ࡱ> []Z%` bjbjNN 8P,,     $.$'>$$$$$$$%<(v$$$'' ¨9 T$0$(((Zh@4$$$$   Asbestos Management Program Properties Under Management Of University Of ̳ 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 ̳ 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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