2. Date 3. Total Pages 1. Project Number LAWPS SUBCONTRACTOR SUPPLEMENTAL SUBMITTAL FORM 4. Subcontract Number 5. Subcontract Name 6. Sub-Tier Subcontract Number 7. Sub-Tier Subcontract 8. Project Record Index # Name Instructions: This form is intended to be used as a supplement to the Incoming Letter of Transmittal Form A-6005-315. This form shall be included with all submittals related to LAWPS systems, including but not limited to testing, structures, systems & components. All fields not applicable should be marked N/A 9. Submittal 11. Revision 12. Submittal Description/ Equipment 13. 14. 15. 16. 17. Jumper 18. 19. Equipment Tag 10.Sequence Number Number Title Component System Building Location System Service Number Code Code Code Code Code Code
1. Project Number LAWPS SUBCONTRACTOR SUPPLEMENTAL SUBMITTAL FORM 2. Date 3. Total Pages 4. Subcontract Number 5. Subcontract Name 6. Sub-Tier Subcontract Number 7. Sub-Tier Subcontract Name 8. Project Record Index # Instructions: This form is intended to be used as a supplement to the Incoming Letter of Transmittal Form A-6005-315. This form shall be included with all submittals related to LAWPS systems, including but not limited to testing, structures, systems & components. All fields not applicable should be marked N/A 9. Submittal Number 10.Sequence Number 11. Revision Number 12. Submittal Description/ Equipment Title 13. Component Code 14. System Code 15. Building Code 16. Code 17. Jumper System Location Code 18. Service Code 19. Equipment Tag