ࡱ> []Z%` bjbjNN 8P,,     $.$'>$$$$$$$%<(v$$$'' ¨9 T$0$(((Zh@4$$$$   Asbestos Management Program Properties Under Management Of University Of 91ȫܰ Asbestos Work Permit - Revised - April 24, 2013 Notice: All work shall conform to federal, provincial, municipal standards, codes and guidelines and the requirements set forth in the asbestos management program for the University of 91ȫܰ or any project specifications prepared. In the case of a conflict in any of the above noted documents, the most stringent shall apply. Permit #  Information Physical Plant or APM: Contact:Phone:Email: Date Of Request: A. Start Date: B. Anticipated Completion Date:C. Actual Completion Date: Location Of Building: Description Of Work: Building Room #: Work To Be Completed By:[ ] U Of W Trained Employees [ ] Pre-Qualified Contractor Specify:[ ] Other Contractor: (note evidence of training must be attached) Specify:Project Related To: Project #:Project Manager: Procedures Item (to be completed by Originator)Requirements (to be determined by APM)[ ] Sprayed Fireproofing [ ] Type 1[ ] Type 2[ ] Textured Ceiling Or Wall Finish[ ] Type 1[ ] Type 2[ ] Plaster Or Asbestos Cement Panels[ ] Type 1[ ] Type 2[ ] Contaminated Area (Ceiling, Crawlspace, Shaft, Chase, Etc)[ ] Type 1 [ ] Type 2[ ] Ceiling Tiles[ ] Type 1 < 10 Tiles In One Location[ ] Type 2 > 10 Tiles In One Location[ ] Flooring[ ] Type 1 Tiles[ ] Type 2 Sheet Goods[ ] Doors[ ] Replace Only [ ] Disposal As Type 2[ ] Pipe/Duct Insulation[ ] Type 1 [ ] Type 2[ ] Type 3[ ] Debris Clean Up [ ] Type 1 [ ] Type 2[ ] Type 3 Other Control Factors [ ] Evening Work Specify Hours: [ ] Inspection And Air Monitoring Required [ ] Arrangements Made For Inspections by: Specify: [ ] Day Work Specify Hours: [ ] Weekend WorkSpecify Hours: [ ] Relocation Of Occupants Required Specify Area To Be Relocated:[ ] Restricted Access To Work Area By Occupants Specify Area:[ ] HVAC Shut DownSpecify Hours And Zones:[ ] Other System Shutdown Specify:Notification Notifications Sent To: [ ] Workplace S&H (Type 3 Only) [ ] APM [ ] Building Tenants [ ] Department HeadD/M/Y: Date: Date: Date: Date:Approved By: Approved Date:Day/Month/Year:  f   ) : < A M { | ̻r`rrrrr#hxh!, 5CJOJQJ^JaJ#hqxzh!, 5CJOJQJ^JaJ hh!, CJOJQJ^JaJh!, CJOJQJ^JaJ hP:h!, hP:h!, CJOJQJ^JaJ h5Ih!, CJOJQJ^JaJ#h5Ih!, 5CJOJQJ^JaJh!, 5CJOJQJ^JaJ#hmGh!, 5CJOJQJ^JaJ%R `~kd$$Ifl40#*`# t0644 layt5I$If $IfgdmG $Ifgd]u$a$gdmG      ~~xxxxxxx$If~kd$$Ifl4L0#* # t0644 layt5I   + , = ^ y z { \VVVVVVV$Ifkd>$$IflZ\V *     t0644 laytx{ | ^XXXXX$Ifkd+$$Ifl\V *     t0644 laytqxz zzz$If~kd"$$Ifl4Y0V * `F  t0644 layt_n   b k zzzzzzz$If~kd$$Ifl4Y0V *  F  t0644 layt_n   # ) 3 6 b j k l t   , - 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