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Health & Life Safety Manual - Electronic Resource Center

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CHAPTER 4FORMS AND DOCUMENTS• Emergency <strong>Health</strong>/<strong>Life</strong> <strong>Safety</strong> Funding Request for Preliminary Authorization- Form 35-95 (3/04)------------------------------------------------------------------------------- (Page 4-8)• <strong>Health</strong>/<strong>Life</strong> <strong>Safety</strong> Certificate of Authorization for Emergency Procedures- Form 35-96 (3/04) ------------------------------------------------------------------------------ (Page 4-9)• <strong>Health</strong>/<strong>Life</strong> <strong>Safety</strong> Emergency Board Resolution – Form 36-20 (3/04)--------------------- (Page 4-10)• Certification of Need for Fire Prevention and <strong>Safety</strong> Funds - Form 35-76 (3/04) ------ (Page 4-14)• Example Completed Form - Form 35-76 (3/04)---------------------------------------------------- (Page 4-15)• Schedule of Violations – Form 35-47 (3/04)-------------------------------------------------------- (Page 4-16)• Instructions for Form 35-47 ---------------------------------------------------------------------------- (Page 4-17)• Schedule of Work Items and Estimated Costs – Form 35-48 (3/04) ------------------------ (Page 4-18)• Instructions for Form 35-48 ---------------------------------------------------------------------------- (Page 4-19)• Regional Superintendent’s Certificate of Approval toRaise or Use Fire Prevention and <strong>Safety</strong> Funds – Form 36-21 (3/04) ------------ (Page 4-20)• Example Completed Form - Form 36-21 (3/04) -------------------------------------------------- (Page 4-21)• Example Certificate of Approval for the Expenditure of <strong>Health</strong>/<strong>Life</strong> <strong>Safety</strong> Funds - Form 35-22 (3/04)------------------------------------------------------ (Page 4-22)• Order to Effect Compliance - Form 36-22 (3/04)-------------------------------------------------- (Page 4-23)• Example Completed Form - Form 36-22 (3/04)--------------------------------------------------- (Page 4-24)• Application for Appeal of Denied <strong>Health</strong>/<strong>Life</strong> <strong>Safety</strong> Item(s) –Form 35-51 (3/04)------- (Page 4-25)• Amendment Work Progress Report Sample Form 36-23 (3/04)------------------------------ (Page 4-26)• Statement of Completion – Form 36-24 (3/04)----------------------------------------------------- (Page 4-27)• Application for Extension of Time – Form 36-25 (3/04) ---------------------------------------- (Page 4-29)• Checklist for Paving Work Form 35-52 (3/04) ----------------------------------------------------- (Page 4-30)• Notice of Public Hearing (Sample)------------------------------------------------------------------- (Page 4-31)4-13

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