FBOP WO Tech Facility Minor Work Request 10481 NYM cmo1 TO: FACILITY MANAGER FROM: NYM Facilities -] Facilities THRU: Facility Mai Sit (Entored by:) (Department) (Phone) (Department Head Signature) Site: NYM Building: 3RD Location: LIEUTENANT OFF - LIEUTENANT OFF Work Location: SIS Com Tech You are requested to perform the following work: DVR Failure #2 DVR Failure # 1/OVR failure #2 tf Applicable, ensure all safety precautions are followed to include but not limited to “Lockou/Tagout, Confined Space Entry, & Fall Protection” Date Active: 7/19/2019 Status: ACTIV Priority No: 2 : Fi = TS No.: 10481 ‘acility Manager: -ahare) You are authorized to perform the above work: To Foreman: cot -cmot - Skil: ~Communication Warden's signature for greater than $10,000 IF WORK ORDER WAS CREATED FROM A PM, ENTER PM WORK ORDER #: List below ail materials used: Rescription Quantity vom Unit Price Total 0 t 2 BW STO Grand Totat: A [ if Applicable, ensure thet the equipment has a MW/ label affixed In clear view and legible. MW #: } (© Asbestos Abatement is required or has been completed. Foreman’s Total Hours: AO. C FITARA process Is required. Date Completed: Upon completion of work, complete form and return to the Facility Manager. Completion Comments: Re plaleel Liamogth Dwes EFTA00126230

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FBOP WO Tech Facility Minor Work Request 10481 NYM CmMo01 TO: FACILITY MANAGER FROM: NYM Facilities Facilities THRU: Facility Manager //S// (Entered by:) (Department) (Phone) (Department Head Signature) Site: NYM Building: 3RD Location: LIEUTENANT OFF - LIEUTENANT OFF Work Location: SIS Com Tech You are requested to perform the following work: OVR Failure # 2 OVR Failure # 1/DVR failure # 2 If Applicable, ensure all safety precautions are followed to include but not limited to “Lockout/Tagout, Confined Spaco Entry, & Fall Date Active: 7/19/2019 Status: CMPLT PriorityNo: 2 TMS No.: Facility Manager: 10481 — ; To Foreman: cmo1-cmot Skill: Communication Warden's signature for greater than $10,000 IF WORK ORDER WAS CREATED FROM A PM, ENTER PM WORK ORDER @: List below ail matorials used: Quantiy = YOM = = Unit Price Total Grand Total: If Applicable, ensure that the equipment has a MWi label effixed in cloar view and legible. MWI #: CO Asbestos Abatement is required or has been completed. Foreman's Total Hours: CO FITARA process is required. Date Completed: ___ 8/26/2019 __ Upon completion of work, complete form and return to the Facility Manager. Staff Signature Completion Comments: EFTA00126231