Attachments and Crew by fLr2wX

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									                                                                                       Ministry of Natural Resource Operations
                                                                                                Squamish District
                                                                                            EQUIPMENT LIST 2011/2012

                                                                    Year and       Rated Size and
          Make and Type of Machine                Serial No.                                                    Attachments and Crew
                                                                     Model           Capacity




                                                           CONTACT INFORMATION
Name/Company                    ____________________________________________

Location Address                ____________________________________________                Mailing Address ____________________________________

City/Province/Postal Code       ____________________________________________                                 ____________________________________

Phone # ________________________ Cell # ________________________ Fax # ________________________ E-Mail ____________________________

WorkSafeBC Registration No. ____________________________________

Registered in Ministry of Natural Resource Operations Engineering Equipment and Services (EES) Registration System:   Yes □ No □

Registered as a Safe Company    Yes □ No □

                                                                                                             ____________________________________
                                                                                                                     Contractor or Authorized Signature

								
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