clan lab removal work log · 2019-06-25 · clan lab removal work log. clue #: contractor’s...
TRANSCRIPT
State of California – California Environmental Protection Agency Department of Toxic Substances Control
CLAN LAB REMOVAL WORK LOG
CLUE #:
CONTRACTOR’S PHONE:
DATE(S) OF REMOVAL:
LOCATION OF REMOVAL:
CONTRACTOR:
CONTRACTOR’S REPRESENTATIVE:
DESCRIPTION OF CLANDESTINE LABORATORY (TYPE OF PROCESS):
DESCRIPTION OF
REMOVAL
ACTIVITIES:
EQUIPMENT USED
ITEM DESCRIPTION TIME OF ARRIVAL
TIME OF DEPARTURE
12345
LABOR USED
STAFF JOB CLASSIFICATION TIME OF ARRIVAL
TIME OF DEPARTURE
1 2345
MATERIALS USED
ITEM DESCRIPTION NUMBER OF UNITS 12345
(USE ADDITIONAL SHEETS FOR THE ABOVE INFORMATION IF NEEDED)
COMMENTS ON CONTRACTOR'S PERFORMANCE:
HAULER NUMBER:
MANIFEST NUMBER:
TITLE:
REGISTERED HAULER USED:
MATERIAL TRANSPORTED TO:
TIME AND DATE JOB WAS COMPLETED:
REPORT PREPARED BY:
NAME:
AGENCY:
DTSC 1206 (6/2019)