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~ ~ <br />ENVIRONMENTAL <br />Contact: <br />Telephone: <br />Customer Order: <br />Work Description~_ €/~~~ ' '~~ ' ~' . ~ ~ <br />~~=~~,r 1~ <br />~ Job in Progress ^ Job Complete 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: ~~'c~2.1,J-hl CA~''~T T/ <br />Job Location: CDI~w+' I~ Pe~~`~ /~~-~ ~~~~~`~~ <br />Project No. _ <br />^ Marine <br />^ Asbestos <br />^ industrial <br />^ UST <br />Date l~ %"' ' ~ f `rf" <br />^ Hazardous Waste <br />Other ~_ <br /> SR ~R Total Houriy <br />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 />No./P.O. Equipment Units Rate Amount Materials Units Rate Amount' <br /> t / - ~ ~ <br /> <br />L /~.t ._ '.l\ <br />__ <br />_- I <br />-~ <br /> <br />- <br />--- ~ <br />--~ <br />-----i <br /> <br /> <br />-- i <br />i <br />-1 <br />~ <br />------ --i <br /> <br />- <br />~ <br />--- <br />- i <br /> <br />~ <br />~---~ <br />,- <br /> <br />-- <br />~----- I <br />~_--_ _ ; <br /> --- <br />_~ <br />-- <br />------ <br />~ <br />----.. <br />- <br />___ ~ + <br />I -----~ <br /> <br />r--~-~ <br /> <br /> <br />-- <br /> <br />~ <br />----- ~ <br />~ --._. <br />.__ jI <br />h_..._._------i <br /> ~ Permit ---- ---- _ <br />- - _-l <br /> ----- ---------- <br />Lab Fees - <br />__ ~ <br /> _^____ __ _ <br />~ <br />Disposal _ <br />5ubtotal Equipment <br />Subtotal Materials <br />TOTAL <br />~ <br />~- <br />Acknowledgement: <br />Foss Representative: -_`~Yv~ Cusromer Representative: ! <br />Title: Title: <br />