ࡱ> QSP#` 1bjbjmm 2@ 8:TD;%D"""""~$$$$$$$$'&h(n$Q$""$$$""$!!!$^""~$!$~$!!V"@N#" PEtR6# # %0;%B# ((N#(N#t$h!TD$$!R;%$$$$  Lead Project Variance Request  FORMTEXT       Project Code 2008 RevisionState of Maine Department of Environmental Protection Lead & Asbestos Hazard Prevention Program 17 State House Station, Augusta, ME 04333 TEL (207) 287-2651 FAX (207) 287-6220 FORM LV Page 1 of 1  Variance(s) Requested by Maine Certified Lead Professionals Check all that apply. Written Department approval is not required prior to implementation of standard variance(s). Written Department approval is required prior to implementation of non-standard variance(s). 1. Lead Contractor (As listed in original notification) Name  FORMTEXT       Address  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Zip  FORMTEXT       Contact  FORMTEXT       TEL  FORMTEXT       FAX  FORMTEXT       2. Facility Location (Where removal is to take place) BLDG Name  FORMTEXT       Floor and/or Rm.#  FORMTEXT       Physical Address  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Zip  FORMTEXT      3. Standard Variance(s)  FORMCHECKBOX  Mini-enclosure windows  FORMCHECKBOX  Mini-enclosure doors  FORMCHECKBOX  Removing storm windows during abatement  FORMCHECKBOX  Leaving protective coverings in place until after clearance 4. Non-Standard Variance(s) List proposed work practice alternatives  FORMTEXT >@BVXZdfh          Z - / 3 C h ~xlxe^X hznCJ hzn5CJ hm)5CJhznhoH5>*CJ hoHCJhoH hoHCJ hh5 hh5CJ4 hh5CJ0 hh5CJ hhCJ hG-hh5CJaJhG-hG-5CJaJ hhCJjhfCJUmHnHujhfh<CJU hfCJjhfCJU hhCJhh!>@h ^       $If $$Ifa$gdf $Ifgdf $Ifgdf $$Ifa$ $$Ifa$$If$If11   Z [ - . wnennn $Ifgdh $Ifgdhkdt$$IflF #* b0P+    4 laytX{. / h i  H 8 ^| $Ifgdh dh$Ifgdh $Ifgdhdkd"$$Ifl4*P+0P+4 laf4ythh i s t ~  " 6 8 : D F ` b v x z   & zt h(CJjh(CJUjzhfh<CJUjhfh<CJUjhfh<CJUjhfh<CJUjhfCJUmHnHujhfh<CJU hfCJjhfCJU hznCJ hznCJ '& ( * 4 6 8 H J ^ ` b l n ~ 68LǺǺungaWQ hfCJjhfCJU hznCJ hzn5CJ hm)5CJhX{hznCJ aJ jh(hg75U#jh(h(5UmHnHujdh(hg75Uh(h(5jh(h(5Uh(hzn5 hznCJjh(CJUmHnHujh(CJUjh(hg7CJULNPZ\ "$&02FH\^`jl~ɹɩəɉysl hm)5CJ hznCJ jhfh<CJUj"hfh<CJUjhfh<CJUj8hfh<CJUjhfh<CJU hfCJ hznCJjhfCJUmHnHujhfCJUjPhfh<CJU)AB}~|ssssssssss $IfgdoHykd$$Ifl40<*0P+4 laf4yth $Ifgdh ()*ABCQRS|}~ۼՌ۶|۶qa۶[ hoHCJ j hfh<CJUh6(hoHCJ aJ j hfh<CJUj hfh<CJUh6(h6(CJ aJ hoHCJh6(h6(CJ h6(CJh6(hznCJjhfh<CJU hfCJjhfCJUhznhoH5CJ aJ hoH5CJ hzn5CJ"********** $Ifgd. $IfgdoHfkdr $$Ifl4*P+0P+4 laf4yth"#* * *****************ֵ~u~lbֵR~uljt h(h<CJUh(h.56h(h6(CJh(hm)CJh(h.CJ$jh(hfCJUmHnHuUj h(h<CJUh(hfCJjh(hfCJUh(h6(6CJh(h.6CJh(h6(CJ aJ h(h6(5CJh(h.5CJh(hm)5CJ      Reasons for Variance(s) (Explain in detail. 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