E57C5 – Collins Land Services, Inc.

E57C5 Ditches

Date

On-Site Crew Lead

First Last

List of Employees onsite

Has litter and debris been picked up for the day?

Yes

No

Has equipment been secured for the evening?

Yes

No

List Ditch Site Number and work completed at that ditch:

Please make note of length or quantities of repairs.

Post Image

Signature

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