ATTACHMENT_J7_TE-FR_FORMS_AND_REPORTS.pdf

DELUGE AUTOMATIC FIRE PUMPS

WATER SUPPLY AND DISTRIBUTION

Building No.2080 I>cat:t~ •••••••••••••••••••••••••••

1.

2.

3.

Test Engine SVA Sys.

<Overspeed> <High Water Temp.> <Low Oil Pressure>

.1 ________ _ .2 _________ _

.1 ________ _ .2 _________ _

.1 ________ _ .2 _________ _

Test Remote SVA Control Sequence Delay System a Alarm @ PSI.

Test Deluge FA, Diesel and Electric Pump Sequential Start System. *1 Diesel starts @ *2 Diesel @ ------- SEC. *2 Electric @ *3 Electric •------ SEC. *4 Electric @ *1 Electric •------ SEC.

Duration • ------- SEC.

PSI.@ _______ SEC.

SEC.

SEC.

4. Supervised system pressure should be maintained@ 92 to 98 P.S.I.

Jocky pump starts@ ___________ P.S.I. stops@----------- P.S.I.

( By-pass valve opens@ 11~ P.S.I. closes 8 100 P.S.I. approx.>

~- Low pressure supervisory alarm starts @ resets @

P.S.I.

P.S.I.

6. Diesel Engine High RPM (actual guage reading> High RPM corrected

7. Diesel Engine Crank Test <No. of cycles>

.1 __________ .2 __________ _

.1 __________ .2 __________ _

.1 __________ .2 __________ _

8. Diesel Engine Coolant <Protected to DEG F.> *1 __________ .2 __________ _

Inhibitor Type ___________ _ PPM/DCA* .1 __________ .2 __________ _

Ph Test .1 __________ .2 __________ _

9. Gas Engine Coolant .1 __________ .2 ___________ .3 __________ .4 __________ _

<Inhibitor type> ____________________ _

<Inhibitor PPM/DCA*> .1 __________ .2 ___________ .3 ___________ .4 _________ _

<Solution Ph Test> .1 __________ .2 ___________ .3 ___________ .4 _________ _

Tests Completed by1

------------------------------------ NOTES ------------------------------------

Refer notations to appropriate item numbers

I f I

DIESEL ENSINE WEEKLY TEST LOS

IDLE SPEED CHECK YES'/NO

ENSINE RPM

ENSINE NUMBER

. FUEL SUPPLY

RESERVOIR WATER~L

BATTERY ELECTROLYTE LEVEL

ENSINE TEMPERATURE

ENIINE OIL PRESSURE

SUPERVISED SYSTEM PRESSURE

BATTERY OPERATION <1 DR 2)

ENSINE RPM

ENSINE OIL PRESSURE

ENSINE COOLANT TEMPERATURE

DLB PUMP DISCHARBE PRESS

SUPERVISED SYSTEM PRESSURE

HOUR METER TOTALIZER

BAT CRANK VOLTASE

STARTER ENERBIIED SISNAL

EN&INE COOLANT WATERFLOW

DELUSE PUMP BEARINSS/PACKINS

TEST SVA TRANSMISSION

BUILDINS. --·------------

START UP CHECK LIST

RATED SPEED CHECK <AFTER WARM UP)

INITIALS~----------------------- DATE-----------------------------

-----------------------------------------------NOTATIONS------~----------

DIG CLEARANCE

DIRECTORATE OF PUBLIC WORKS, FORT WAINWRIGHT, ALASKA

(Updated 18 May 2011) NOTE: Locates require 72-hour notice

(Except where indicated)

Request clearance to proceed with work at:

DPW Work Order# --=--:-=:-::-:::-:-::-- - ---Contractor:

(This information is MANDATORY)

- ---------- POC Name/Phone: - ---- --- - ---

TYPE OF WORK REQUIRED: (provide brief but complete description of work to be performed)

Project Dates: ___ ____ thru -------- Above Excavation Checked for Conflicts with the Following:

Department

UtiliUes Privatization, Bldg 3022 (Center) 361-7550

Facility Management Specialist (Electric), Bldg 3015 361-6172 (Buried Electric)

Alarm Controls, Bldg 3022 (East) 361-6254 (Alarms)

Doyon Utilities, Bldg 3564 Neely Rd 455-1568 (Steam, Water. Sewer)

Doyon Utilities, Bldg 3564 Neely Rd 455-1570 (Overhead Power Lines)

Roads & Grounds. Bldg 3015 361-7992

Environmental, Bldg 3023 353-9686

Fire Dept, Bldg 1049 (Apt 9 /10) 353-9164 (Use of Hydrant Sys/Road Closure)

Telephone System. Bldg 1060 353-6101 (507"' Signal Co)

Alaska Dig Line (ACS) 1-600-478-3121 (48 hour notice required)

·•other ___ ___ ___ _ _ _ _

Conflict

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Explanation of Conflicts Ident ified Above (annotate on drawings):

••tf Required·

Signing Official

Alaska Railroad - If excavating within 100 feet of railroad right of way: 907-265-2465 (1 0 day no tice required) Ammunition Areas, Bldg 1900 & 2200: 353-6440 (Securi ty Only) Provost Marshall, Bldg 3028. 353-7535 (Road Closure Only) Customer Service Desk, Bldg 3015: 353-7069 (Util ity Outages Only)

D special Requirements Note: INSTITUTIONAL CONTROLS AREA- POTENTIALLY CONTAMINATED AREA, SPECIAL PRECAUTIONS APPLY- SEE SOP and NOTE REQUIREMENTS #6 AND #7 BELOW

1. This clearance authorizes commencement of excavation work only and is not a notice to proceed or work authorization.

2. This excavation clearance is effective upon the date of signature by DPW official below; EXCAVATION SHALL COMMENCE WITHIN 30 CALENDAR DAYS.

3. Requester will provide two (2) copies of required work site drawings with excavation clearance request. DPW will retain one (1) copy of these drawings.

4 Requester will retain original completed excavation clearance request onsite during excavation activities. DPW will retain one ( 1) copy of the request.

5. Boring locations must be marked on a 1/100 scale drawing.

6. All soil to be removed from the work site shall be disposed of in accordance with guidance from the DPW Environmental Resources Department.

7. An after action report (AAR) concerning work at sites where institutional controls are in place shall be submitted to DPW Environmental Resources Department NL T 30 days follow ing completion of work.

Requester's Signature Date

APPROVED:_~~~~~~~~~-~~-~--~~--

Ed Chacho, Business Operations & Integrations Date

Ft. Wainwright Excavation Clearance Request (Dig Permit) (Updated as 16 October 2009)

1. Prior to the commencement of any excavation, trenching or other digging activity for all soil disturbing activities impacting soils six inches or more below the ground surface, the contractor shall obtain an Excavation Clearance Request (ECR), USARAK Form 81-E. USARAK Form 81-E is commonly referred to as a "Dig Permit". The Contractor shall be responsible for providing all information required by the ECR to include obtaining all signatures from the organizations and individuals required on the ECR. A blank ECR form may be obtained from the Customer Service Desk at the Directorate of Public Works, Building 3015, Fort Wainwright.

2. If contaminated soils, drums, unexploded ordnance, or unusual debris are found on or around any work site, the contractor shall stop work immediately and notify the Fire Department or "9 11 ,. in accordance with USARAK Pamphlet 200-1 , Hazardous Materials and Regulated Waste Management. Additionally, the contractor shall notify the Contracting Officers Representative (COR) immediately of any such action. Work at the site will be suspended until the area is cleared by DPW Environmental Resources and notification by the COR is given to the contractor allowing work to continue. Site clearance by Range Control is required if unexploded ordinance is involved.

3. Contaminated soil or groundwater removed from the work site must meet container type, sampling and analysis for potential contamination, marking and labeling, and moving and storage requirements specified in Pamphlet 200-1 or as otherwise specified by DPW Environmental Resources prior to removal. Soil and groundwater shall not be removed from any part of the installation without written authorization from an authorized USARAK representative.

All operations involving hazardous waste will be accomplished in accordance with USARAK Regulation 200-4, Environmental Quality: Hazardous Waste, Used Oil and Hazardous Material Management and USARAK Pamphlet 200-1 , Hazardous Material and Regulated Waste Management.

SERVICE CALL

SORRY WE MISSED YOU!

DATE:________________ TIME:__________

A SERVICE PERSON RESPONDED TO YOUR CALL.

NO ONE WAS AVAILABLE TO ALLOW ENTRY.

PLEASE CALL THE NUMBER

INDICATED BELOW BETWEEN

0730 AND 1630

TO RESCHEDULE THIS CALL

PLEASE RESPOND WITHIN 5

WORKING DAYS TO AVOID

CANCELLATION OF SERVICE ORDER

________ MECHANICAL XXX-XXXX

________ ELECTRICAL XXX-XXXX

________ STRUCTURAL XXX-XXXX

QUESTIONS OR COMMENTS CAN BE

REFERRED TO WORK CONTROL

XXX-XXXX

EXAMPLE

ADD

COMPANY NAME

08/20/2012 Job Ticket 1094046595 Copy 2 Page 1

Order 100001213927 4166 fire alarm shop maintenance alert t Funct. location 2871.4166 BDG4166-School Age Services Ages 6-12 Equipment Assembly PM planner grp PM plant WAIN Main work cntr 1029 WAIN A76 Contract - Base Ops

4166 fire alarm shop maintenance alert trouble, Lonnie 361-4761, pri 03

Operation 9420 4166 fire alarm shop maintenance alert t Status PRT REL Work center 1029 WAIN A76 Contract - Base Ops Control key A100 Confirmation number 1590168 Operation key Milestone Funct. location Equipment Work 2.5 HR Activity type 16310 Duration 0 D Number 0 Earliest start date 07/23/2012 Start time 00:00:00 Latest end date 07/23/2012 End time 00:00:00 Actual labor 0.0 HR Total float 0 HR

End of report tricha.immonen1 Highlight tricha.immonen1 Highlight

Fire and Emergency Services 1054 Marks Road #4500

Fort Wainwright, AK 99703-4500 Com: (907) 353-9164, DSN: 353-9164, Fax: (907) 353-9954

CHECKLIST

OPEN FLAME, CUTTING, WELDING & SOLDERING

This checklist is required for all welding/open flame and cutting operations outside of an authorized shop. Prior to starting please ensure that all information on your permit is filled out completely and correctly. The individual responsible for the operation and the Fire inspector must sign the permit. By following the guidelines below will ensure you have a safe operation.

1. FIRE/EMERGENCY REPORTING PROCEDURES

a. Stay calm and evacuate the building.

b. Dial 911. If safe to do so attempt to extinguish the fire.

c. Give building number and specific area of the fire.

d. Give your name and callback number. Do not hang up until told to do so by the Fire

Department Dispatcher.

e. Report ALL FIRES regardless of size even if they have been extinguished.

2. CHECK YOUR EQUIPMENT

a. Ensure your equipment is in good working order.

b. Do you have personal safety equipment (hood, aprons, gloves, etc).

c. Do you have your own Fire Extinguisher? Water/ABC Dry Chemical. You cannot use the buildings fire extinguisher.

d. Do you have Noncombustible Covers? All combustible materials must be covered within a 35 food radius if you’re unable to move them out of the hazard area.

3. SAFETY PROCEDURES

a. Ensure no Flammable/Combustible liquids or vapors are present.

b. Locate Oxygen/Acetylene cylinders as far from the hazard area as possible

c. No Smoking in the hazard area or within 50’ of gas cylinders

d. Wetdown may be required in some areas prior to operation

e. Close cylinder valves when not in use. Drain regulators and hoses of any pressure when operation is complete.

f. Notify the Fire Dept at 353-6485/7470/6546 for inspection of the area upon completion of operation, prior to closing the building.

g. You as the operator, is responsible for complying will all safety regulations and safety of the work site at all times.

4. PERMIT

a. DO NOT Start work prior to obtaining a permit from the Fire Dept.

b. Permit must be maintained on work site or where the operation is being performed.

c. Permits are only valid for one time and one location unless arrangements have been made and noted on the permit from the Fire Inspector issued the permit.

d. If you fail comply with any Fire/Life/Environmental safety requirements stated, your permit will be revoked.

For any additional information or assistance, please call the Fire Inspectors office at 353- 9166/9164/7470 or stop by out office at building 1054.

Charles Gibbs Assistant Chief, Fire Prevention

HOT WORK PERMIT

Location Date: Permit #

Type of Work Open Permit/Start time Closed Permit/Finish Time:

Name of Person performing the HOT WORK: Print Name of Person performing HOT WORK: Signature

Precautions After Operations

Checklist Check One

YES NO

Did Fire Department Inspector Inspect Site?

Are there procedures for Fire Department emergency notification? (911 or Radio Fire Department)

Are there combustibles in area noted?

Are proper extinguishers on hand?

Is Wet - Down Necessary? (if Yes, note remarks)

Is smoking permissible at work site?

Is continuous Fire Watch required?

Is Fire Department standby required?

Are other precautions required? (if Yes, note in remarks) Print Fire Watch or Fire Inspectors Name Date:

Precautions After Operations

Checklist Check One

YES NO

Was Fire Department notified after Hot Work operation was completed?

Time Closed Permit:

Did Fire Department Inspector Inspect Site?

Time: AM / PM

Are after work conditions Safe: (if No, note in remarks)

Are Heat producing devices safe if left at work site?

Fire Watch Signature or Fire Inspectors Date:

Contact Fire Dispatch at 353-7470 to open and close Permit daily.

Permit Good: Date / Time ________________________ through Date / Time ______________________

Constant Air Quality Monitoring Required During Operations? Yes______No______Current Reading:____________________

Special Precautions Required _______________________________________________________________________________ Remarks:

1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 -

10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - 21 - 22 - 23 - 24 - 25 - Employee - Signature Date

Shop Supervisor - Signature Date

Week Date

TOTAL - RT

TOTAL - OT

TOTAL - HOURS

TASK

CODE

LABOR

HRS

LABOR

CODE

LABOR AND EQUIPMENT UTILIZATION

SHOP

VEHICLES/EQUIPMENT

NUMBER HOURS

BUILDING

NUMBER

Week EndingEMPLOYEE NAME EMPLOYEE NUMBER

GFEBS NUMBER

Page of li'it=f:J ProCheck3 Test Results ------ Complete SCBA Test

Man-u7fu~c7tu-r~er~:--~M~S~A~--~~~~~~~~~~----------------

L02308 Model :

Serial Number :

r Apparatus Location : FWFD

Other 10 : Reserve r Auxilia')f IDs Facepiece Second Stage First Stage/Reducer

Low Pressure Alarm Cyl Connector Airline Attachment

Harness r Visual Inspection Facepiece :

Backframe/Hamess :

Cylinder :

Low Pressure Warning :

Hoses :

lhlllq lllsiUa _..,..,_, MMR/Firehawk 4500

ANZ 213106

LZ 216105

N/A Pass

N/A Pass Pass

:;! r---------- 106A-G·:5·illiZIIII1!/.1/AI----------.

! I

i. F'' wvr.ED Pttcctsta~ : \ a m m m

~Piosan(PS I Fnl!loQo- Lm .._, FWFD

Functional Tests

Facepiece Leak Test : Pass Exhalation Pressure : Pass Pressure Gauge Test : Pass

1000 PSI 2000 PSI

Pass 981 Pass 1988

Static Facepiece Pressure : Pass Static First Stage Pressure : Pass First Stage Pressure Change Pass Alarm Accuracy : Pass Alarm Ringdown : Pass Redundant Alarm : Pass Bypass Test : Pass High Pressure Leakage : Pass

6/6/2007 1·30:37 PM

POSIChek3 calibration was up to date when this test was performed.

0.1 in. H20

1.7 in. H20

3000 PSI

Pass 2936

1.2 in. H20

85 PSI

1 PSI

1111 PSI

130 PSI

1053 PSI

3 PSI

-~---------------------~ I r ·--~~-------~: - ·-· - 1

- m------------------- ----------~ 1 ~-- ~;- -----~'"1

~ I)

Minimum Maximum

0.4 in. H20 20 in. H20 Pass

60 PSI 81 PSI Pass

Tested by : Robert Wood

Organization : Shaw Infrastructure EP FT Wainwright Fire Dept

~ I) .. I ~ ~0--~~--=-----=-------~

Breathing Results

Facepiece Pressure

First Stage Pressure

Signature ____________________ _

Page of 1 Version 3.22

6/3/20143:26 PM

MONDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 1001- 1 21 1534- 1 41 2295- 1 61 3402- 1 81 3702- 2

2 1001- 2 22 1538- 1 42 2295- 2 62 3402- 2 82 3703- 1

3 1001- 3 23 1540- 1 43 2296- 1 63 3408- 1 83 3703- 2

SEASONAL

4 1004- 1 24 1541- 1 44 3000- 1 64 3408- 2 84 3703- 3

5 1004- 2 25 1544- 1 45 3004- 1 65 3415- 1 85 3703- 4

6 1004- 3 26 1544- 2 46 3010- 1 66 3416- 1 86 3703- 5

7 1044- 1 27 1579- 1 47 3200- 1 67 3416- 2 87 3703- 6

8 1044- 2 28 2079- 1 48 3200- 2 68 3416- 3 88 3704- 1

9 1045- 1 29 2088- 1 49 3206- 1 69 3417- 1 89 3706- 1

10 1047- 1 30 2088- 2 50 3206- 2 70 3425- 1 90 3706- 1

11 1049- 1 31 2092- 1 51 3206- 3 71 3425- 2 91 3708- 1

SEASONAL

12 1053- 1 32 2092- 2 52 3206- 4 72 3425- 3 92 3711- 1

SEASONAL

13 1060- 1 33 2095- 1 53 3207- 1 73 3440- 1 93 3713- 1

SEASONAL

14 1061- 1 34 2109- 1 54 3207- 2 74 3442- 1 94 3716- 1

15 1063- 1 35 2110- 1 55 3207- 3 75 3444- 1 95 3718- 1

16 1064- 1 36 2116- 1 56 3208- 1 76 3446- 1 96 3720- 1

17 1064- 2 37 2116- 2 57 3208- 2 77 3448- 1 97 3725- 1

18 1510- 1 38 2118- 1 58 3208- 3 78 3564- 1 98 3728- 1

SEASONAL

19 1513- 1 39 2118- 2 59 3208- 4 79 3565- 1 99 3728- 2

20 1513- 2 40 2118- 3 60 3210- 1 80 3702- 1 100 3728- 3

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

TOTAL YARDS FOR DAY

MONDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 4024- 1 21 41 61 81

2 4058- 1 22 42 62 82

3 4058- 2 23 43 63 83

4 4064- 1 24 44 64 84

5 4076- 1 25 45 65 85

6 4076- 2 26 46 66 86

7 4076- 3 27 47 67 87

8 4076- 4 28 48 68 88

9 4076- 5 29 49 69 89

10 4167- 1 30 50 70 90

11 4167- 2 31 51 71 91

12 4176- 1 32 52 72 92

13 33 53 73 93

14 34 54 74 94

15 35 55 75 95

16 36 56 76 96

17 37 57 77 97

18 38 58 78 98

19 39 59 79 99

20 40 60 80 100

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

TUESDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 1003- 1 21 2132- 2 41 3415- 1 61 3498- 2 81 3716- 1

2 1003- 2 22 2297- 1 42 3416- 1 62 3498- 3 82 3718- 1

3 1031- 1 23 3007- 1 43 3416- 2 63 3562- 1 83 3720- 1

4 1031- 2 24 3007- 1 44 3416- 3 64 3562- 2 84 3725- 1

5 1044- 1 25 3022- 1 45 3417- 1 65 3700- 1 85 3728- 1

6 1044- 2 26 3205- 1 46 3437- 1 66 3700- 2 86 3728- 2

7 1171- 1 27 3210- 1 47 3437- 2 67 3702- 1 87 3728- 3

8 1171- 2 28 3212- 1 48 3440- 1 68 3702- 2 88 4024- 1

9 1171- 3 29 3213- 1 49 3442- 1 69 3703- 1 89 4050- 1

10 1555- 1 30 3215- 1 50 3444- 1 70 3703- 2 90 4054- 1

11 1555- 2 31 3215- 2 51 3446- 1 71 3703- 3 91 4055- 1

12 1558- 1 32 3215- 3 52 3448- 1 72 3703- 4 92 4056- 1

13 1558- 2 33 3401- 1 53 3451- 1 73 3703- 5 93 4058- 1

14 2074- 1 34 3401- 2 54 3480- 1 74 3703- 6 94 4058- 2

15 2077- 1 35 3402- 1 55 3480- 2 75 3704- 1 95 4058- 3

16 2077- 2 36 3402- 2 56 3480- 3 76 3706- 1 96 4062- 1

17 2092- 1 37 3408- 1 57 3480- 4 77 3706- 2 97 4064- 1

SEASONAL

18 2092- 2 38 3408- 2 58 3490- 1 78 3708- 1 98 4075- 1

SEASONAL

19 2130- 39 3410- 1 59 3490- 2 79 3711- 1 99 4076- 1

20 2132- 1 40 3412- 1 60 3498- 1 80 3713- 1 100 4076- 2

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

TUESDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 4076- 3 21 41 61 81

2 4076- 4 22 42 62 82

3 4076- 5 23 43 63 83

4 4167- 1 24 44 64 84

5 4167- 2 25 45 65 85

6 4176- 1 26 46 66 86

7 RBK1- 1 27 47 67 87

8 RBK2- 1 28 48 68 88

9 RBK3- 1 29 49 69 89

10 RBK4- 1 30 50 70 90

11 RBK5- 1 31 51 71 91

12 RBK6- 1 32 52 72 92

13 RBK7- 1 33 53 73 93

14 RBK8- 1 34 54 74 94

15 35 55 75 95

16 36 56 76 96

17 37 57 77 97

18 38 58 78 98

19 39 59 79 99

20 40 60 80 100

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

WEDNESDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 1001- 1 21 3025- 3 41 3208- 4 61 3448- 1 81 3702- 1

2 1001- 2 22 3028- 1 42 3210- 1 62 3450- 1 82 3702- 2

3 1001- 3 23 3030- 1 43 3402- 1 63 3452- 1 83 3703- 1

4 1004- 1 24 3030- 2 44 3402- 2 64 3470- 1 84 3703- 2

5 1004- 2 25 3030- 3 45 3406- 1 65 3485- 1 85 3703- 3

6 1004- 3 26 3030- 4 46 3406- 2 66 3485- 2 86 3703- 4

7 1044- 1 27 3030- 5 47 3407- 1 67 3489- 1 87 3703- 5

8 1044- 2 28 3031- 1 48 3408- 1 68 3492- 1 88 3703- 6

9 2092- 1 29 3200- 1 49 3408- 2 69 3492- 2 89 3704- 1

SEASONAL

10 2092- 2 30 3200- 2 50 3415- 1 70 3494- 1 90 3706- 1

SEASONAL

11 3015- 1 31 3206- 1 51 3416- 1 71 3494- 2 91 3706- 2

12 3015- 2 32 3206- 2 52 3416- 2 72 3496- 1 92 3708- 1

13 3015- 3 33 3206- 3 53 3416- 3 73 3566- 1 93 3711- 1

14 3018- 1 34 3206- 4 54 3417- 1 74 3567- 1 94 3713- 1

15 3018- 2 35 3207- 1 55 3438- 1 75 3567- 2 95 3716- 1

16 3019- 1 36 3207- 2 56 3440- 1 76 3597- 1 96 3718- 1

17 3019- 2 37 3207- 3 57 3441- 1 77 3597- 2 97 3720- 1

18 3023- 1 38 3208- 1 58 3442- 1 78 3598- 1 98 3725- 1

19 3025- 1 39 3208- 2 59 3444- 1 79 3599- 1 99 3728- 1

20 3025- 2 40 3208- 3 60 3446- 1 80 3599- 2 100 3728- 2

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

WEDNESDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 3728- 3 21 41 61 81

2 4024- 1 22 42 62 82

3 4058- 1 23 43 63 83

4 4058- 2 24 44 64 84

5 4076- 1 25 45 65 85

6 4076- 2 26 46 66 86

7 4076- 3 27 47 67 87

8 4076- 4 28 48 68 88

9 4076- 5 29 49 69 89

10 4167- 1 30 50 70 90

11 4167- 2 31 51 71 91

12 4176- 1 32 52 72 92

13 33 53 73 93

14 34 54 74 94

15 35 55 75 95

16 36 56 76 96

17 37 57 77 97

18 38 58 78 98

19 39 59 79 99

20 40 60 80 100

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

THURSDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 1003- 1 21 2132- 2 41 3415- 1 61 3498- 2 81 3716- 1

2 1003- 2 22 2297- 1 42 3416- 1 62 3498- 3 82 3718- 1

3 1031- 1 23 3007- 1 43 3416- 2 63 3562- 1 83 3720- 1

4 1031- 2 24 3007- 2 44 3416- 3 64 3562- 2 84 3725- 1

5 1044- 1 25 3022- 1 45 3417- 1 65 3700- 1 85 3728- 1

6 1044- 2 26 3205- 1 46 3437- 1 66 3700- 2 86 3728- 2

7 1171- 1 27 3210- 1 47 3437- 2 67 3702- 1 87 3728- 3

8 1171- 2 28 3212- 1 48 3440- 1 68 3702- 2 88 4024- 1

9 1171- 3 29 3213- 1 49 3442- 1 69 3703- 1 89 4050- 1

10 1555- 1 30 3215- 1 50 3444- 1 70 3703- 2 90 4054- 1

11 1555- 2 31 3215- 2 51 3446- 1 71 3703- 3 91 4055- 1

12 1558- 1 32 3215- 3 52 3448- 1 72 3703- 4 92 4056- 1

13 1558- 2 33 3401- 1 53 3451- 1 73 3703- 5 93 4058- 1

14 2074- 1 34 3401- 2 54 3480- 1 74 3703- 6 94 4058- 2

15 2077- 1 35 3402- 1 55 3480- 2 75 3704- 1 95 4058- 3

16 2077- 2 36 3402- 2 56 3480- 3 76 3706- 1 96 4062- 1

17 2092- 1 37 3408- 1 57 3480- 4 77 3706- 2 97 4064- 1

SEASONAL

18 2092- 2 38 3408- 2 58 3490- 1 78 3708- 1 98 4075- 1

SEASONAL

19 2130- 1 39 3410- 1 59 3490- 2 79 3711- 1 99 4076- 1

20 2132- 1 40 3412- 1 60 3498- 1 80 3713- 1 100 4076- 2

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

THURSDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 4076- 3 21 41 61 81

2 4076- 4 22 42 62 82

3 4076- 5 23 43 63 83

4 4167- 1 24 44 64 84

5 4167- 2 25 45 65 85

6 4176- 1 26 46 66 86

7 RBK1- 1 27 47 67 87

8 RBK2- 1 28 48 68 88

9 RBK3- 1 29 49 69 89

10 RBK4- 1 30 50 70 90

11 RBK5- 1 31 51 71 91

12 RBK6- 1 32 52 72 92

13 RBK7- 1 33 53 73 93

14 RBK8- 1 34 54 74 94

15 35 55 75 95

16 36 56 76 96

17 37 57 77 97

18 38 58 78 98

19 39 59 79 99

20 40 60 80 100

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

FRIDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 970- 1 21 3206- 3 41 3440- 1 61 3708- 1 81 4046- 1

SEASONAL SEASONAL

2 1001- 1 22 3206- 4 42 3442- 1 62 3709- 1 82 4058- 1

3 1001- 2 23 3207- 1 43 3444- 1 63 3709- 2 83 4058- 2

4 1001- 3 24 3207- 2 44 3446- 1 64 3711- 1 84 4058- 3

5 1004- 1 25 3207- 3 45 3448- 1 65 3713- 1 85 4066- 1

6 1004- 2 26 3208- 1 46 3465- 1 66 3716- 1 86 4070- 1

7 1004- 3 27 3208- 2 47 3467- 1 67 3718- 1 87 4076- 1

8 1044- 1 28 3208- 3 48 3519- 1 68 3720- 1 88 4076- 2

SEASONAL

9 1044- 2 29 3208- 4 49 3701- 1 69 3725- 1 89 4076- 3

10 1165- 1 30 3210- 1 50 3702- 1 70 3726- 1 90 4076- 4

11 2052- 1 31 3402- 1 51 3702- 2 71 3727- 1 91 4076- 5

12 2092- 1 32 3402- 2 52 3703- 1 72 3728- 1 92 4077- 1

SEASONAL

13 2092- 2 33 3408- 1 53 3703- 2 73 3728- 2 93 4107- 1

SEASONAL

14 2210- 1 34 3408- 2 54 3703- 3 74 3728- 3 94 4109- 1

15 2210- 2 35 3415- 1 55 3703- 4 75 3730- 1 95 4161- 1

16 3014- 1 36 3416- 1 56 3703- 5 76 3730- 2 96 4166- 1

17 3200- 1 37 3416- 2 57 3703- 6 77 4024- 1 97 4166- 2

18 3200- 2 38 3416- 3 58 3704- 1 78 4027- 1 98 4167- 1

19 3206- 1 39 3417- 1 59 3706- 1 79 4041- 1 99 4167- 2

SEASONAL

20 3206- 2 40 3430- 1 60 3706- 2 80 4043- 1 100 4176- 1

SEASONAL

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

FRIDAY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 4390- 1 21 41 61 81

2 4391- 1 22 42 62 82

3 5108- 1 23 43 63 83

4 5110- 1 24 44 64 84

5 5113- 1 25 45 65 85

6 5115- 1 26 46 66 86

7 5119- 1 27 47 67 87

8 5120- 1 28 48 68 88

9 5120- 2 29 49 69 89

10 5144- 1 30 50 70 90

11 31 51 71 91

12 32 52 72 92

13 33 53 73 93

14 34 54 74 94

15 35 55 75 95

16 36 56 76 96

17 37 57 77 97

18 38 58 78 98

19 39 59 79 99

20 40 60 80 100

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

MONTHLY

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 1021- 21 41 61 81

2 2104- 22 42 62 82

3 2200- 23 43 63 83

4 2400- 24 44 64 84

5 2420- 25 45 65 85

SEASONAL

6 3380- 26 46 66 86

7 3483- 27 47 67 87

8 3484- 28 48 68 88

9 29 49 69 89

10 30 50 70 90

11 31 51 71 91

12 32 52 72 92

13 33 53 73 93

14 34 54 74 94

15 35 55 75 95

16 36 56 76 96

17 37 57 77 97

18 38 58 78 98

19 39 59 79 99

20 40 60 80 100

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

OF

DAILY LOG OF TRUCK TIPS FOR REFUSE COLLECTION AND DISPOSAL DATE:

TIME ODOMETER TRUCK DRIVER:

OUT TRUCK VOLUME: PAGE:

IN AREA SERVED:

BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS BLDG YARDS

1 21 41 61 81

2 22 42 62 82

3 23 43 63 83

4 24 44 64 84

5 25 45 65 85

6 26 46 66 86

7 27 47 67 87

8 28 48 68 88

9 29 49 69 89

10 30 50 70 90

11 31 51 71 91

12 32 52 72 92

13 33 53 73 93

14 34 54 74 94

15 35 55 75 95

16 36 56 76 96

17 37 57 77 97

18 38 58 78 98

19 39 59 79 99

20 40 60 80 100

TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS TOTAL YARDS

OF