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~, ~ ~ ~ ~ <br />-r~/~~ - <br />rr > <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 ~ L V ~/ <br />Telephone: <br />Customer Order: <br />Work Description: ~~+ ~T 4~+~r l~C~~^'+S ~ <br />C~O+^"~s ~` G ( !vw 1 ~+~~' ~ ~~lQ ~hIA-'f't ~. TO <br />~~.u T~- ~ <br />'~ Job in Progress ^ Job Complete Manifest # <br />Customer: M~4'~dON CAVti'~'~+q <br />Job Location: '5~~~ <br />Project No. ~ j ~R ~) Date <br />^ Marine ^ Industrial ^ Hazardous Waste <br />^ Asbestos ^ UST Other <br /> S!T O/T Total Hourly Totai <br />Classification Employee Name From To From To Hours Rate <br />F*~.• f J E E~ 1 2 50 l C)O <br />~ ~~cr+ r. w t S'3o 1 0 2- I o <br /> '3a 1 Z... I <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Equip. Subtotal Labor ~ ~~ ~ <br />No./P.O. Equipment Units Rate Amount Materials Units Rate Amount <br /> t v ~4- OP ~ <br /> <br /> <br /> r-.~ 1 4 <br /> ~ ~ f <br /> ~ ~ ~ <br /> ~ '~' ~..k- <br /> <br /> ,~ <br /> <br /> <br /> Permit <br /> Lab Fees <br /> <br />Disposal Subtotal Mat 'als <br />s ~ <br /> Subtotal Equipment TOTA ~ ~ <br />Acknowledgement: <br />~ <br />~ <br />~~ <br />Foss Fepresentative: , Customer Representative: <br />rcie: ~ 1Y1.._, rne: <br />