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, '~ ~ <br />~ <br />~~,r s ~ - <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: <br />Telephone: <br />Customer Order: <br />Work Description Oh~ ~ ~~'~~ ~~ - <br />~..Q~ ~ ~-. ~.,~ L~A.~u.~~-7~~. . <br />^ Job in Progress ^ Job Complete Manifest # <br />Customer:~~~10~ ~svM-TY <br />Job Location: 5 ~ ~-~~ <br />Ca~rr '~"'~etalt- S c9 ~~ •v.e._ <br />Project No. _ ~ ~ ~ ~ ~ Date ~ <br />^ Marine ^ Industrial ^ Hazardous Waste <br />^ Asbestos ^ UST Other <br />S!T O!f Total Hourly Total <br />Classification Employee Name From To From To Hours Rate <br />Subtotal Labor <br />Equip. <br />No./P.O. Equipment Units Rate Amount Materials Units Rate Amount <br />~ 1 ~o ~e 4 <br />Permit <br />Lab Fees <br />Subtotal Materials <br />Disposal <br />Subtotal Equipment TOTAL ~~+ Q <br />Acknowledgement: /'~~ <br />w M <br />Foss Representative: Customer Representative: <br />Title: <br />rne: <br />