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o o o 1'1 AshBritt II Environmental Staple Picture Here - -- - - - Truck Measurement Record Crilicallnformation Assigned Truck No.: I -000 I I Instructions I. Cobplete all Critical Information for the truck/trailer prior to measurement. 2. Measure and record overall dimensions (Cubic Ft.=lxwxh) inside of the truck bed. 3. Measure and record all reductions to capacity (i.e., dog boxes. odd shapes, etc.). (NOte: Use a decimal tape measure (IOths) or convert inches to decimals.) i 4. Calculate and record total cubic yard capacity = (Total Cubic Ft. . Total Reductions}l27_1 5. Complete safety requirement inspection and survey. 6. Add useful comments or sketches as needed. i 7 Complete and sign form (both AshBrin and Official representative) I SakI)' SlIrve)' I. Does the driver have a valid drivers license? 0 Yes 0 No 2. Odes the vehicle have current registration and insurance? 0 Yes 0 No 3. Does the vehicle meet all necessary safety requirements? 0 Yes 0 No 4. Dries the vehicle have a suitable tailgate? 0 Yes 0 No I Ifany o/the above answers are "No", do not certify the vehicle. Client: Date: Time:_ DAM DpM Prime Subcontractor: (Billing Company) Secondary Subcontractor: (Operaring Company) Driver Name(s): Phn No(s): License Plate No.: State:_ Measure Location: D Recertification (Describe be/ow) Measuring Co.: Measured By: (Prinlnall/e) Comments (Please sketch and explain odd shapes): Sigllntures AshBri" Representative Measllremenls Ojjrcial Representative Overall Dimensions: Length x Width x Height = Cubic Feet (O.I) Total <a) 88 8 (a) ~ Cubic Feet (0.1) 00 00 I (c) (c) a+b+c (a+b+c)127 Gross Cubic Yards (0.1) 1/27 = I Inch to Decimal Conversion Inch Decimal I":: 0.1 2" - 0.2 )" = 0.3 4"'" 0.3 5" - 0.4 6" "" 0.5 7" - 0.6 8" - 0.7 9" - 0.8 10" = 0.8 II"'" 0.9 12" - 1.0 Truck Assignment (Check one): o ROW o Stumps o Tree Work o ROE OHaul Out Trucknrailer Type (Check one): OSelfLoaded OMech. Loaded o Dump Truck OScmitrailcr o Hand Loaded o Other (S<< CVnllllt:llt.f) I I mmus Tolal CF Gross CY I Reductions to Capacity: Reductions (0.1) Reductions (0 J) Cod, Length x Width x Height = Cubi,Feel(O.I) I 1/27 = I . . I BH H H~:~~~ ,1+,2+,3 (,'+,M)/27 I OU U U<r3Jt::=j Net Total Cubic Yards (t.O) equal' Codes: I-Dog 8Qx, 2-Wheel Wells, 3.Odd Shapes,4-Sideboard, 5-Other I I ~ Other (explain): , ' II ft~~e~q~~;s C~f~;~:I;~1. et::l:J; ;;~:~;!;7;.(1C;f~~~ h)/17. White-Client . Yel/ow-Client . Pink-AshBri" . Goldenrod-Driver AshBritt Debris Load Ticket: Sample is AshBritt LOAD TICKET DEBRIS CLASSIFICATION I~ Enylronmentilll BURNABLE TICKET NUMBER: N? 9H01 NON-BURNABLE MIXED CONTRACT OWNER: OTHER HAULING COMPANY: LOCAT'ON LOAD ORIGIN (STREET NAME): DATE: SECTION/AREA: DUMPSITE: DEBR'S QUANTITY TIME INSPECTOR TRUCK NO.: I CAPACITY: LOADING LOAD ESTIMATE ('Yo): ITONS (SCALED): DUMPING TRUCK DRIVER NAME: COMMENTS: WHITE: OWNERS COPY YELLOW: ASHBRITT COPY PINK: ASHBRITT COpy GOLD: OWNERS COpy GREEN: HAULERS copy Note: AshBrill's sequentially pre-numbered, seven-part load ticket captures the fifteen key data points described in the FEMA Debris Management Guide. The load ticket allows all recovery participants to accurately maintain documentation of their billable activities during the recovery project. Each completed load ticket is scanned and electronically archived. For audit purposes, tickets can be rapidly retrieved and catalogued. All key data points are logged in AshBrill's debris information management system (DIMS) for cumulative tracking and reporting.