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Selland Constmctionn fnc.,ro.rr,*, ?'rD ,roor,t, &_l?Employee #
<br />Employee Name
<br />DATE
<br />(s)(T) (w) trH) {F} (sA)
<br />Eeginning
<br />Ending
<br />Accident Yes
<br />-
<br />No ...*-
<br />Pnqffb4
<br />TOTAL
<br />$&Gallons of Fuel: 0n'Hwy Off-Hwy_-
<br />lfAccidentwasTrucklTrallerLoaded: Yes-- No-
<br />DOWN
<br />TIME
<br />'.*.l.i'1.';:.'
<br />r'! :. r j. . j.,,
<br />ri{i:1i:l
<br />....11 :,'.11 ,;
<br />' 1,4:".i
<br />..".: '-1.1
<br />r: ! .1:. ..
<br />It
<br />| . . .'i
<br />i ,,-' ..'ir. -
<br />_. . 1,..J:. --r
<br />- -'i: ._a '.':.
<br />HOUflt
<br />DN'VN6TNNLEp.
<br />4L>r\
<br />tsActo&
<br />,:",J
<br />-'vl:'.' .: '1a,,.
<br />;;:li'riii.iiir.t. J1 -.r::ir:1i
<br />f a!. !.. ,.::
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<br />,ji .r\.i q ,
<br />. .:'. !r'
<br />'*' .'!'1.:
<br />::.tt1"..'
<br />TOTAL
<br />HOUfrS
<br />l'-. ,.ji.l !"i..,.':t{::'ffi
<br />,,-l''i,.'. ".'
<br />.r i i '.J;,iri..;
<br />. ;11-: i '-. .
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<br />-'.1 l.:,;:;'; :-...'' :l'iIr: j',t:
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<br />| 4 t.:r'., ':n
<br />Ii ' .1,''j':: j'''' .C':", 1: .!' . ':.
<br />' ,"':t '. '" "'.
<br />-:; "r-;i ,: i -:l ,.
<br />PAYAffE
<br />i$Ul',,
<br />LAADS
<br />t^ffi
<br />MATER'ALHAULED
<br />r(\1 +
<br />;' i
<br />.a\i' : ".::':,;
<br />4ii.ii.,.t/4*,
<br />tl;r;
<br />1',iiii;,
<br />PHAsE
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<br />td;,_--_: '
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<br />.'' :r,1,i::{r-
<br />JAENAME
<br />\5
<br />JAB #
<br />EmploYee Signature ForemanApproval
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