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r1JN <br /> A N C 0 <br /> Office: 5✓c_ Page / of <br /> DAILY WORK REPORT <br /> Project Number:qOO iz,- Zi,3 j _CHANGE ORDER <br /> DATE: 3 'Lv w EMERGENCY RESPONSE <br /> S M W Th (E-)S PO Number. Vo- C()3 - G-tCZ: 1 _PROJECT SERVICE <br /> PREVAILING WAGE <br /> Client: Description: V�- pr3aL,I— <br /> Phone: <br /> Project Location: Ils%z-`} "�lr"``7 Cf- vti4 Gv <br /> LABOR STRAIGHT TIME OVERTIME PREMIUM <br /> POSITION NAME START END START END HOURS RATE HOURS RATE HOURS RATE AMOUNT <br /> Tz — 2 L'of C"), <br /> LABOR SUB-TOTAL <br /> ❑Required breaks not provided? <br /> EQUIPMENT MATERIALS <br /> DESCRIPTION QTY UOM RATE AMOUNT DESCRIPTION QTY UOM RATE AMOUNT <br /> V1 7A_ <br /> fir- <br /> 4:!-A <br /> FL a <br /> EQUIPMENT SUB-TOTAL MATERIALS SUB-TOTAL <br /> OUTSIDE SERVICES <br /> DESCRIPTION QTY UOM RATE AMOUNT <br /> LABOR <br /> EQUIPMENT <br /> MATERIALS <br /> OUTSIDE SERVICES <br /> OUTSIDE SERVICES SUB-TOTAL TOTAL <br /> _ MARK!JP <br /> OUTSIDE SERVICES TOTAL ❑Job complete ❑ Job ongoing <br /> Notes: <br /> ACKNOWLEDGEMENT <br /> Representative Signature: _ -- �� Client Representative Signature: <br /> Printed Name and Title--'- Printed Name and Title: <br /> 7394 <br />