Invoice #:* Prevailing Wage* Employee Name:* Starting Location:* Starting:* Time on Site:* Project Name:* Address:* Curtis Drilling's policy is that employees who work more than 5 hours in a workday are entitled to an unpaid meal rest period of at least 30 minutes. If can employee does not take a lunch, he or she must provide an explanation and sign below. In addtions, Curtis Drilling's policy is to permit employees to take a 10-minute paid rest period for every four hours worked or major fracction thereof. Insofar as is practicable, the rest period should be in the middle of the work period.30 Minute Lunch Taken:* Yes No Explanation Lunch Was Not Taken:Employee Signature:Date: MM slash DD slash YYYY Equipment: Support Equipment: Pre Trip Inspection: Yes No Mileage out: Mileage In: Total Mileage Above Equipment In Satisfactory Operating Condition? Yes No Notes:Scope of Work:ListDescription of workProject / LocationStart TimeFinish TimeLabor HoursDrill OperatorPump OperatorCrane OperatorDrive HoursForeman Hours Total Hours: Employee Signature:Date MM slash DD slash YYYY By signing this sheet, employee confirms meal and rest breaks were made available. Additional information regarding meal and rest period is discussed in the Employee Handbook.Manager Approval:Date MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.