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. ~' ~, <br />~~~ <br />-y~j~w s ~ - <br /> <br />DAILY WORK REPORT <br />~ Portland <br />5420 N. Lagoon Drive <br />Portland, OR 97217 <br />(503) 283-1150 <br />Fax: (503) 289-6568 <br />Page of <br />Contact: ~ ~ r ~ ~~ <br />Telephone: <br />Customer Order: <br />Work Description: '~r"~ ~ ~ C-~'~'~ S !~ <br />tio w ~ t~ w.s <br />^ Job in Progress ^ Job Complete Manifest # <br />Customer: ~ ~~ <br />Job LocatiQn• Cel/~I +~ati'ti.t S~t a-,.~- <br />~'V t <br />Project No. Z ~~~ Date b~ 2~ <br />^ Marine ^ Indastrial ^ Hazardous Waste <br />^ Asbestos ^ UST Other <br /> S/T OR Total Hourly <br />Total <br />Classification Employee Name From To From To Hours Rate <br /> hi.L e 3o t2 21~,,,r = <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Equip. Subtotal Labor 13(,°~ <br />No./P.O. Equipment Units Rate Amount Materials Units Rate Amount <br /> ,~~ • ~ hw ~ 30° <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Permit <br /> Lab Fees <br /> <br />Disposal Subtotal Materials <br /> <br />4' <br /> Subtotal Equipment ~ <br />TOTAL <br />- <br />Acknowledgement: <br />Foss Representative: <br />rcie: <br />Customer Representative: <br />rcie: <br />