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Mi <br /> Date: <br /> Job Representative signature:Job Rep 3h all/WisuLalllly Inspect after work is /��� <br /> completed. Job Rep shall sign aR aac day if acceptable <br /> l <br /> API 653 inspector Signature: Inspector shall verify that Ih.Job ep has s. ed Date: <br /> off the above item then Inspector can signoff. <br /> 3 . . •. The completed repair shall be w Ily �tl(VT)by a BP rept tative. <br /> D tan <br /> o <br /> Date: <br /> Job Representative Signature:Job R all ally inspect after work Is /„�w <br /> completed. Job Rep shall sign off ea day acceptable, �E1 <br /> Inspector Signature: Inspector shall verify that the Job has signed Data: <br /> offthe above item then inspector can <br /> signoff. �r t/l> Y r 17//0 <br /> Access Ladder Repairs jlTEM 191 CODE 51 <br /> 1. There is no safety chain of drop bar at the lop of thePcce/ssJadder onto the fixed roof A safety drop bar or <br /> chain stall be Installed at the lop of the access lac er./ <br /> p, e r •s The completed repair shall be via Ily i act VT)by a SP representative. <br /> i ` Date: <br /> Job Representative Signature:Job Rep hall sually inspect altar work is l <br /> completed. Job Rep shall S19"off ea w <br /> day acceptable. <br /> AN 653 Inspector Signature: Inspector shall verify that the#b has signed Date: <br /> off the above item then Inspector can signofL ' i �`,L; • <br /> e e s . r • e 1 � 1 <br />