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s <br />Y <br />I <br />ENVIRONMENTAL <br />Contact <br />~ <br />Telephone: ~_ __ <br />Customer Order:_ <br />Work Description: ~ <br />~ ~, u <br />u Job in Progress ^ Job Compiete Manifest # <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 />Customer: ~ V ~^- <br />Job Location: v ~- <br />Project No. ~ ~~~ I Date ~6 ~ <br />^ Marine ^ Industrial ^ Hazardous Waste <br />^ Asbestos ^ UST Other <br />Classification Em <br />lo <br />ee Name S~ ~~ Total Hourly <br /> <br />~ _ p <br />y <br />From <br />To <br />From <br />To <br />Hours <br />Rate Totai <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Equip. <br />No./P.O~_ Equipment Units Rate Amount Subtotal Labor <br />Materials Units <br />Rate Amount <br /> <br /> <br /> i <br />~ <br />-I ---- <br />------- - --~ <br />- <br />- <br />i , <br />~- --- <br />I ------ <br />- -- <br /> <br />} ---- --- - <br />-- - <br /> <br />-- - <br />-- -; <br />--i <br /> <br />I <br />r---- <br />~ <br /> <br />-~ <br />~--- ~ ------ <br /> <br /> <br />__ _ ___._._..__----_ <br /> <br />-- ---- - <br /> <br />-- <br /> <br />- - <br /> <br />-- -, <br />~ <br />~ <br />I ~ <br />i ----- <br />~ <br />~----- Permit <br /> <br />Lab Fe~s-------- <br />} - <br />I Disposal <br />-------- - <br /> <br />-------- <br />--- - <br /> <br />- <br />- <br /> <br />- <br />, j~ <br />- <br /> <br /> <br /> <br />ubtotal Mater' Is <br />~ Subtota! Equipment TOTAL ~ ~ ~ <br />Acknowledgement: <br />Foss Representative: <br />Title: _ <br />r <br />Y` <br />Cusromer Representative: <br />Title: <br />