PO#

SITE NAME

ACCOUNT MANAGER

START DATE

START TIME

Hours

Minutes

END DATE

END TIME

Hours

Minutes

TOTAL TIME

Hours

Minutes

OBSERVED WEATHER CONDITIONS

AREAS SERVICED DURING THIS TIME

PLOWFull50%Other

SHOVEL SIDEWALKYesNo

ROCK SALTFull50%25%

ROCK SALT # Bags / Tons

ICE MELTFull50%25%

ICE MELT # Bags

ONSITE WORKER NAMES

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