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WP0043044
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043044
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Last modified
7/22/2024 4:19:39 PM
Creation date
4/8/2024 4:27:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043044
PE
4380
STREET_NUMBER
9417
Direction
E
STREET_NAME
SOUTH ORCHARD
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01721025
ENTERED_DATE
3/3/2022 12:00:00 AM
SITE_LOCATION
9417 E SOUTH ORCHARD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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- ck & Rea�1y NI�x s9 <br /> Californiaifrrl�a . Lodi, CA 95240 1426 <br /> � 1200 E.Turner RdF�(209) 36S-5824 <br /> \� (209) 368-5351 <br /> S�JJJ DATE <br /> JcccI <br /> NAME ` a PHONE <br /> ADDRESS TRAILER NO. <br /> AM p TRUCK NO. <br /> JOB SITE AM p TIME PM❑ <br /> !' TIME� �� PM p IN PRICE AMOUNT <br /> OUT DESCRIPTION <br /> QT r <br /> r <br /> Z, <br /> C� <br /> EQUIPMENT RENTED l <br /> HAND TROWEL <br /> CAUTIONmortar, HAND FLOAT <br /> Freshly mixed cement, skin <br /> concrete or grocontact with ut may cause EDGER <br /> in ury• possible and wash exp skin <br /> I osed TRAILER <br /> here possible <br /> with water. If -- <br /> w ,.. <br /> skin areas p et into eyes. 6atCha' ���162 <br /> rinse emmediatelyea 9d repeatedly <br /> with water and g <br /> et prom t medical ppp�)d', Online <br /> attention <br /> Cion KE NP OUT O REACH GRE ���2 COde, MATCH M <br /> SALES &RENTAL A <br /> lessee agrees to pay a S50 <br /> r:l cleaned atthourser e lee of S25 per hour on wet 1 agree to <br /> pay above total amount <br /> to card i�auer agreemen <br /> •If the equipment is not proprio e than two credit voucher <br /> is used according <br /> •li the equipmentbeen delivered to tMerchant aereement if <br /> ch The <br /> equipment has regiment.The <br /> pod condition as <br /> the rental cha 1g a and <br /> me9n as gag <br /> •The lessee acknowledges that the above <br /> consideration he agrees to Pay to return trailer hitch and <br /> mortgage the leased equipment and cted said trailer, -------------- <br /> The <br /> _.--_ <br /> sale and secure and the othe <br /> •The lessee acknowledges that he has ook- ------------------ <br /> has <br /> mens while it is in his <br /> • and that he has found the trailer and hook-up east �'-- <br /> agreeing to assume all responsibility for said leased aqu'P that may <br /> •The lessee further agrees to indemnile tp his peeson or property eck Ar Rear _____ <br /> or damage n the event of any accident.the Copy <br /> pense arising <br /> Irom any InNry custody- Merchant <br /> proximate result ol&Ready MrXIc the use of tra <br /> California Rock I with all laws of the State all citations and Pena THANK y0gGA1N <br /> •The lessee agrees it comply PLEASE COME <br /> sume all responsibility for lire,theft,confiscation, <br /> possession <br /> damage encountered while Caldor <br /> We are not resp <br /> onsible for any a all tow charge <br /> in the area the customer re uested. <br /> materials customer has ordered.Customer w P <br /> while dumping or working <br /> GN TURE <br />
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