ignature Time .CMS Global Hold Approval I Not Applicable J DDA 0 crdra 1 Approval \ pplicablc u Audibriter's Client/Caller ..licnt ertA, , El Back cc eck: • Ail Back eir'•- all Back Date/- Obtained CI Mtained 17 \ „ ID: 036106027412750 DATE: 06/02/2011 16:29:00 Page 1 of 1 DID: 8887316607

' wider than your shed all along the access? El Yes E No If No, explain SOS 6. Will the driver pull straight in or will he back in? El Straight In El Back In 7 Crane 7. If shed must be rolled on pipe to reach site, how far is it? 8. If going through a gate ro reach the site, what is the size of the ga