Hot Work Done By
UK Employee

UK Contact Email

Building
Kentucky Clinic

Floor
1

Area Manager

Reason for job
Soldering

Hot Work Performer Name
Anthony Lewis

Performer Email
sally.evans@frantzinc.com

Supervisor Name
Hank Mazyck

Supervisor Email
sally.evans@frantzinc.com

Emergency Phone Number
859-227-5313

Permit Activated Date
9/13/2019 7:00:00 AM

Permit Active Length
8

Submission Date
9/13/2019 9:09:03 AM

PDF
Link

Completed Form Upload Date
N/A

Completed PDF
N/A