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~~ <br />~1~~ ' <br /> <br />Contact: ~~i ~'"~'~ ~'~'~^''~~`~ ~ ~ <br />Telephone: <br />Customer Order: <br />Work Description: <br />EX ~ ~.,. ~ar ''j'c.1~,.~, a~F- 1~~L~,.p <br />~ n 7( C~L T ll~r v ~i6~ ~.G.~'~-,C <br />^ Job in Progress ^ Job Complete Manifest # <br />~ Portland <br />5420 N. Lagoon Drive <br />Portland, OR 97217 <br />(503) 283-1150 <br />Fax: (503) 289-6568 <br />Page of <br />Customer: M~'~u''~ y"''~^~`~ <br />Job Location: ~" r"~' ~u SG~i.v~ <br />Project No. ~ ~ ~~ ~ Date~~ ~ <br />^ Marine ^ industrial ^ Hazardous Waste <br />^ Asbestos ^ UST Other <br /> S!T ~R Total Hourly Total <br />Classification Employee Name From To From To Hours Rate <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Equip Subtotal Labor <br />. <br />t <br />R <br />Amount <br />No./P.O. Equipment Units Rate Amount Materials Units e <br />a <br /> .'fc a,,,, ~.-y.,~r,r- l I.,rf t <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> it <br />P <br /> erm <br /> Lab Fees <br /> t <br />M i <br />ls <br /> l <br />i er <br />a <br />a <br />Subtotal <br /> sposa <br />D <br /> Subtotal Equipment TOTAL ~~Q <br />Acknowledgement <br />Foss Representative: <br />Title: <br />DAILY WORK REPORT <br />Customer Representative: <br />Title: <br />