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DPS - TEST
1151 Gayland Ave Hacienda Heights, CA 90666
8883424833 - www.CompanyWebsite.com
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License #
PPO-0225899
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Activity Report
Property
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Report Date
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Start Shift
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End Shift
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Unit ID
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Report #
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Southwind Regional
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2-10-2014
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0800
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2000
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DJR
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286858
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Observations / Duties Performed
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Description Of Activities
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Employee ID: |
Name: |
Signature: |
Submitted: |
DJR |
DAN ESPARZA |
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2014-02-10 13:27 |
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SAVE A TREE - DON'T PRINT ME!
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