Financial- Foss Environmental Svcs. Co.

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~_ " ~ ' „~, ~' DAILY WORK REPORT ~ Portland 5420 N. Lagoon Drive _ , ~~ Portland, OR 97217 ~~-~s~`~y F~ax3~(503) 289-6568 Page~ of __ Gor~tac;:__ -_ .. Customer: ~~'~~~ ~~~'ti'~~-- Telephone. __.__ - _ -_ _ _ __----- Job Location:_ - Customer Order: _ ---- --- - ------- _ - --------- S~_r ~~~=~ --~-~ ~ a Work Descri~tion --- --- ~~ ~_~,~ ~ ___.__-''~"~.---~~.(~ ~ "'r_~L ~nl:~+r~Project No. _ ~`"__.~_t-- . -___--------- ---- ^ Marine _. __-----.- ~ _, ~-, ',~ lab in Proc~re~s> '~__J Job Compiete Manifest # -------- As estos ~18SSI~iG3tlOtl Date ~ ~ ~ ~ ^ Industrial ^ Hazardous Waste ^ UST Other -- ---------___ _.__ -_---_-T__ j S!T ~~ Total Hourly Totai Employee NamF: C----- Hours Rate From To From To _~_.-._~ . .~_ r ~ U.~ l1( ~ r4 °~ --- _- ---,~ __ . - _ ~ - -------- ~i'~n, t~Zi. ..2 ti.,.-. __ ----~._1 ~'J-S1-. ~ Eqi ip. - - ---- -.___._ -- - __ _ - __ -- Fdo ~P.C) Equ~[:>nfeni J~il:~> ~i Rate Amount _ _ -- - --- i -- ---- - -- - - -- i - ' ~ ---- ~- 1~~~-~--- (~~--- -,- ~ --- - -- ~ ___ ----- ___' _ + ---- ----~ _- - --- __- - J - -~~_~--~ _ 1_ ___~_ 5 I - ~_ -- , -----_ ~_ _ ~~ P~w ~- ~~s I ~ ----~- - r. ----- t-= ~?- .~.~~ ~ ~~-~1~3__ C~- ~~ ----~ls~~~-~---{- ~ ~ r I ____ ~ __ _-------~_-- ' _ _ . --~ ~~~ - -"~'!'- ~~r~.'~ _ ---__ ~ ~ L I _____ ___ ~ ____ T _--- - _ --r -----~-~~ _._. - -- ~ ~ - ~~~---~~ ~ --~-,-~` , ; - -- , ---- ~ T~ - ~--- fi- -- - - --- - - .7~. ~,,,~.~v_~~lsk~_Vl.l~l~ _ 1~~7_~'~~~ , -5-~-~ ~ --- _ , _ -- ~ ; , - , ..:~~ , __ . i ~.au ;= _~. _ _ _ . _ ____ i-- --- _ _ ___ ___-- _ -- ___ _ __ 1 ; Dlsposal ' ' ~ - ~ -- - ~ ~ --- -- ____ _ _ f --- - -- ----- ~ ~;~4~t~~z~~1 ~~~,~s~~re~r~i ~ ~ I -~.-- _ __ -- I-____--~ _ _.____ ___ Acknnv/ledgement: Foss Representative _-.-- - -- - ~-- -' ___ ----------- litle: -------------------- __._. Subtotal Labor ~ ~ w- Materials Units Rate Amount Subtotal Materials TOTAL 9 Customer Representailve: ---- Title: