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<br />~/Q,r S ~ ~ <br />~ <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 />W rk Description ~~A~~~ ~~ I' ~~~--~~K~ ~ <br />~~~h ST~!'.et.T <br />^ Job in Progress ^ Job Complete Manifest # <br />Customer: ~~ ~~/`~~ <br />Job Location: ~u'~'~-~~''S~J4~ ~"TL~1 _ <br />r-.~ <br />Project No. ~, t4 ~ ~ Date '~- <br />^ Marine ^ Industrial ^ Hazardous Waste <br />^ Asbestos ^ UST Other <br /> SR ~~ Total Hourly <br />Total <br />Classification Employee Name From To From To Hours Rate <br />CS ~ <S ) L ~ ~ <br /> <br /> <br /> <br /> <br /> ~ <br /> <br /> ~ <br /> <br />Equip. Subtotal Labor ~~! j)'0 <br />' <br />No./P.O. Equipment Units Rate Amount Materials Units Fiate Amount <br /> ~ <br />~ <br />~ <br />~ <br /> -~i <br />~ <br /> ~ ~ -__'-y <br /> (1/ L -~ <br /> --1 <br /> <br /> , <br />-- ~ <br />~ ~~ <br />~ <br /> _ -; <br /> i _ -~ <br />- `_{ <br />__- <br /> _-_ ' .. ~.~.'- _~ <br /> <br />~ ~ -- <br />i Permit <br />Lab Fees <br />~~ ~ __- <br />-~ - <br />' <br />~ <br />- ~ <br /> -- <br />Disposal - <br /> <br />Subtotal Equipment ~C"~rl.~ ~s`" Subtotal Materials ~ <br /> <br />TOTAL ~ ~ ~ "~ <br />Acknowledgement: <br />Foss Representative: _ "~ -- <br />Title: <br />Customer Representative: <br />Title: <br />