Description
Front of Tag:
BOUNDARY ISOLATION/LOCK BOX
THIS TAG MUST NOT BE REMOVED EXCEPT BY THE UNDERSIGNED OR AS PROVIDED UNDER THE PERMIT TAG REGULATIONS
DO NOT OPERATE BOUNDARY ISOLATION
Schedule of Boundary Isolation No. ___________________
Name ___________________
Classification ___________________
Dept./Contractor ___________________
Date ___________________
Signature ___________________
Back of Tag:
BOUNDARY ISOLATION/LOCK BOX
DO NOT OPERATE
Comments ___________________
[Lines for additional comments]