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t!!S V PT J'J' !1 �NIc <br />TIME TICKET NO. <br />Job <br />"1•SI <br />Job/Vessel:�i t <br />tomer Name; �'s�. <br />Date' . Day of Week:Shift: AM [ q, Complete: <br />3O1: # r,_T �, I PM L ] Yes No <br />o �•,, ��M TUW� TH F SA SU <br />Customer POC: �IjjP,9CPhoneN0;-u$tomer,P,Q No:t�A' <br />Ord; <br />Services To Be Performed: l';•,, oh^` ^ s h A. <br />e c', ,� ��- 5 4 v • f �° it <br />r'�� 'icy"��, ��. '`s� '� ��,� a'�94 �I�• "� t 4�� <br />r .o <br />r�'l' `w�'vd4liltlal.tY y�b�',,�_ <br />Customer Authorized Print �c,prepa�ed 8y Pant <br />• r 9 � y <br />Customer Authorized Signature Prepared By Signature <br />Labor <br />Employee Name CDL lGenerall <br />2 Cad <br />3 <br />4 <br />5 <br />6 <br />Equipment Qty Hrs Unit <br />Pressure Washer Hot/Cold <br />Hvdro Blaster <br />Air compressor <br />Poly Tank <br />Frac Tank <br />jSubdontractor Services <br />N <br />Disposal I Qty I Gal I Drum <br />WMC - Supervisor Print <br />WMC - Supervisor Approval <br />START LUNCH FINISH <br />Accessories / PPE I Qty <br />Gas Tech Meter <br />Supplied Air Egress Sys. <br />Respirator [Full] <br />Cartridges <br />Rainqear <br />Gloves PVC / Leather <br />Plastic Sheeting <br />Absorbent Pads <br />Duct Tape <br />Poly Bags S <br />Cleaning Rags <br />Cleaner / Soap <br />Safety Harness <br />Life Vests <br />Super Sacks <br />3430 16th Street, Everett, WA 98201 , Phone (425) 317.8298 , www.washingtonmarinecleaning.com <br />White: Office Yellow: C"nstomer <br />