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Work Order: 2268237 <br />f AttKnnlG�Y: Inc. <br />.S <br />Confirrd5poce: Entry strmr;?•cd-r C c•,-t-f.-ir; F—'.^.evG <br />C'heekikUPermit. { <br />III StrU etionS: I-Antroloey requkm lbal this f— is cnmpkAcd for alt joins that invo1w ANY work in forcmust itanifi-AJ) A seqri' moat lc <br />suhnnilltul wAle We raw data Fik. Scaiiws I nerd II m�aet Iwcampletcd fa alt sites. Sm-tium FIT sea! IV to be ootapiclvd as app—vnmle. <br />SECTION I GENERAL INEURMATION <br />SECTION II NO CONFINED SPACE ENTRIES PERFORMED AT SITE; <br />W -i p-fuueucd do m not mequi- rumattinp sump [ids <br />H. u%ork vnly cquicca visual Dbearvalitm into sumps <br />,-I'-.All work wig) bo tygetleecludw'idmMbedily teaher!; b <br />teary us* <br />Ti. \ All work paf—d ill16 —pic�d from prom position Keith m Tixk of falNng in srunp. <br />1`. .. W"url, ruiuiro, entry, ptnued to snri:m M <br />Lewd 'f4cchnician Signature r— _ / Date <br />... .............................. _......... ..... <br />SECTIONJIT ALTERNATE ENTRY/ NON -FRCS RECLASSIFICATION <br />!. alternate: J:ntry (chvck to confirm that ALL xegtirmv0%ac satiafmA) <br />1. <br />All ctnplo. o*= traiaod <br />2. _;111 satin ha�arda cliumilod [lixt) <br />C ea tituiem and mash owing prior to wilry damemxt -AP ability to teraiMtaia safe atrmrMPhcm <br />4. f:vrdirrun¢a vcntilatton emd momturingJariue 1-Mny <br />5 __ Ao tustotosrvr a%ircr rc�gaiecmen� to classify sQacc as p>+mim-rdquvrcd <br />6. <br />If wo* perifomcli can chaa,.,x aaRoqftyc Allmornate Fabry wigg be cmvvAILJ <br />Tip .Atinespber[c l't%s V—iP, "t Rquipmmt MmkarModel: _ Cal. Uste: i§um{ ke A (Y.R) <br />T4>t mux! Iso takon in dw fb1Jaw* order. <br />Twt u) br TaLm <br />Acual taMc <br />[.unit 'Test Kauhs <br />S;m twm� �� <br />Trz:hni � my- <br />! � off <br />Sea,pc of Wort <br />Na al caeuw epac=' <br />r <br />' fTie . V.. Frll 5um� w'ault 1 I tlHecr: <br />SECTION II NO CONFINED SPACE ENTRIES PERFORMED AT SITE; <br />W -i p-fuueucd do m not mequi- rumattinp sump [ids <br />H. u%ork vnly cquicca visual Dbearvalitm into sumps <br />,-I'-.All work wig) bo tygetleecludw'idmMbedily teaher!; b <br />teary us* <br />Ti. \ All work paf—d ill16 —pic�d from prom position Keith m Tixk of falNng in srunp. <br />1`. .. W"url, ruiuiro, entry, ptnued to snri:m M <br />Lewd 'f4cchnician Signature r— _ / Date <br />... .............................. _......... ..... <br />SECTIONJIT ALTERNATE ENTRY/ NON -FRCS RECLASSIFICATION <br />!. alternate: J:ntry (chvck to confirm that ALL xegtirmv0%ac satiafmA) <br />1. <br />All ctnplo. o*= traiaod <br />2. _;111 satin ha�arda cliumilod [lixt) <br />C ea tituiem and mash owing prior to wilry damemxt -AP ability to teraiMtaia safe atrmrMPhcm <br />4. f:vrdirrun¢a vcntilatton emd momturingJariue 1-Mny <br />5 __ Ao tustotosrvr a%ircr rc�gaiecmen� to classify sQacc as p>+mim-rdquvrcd <br />6. <br />If wo* perifomcli can chaa,.,x aaRoqftyc Allmornate Fabry wigg be cmvvAILJ <br />Tip .Atinespber[c l't%s V—iP, "t Rquipmmt MmkarModel: _ Cal. Uste: i§um{ ke A (Y.R) <br />T4>t mux! Iso takon in dw fb1Jaw* order. <br />Twt u) br TaLm <br />Acual taMc <br />[.unit 'Test Kauhs <br />dame m' Spa:a (may list uwilipk .paaxe) <br />Bt Syr. w <br />D40h to Njum* of spa= <br />Fvs'kd— <br />TTF.iF <br />mx�: <br />"r of OXYGEN (t?.) <br />19.5 -B -Po <br />% of 1 .F:). flammable ceMw.mseratww <br />C>TIIER {if applicabic) <br />Toxi- {cw NIA) <br />htitimlx d'Ttad7cchnictan <br />lnitaBs <br />C. 5afcty gine eeiremsnts jAnfies to all C.a LDAM ice No <br />IWA Cbmtatmts <br />2. L.ockoaL-Tngo A aMMphtcd w ed verified <br />.._ _.... - <br />�. Snwnea Rf Igattnm vuatrulged <br />4. AUvLty niimvA {into piping <br />5. C)caning (Lloshing+waxhiMC) douc <br />6. Tlut—el- perneet ebtained <br />. . <br />7. Otho <br />SFiC,noN llIG'CJti"I KID ON hT.XTPACIP, <br />C'IYAfPAhY COWIDYI TIAL fc Taekentogy Inc., 2065. All Rights Rw4TvcA- <br />f rinlLd eapiaa. ctthis documinat am one4otdrullwl T'hu cearxad vcaaint is nailabk i$ the Tanhmol M 004- 10 DMvn tt Control S Yslem <br />Tanknology Inc. 8501 N. MoPac Expressway, Suite 400, Austin, Texas 78759 <br />