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Version 08/19 ENGINEERING JUDGEMENT REQUEST FORM You may save information entered on your computer for future use. Fields marked with an asterisk (*) are required. Hilti users only Name MO Phone Email Project* New request Same as prior EJ Company* Trade/Other HAFSC Platinum HAFSC Hilti Account # Company Phone Contact Name Contact Phone Contact Email FCD (not EJ) Yes N/A Applicable IBC OSHPD Project No. SELECT*: Penetration Joint Joint Type* Parallel Perpendicular Deck Orientation F-Rating* T-Rating Hose Stream 50 Pa Movement Specify: % compression/extension Wall/Floor 1* Wall/Floor 2* Penetrant(s)* Opening/Joint Width* Sleeve Annular Space Accessibility Suggested Products, UL/cUL/EJ listings, Additional Comments

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Page 1: ENGINEERING JUDGEMENT REQUEST FORM · 2019-07-31 · Version 08/19 ENGINEERING JUDGEMENT REQUEST FORM You may save information entered on your computer for future use. Fields marked

Version 08/19

ENGINEERING JUDGEMENT REQUEST FORM

You may save information entered on your computer for future use. Fields marked with an asterisk (*) are required.

Hilti users only Name MO

Phone Email

Project* New request Same as prior EJ

Company* Trade/Other HAFSC Platinum HAFSC

Hilti Account # Company Phone

Contact Name Contact Phone

Contact Email FCD (not EJ) Yes N/A

Applicable IBCOSHPD Project No.

SELECT*: PenetrationJoint

Joint Type* Parallel PerpendicularDeck Orientation

F-Rating*T-RatingHose Stream50 Pa

Movement Specify: % compression/extension

Wall/Floor 1*

Wall/Floor 2*

Penetrant(s)*

Opening/Joint Width* Sleeve

Annular Space Accessibility

Suggested Products, UL/cUL/EJ listings,

Additional Comments

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