Storm System Cleaning Ticket - 08.21.2013.pdfEquipment Assigned: it Vactor Combo PD
Service Order: Clean storm
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Start Travel:Start Job: 0&0 Finish: ).2C)C Finish off loading: i6 Stop Travel: 2: IS'
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Disposal Site: CATjAckRk Est Tons: Reciept Number Disposal: 60'3G62 -
Decant Site: Est. Gallons: Water District:
or Full: Unit Number: Est Gallons Used: 300
Operator: bA S k A
ailing Wage YES /NO Laborer:
I Signature. Ij b-1 A QA o- A - UE Signed By I
Signature acknowledges approval of work completed Payment Terms: Net 10
Bravo Environmental NW Inc. 1 8437 S 144th St. Tukwila, WA 98168 1 425.424-9000 1 Fax 425-424-9002
4441&
Factor Facility
Transaction N 0 0
0 0 6 0 22
Snohomish Coun 8915 Cathcart
waste
Way, Snohomish, WA 98290 —
Date -.2, 2 Time
0 Truck #:
9-7
Vactor Operator
Activity_
W.O. #
W. M.A.
Customer Name Account #
Veh I.,D.
x
CNTY ER&R,-- 8111
F -I
CNTY Roads - Sno 8112
0
CNTY Roads - Arl 8114
0
�CNTY Surface Water 8115
0
CNTY Solid Waste 8116
0
6A. State DOT 5079
0
—7
Customer Name Acct,#
Vehicle I.D.
x
Location/Address
Project Name and Number
Truck Weights (tons)
Disposal Detail
Gross q, 3
CZ Grit Disposal
Middle
0 water Disposal
Tare 2— 4,5
C) Clean Water Fill
White: Customer Yellow: Solid
Waste Pink: Remains