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Report //,� .., if%1%��...f�• -�� j�,. • ..,,72. '. '/,".!!(v'• 1✓%;,,'7'i%�''> .•y, ✓i:-fir% A PACIFICNW P.O.BOX 68343 PDATLAMO,OR 97268 503.654.8969,1.817304.1587 503.342.6821 »PACIFICNWLOCATINELCOM PRIVATE 011LITY LOCATE WORK ORDER CUSTOMER NAME: R\\\ P.•-A SN1 S `.-N-S P.O.# ~" OILLINM All HESS: 1 CONTA CT `'" P..35- 3 45 ' CUSTOMER R E'1/j 2015-- co( 17 no* ^..., LOCATE ARORESS: ci5 'o s../ •V{voc.14 S k , I ) ` Sw' rdk.t 02. I ..k aa.LA LOCATE JOB DESCRIPTION 1,o ,r ,�.„.f.4- ,�ik�.. p •r4v S/l 4.. • + 0 04 ),, r..4.-.. 1 ___., ..e_ks\-,, UTILITY NOTIF1CATIOR CALLED? J I IF NOT.PLEASE CALL TO NOTIFY 1.800.3322344 1.000.4245555 CUSTOMER INITIALS: LOCATOR'S .- � MAME: C351–, C,, 14. f I DATE LOCATE LOCATOR'S SiSNATU'° ,.�: �.►.� 'PERFORMER: is- 1. -- k.S PRIYATEBILLING: ) (� l°r L dJ BIWA • NISO 1• ^^ @ ■ At=S f REGULAR LOCATES: N _HRS Cg 'n MY=5_151 ---, MISC 2 ..•.. @ -- 1ti=S — �' ^ EMERIERCY WORK: HRS @ TAT=1 • �..-. " ter+.+ @ --- .3 -.- CAMERAWORK. NS @ /Sr=I ,so 07 4L' '�' •$ ~ MILEAGE: �����2 s �����RU @ �1.. Ibrrr=S r",;(/ %� �/Z� 1 ;'/- � 'P.-2"--�3 TOTAL COST: I /•%// %hi% %//i%�/r�.cr%/J1/// _ ..o�0 SEE TERMS AND CONDITIONS ON BACK OF WORK ORDER CUSTOMER SIGNATURE: ;,4,..\ A. tJk \,-,44 1,. S \ 5 , ( _ 15 Z'd I. 89Zti££09 bupeoolmuol;loed BLS:60 9 L 8Z W