br /> rinse immediately and repeatedly <br /> with water and get prompt medical <br /> attention. KEEP OUT OF REACH p� <br /> OF CHILDREN. TOTAL C O <br /> SALES&RENTAL AGREEMENT <br /> •If the equipment Is not properly cleaned after use,lessee agrees to pay a$5o cleaning charge. <br /> •It the equipment is used more than two hours,fee of$25 per hour on weekdays and s35 per hour on weekends,will be <br /> charged. <br /> •The leasee acknowledges that the above equipment has been delivered to his custody and control for his own use,and In <br /> consideration he agrees to pay the rental charge and sign Ihts agreemem.The leasee further agrees not to sell,ban,sublet or <br /> mortgage rile leased equipment and to return the same in as good condition as when received. menl <br /> The lessee admowledges that he has inspected said trailer,trailer hitch and salety chain.and the other items of egdDtssema <br /> sand Chat he hes found Me trailer and took-up sale and secure and the other equipment serviceable and he accep <br /> agreeing to assume all responsibility for said based equipment while It Is in Ne custody. <br /> •The lessee further agrees to indemnify and save California Rock 6 Ready Mix harmless from ar'y IIaINLI\.dN"'rr e� <br /> pence arising from any injury or damage to his person or property that may occur while said equiprnam is w his cu--trA!»as s <br /> proximate result of its being In his ctrs".In the event of any accident,the lessee agrees to make a written report to <br /> CalMornir RnHr L Rwadv Mlx. - - ---=umit.and l0— <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />
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