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Employee# ZSamo�1a Co J Selland Construction, Inc. STARTTIME 5't1b STOPTIME 5'3C) <br />�//" Employee Name - , , , , <br />-3? 5 L68-r;ef.0 <br />Beginning Odometer Gallons of Fuel: On -Hwy Ll.tO off -Hwy_ <br />Ending Odometer'/i1 q % Z <br />Accident: Yes_ No K If Accident was Truck/Trailer Loaded: Yes_ No x <br />Employee Signature Wes'-- /I(� <br />Foreman Approval <br />