<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman",serif;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:#0563C1;
text-decoration:underline;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="#0563C1" vlink="#954F72">
<div class="WordSection1">
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif"><o:p> </o:p></span></p>
<div>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Jennifer Reising<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Accounting & Travel Coordinator
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">UC Riverside | Botany & Plant Sciences<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">2142 Batchelor Hall | Riverside, California 92521<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Office: 951.827.4401 | jreising@ucr.edu</span><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><img width="404" height="87" style="width:4.2083in;height:.9062in" id="Picture_x0020_1" src="cid:image001.jpg@01D5F87D.5D630AB0"><o:p></o:p></span></p>
</div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Tracy Kathleen Stark <tracy.stark@ucr.edu>
<br>
<b>Sent:</b> Thursday, March 12, 2020 11:10 AM<br>
<b>To:</b> Jennifer E Reising <jennifer.reising@ucr.edu><br>
<b>Subject:</b> RE: NEW Hot Work Permit Request - Facilities Services and Other Departments<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">Sorry I did not return the form in time. Please complete the “work completion notice” at the bottom and return.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D"> Thanks.<o:p></o:p></span></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Hot Work Program <<a href="mailto:noreply@qemailserver.com">noreply@qemailserver.com</a>>
<br>
<b>Sent:</b> Tuesday, March 10, 2020 10:35 AM<br>
<b>To:</b> Tracy Kathleen Stark <<a href="mailto:tracy.stark@ucr.edu">tracy.stark@ucr.edu</a>><br>
<b>Subject:</b> NEW Hot Work Permit Request - Facilities Services and Other Departments<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"> <img border="0" id="_x0000_i1025" src="https://ucriverside.az1.qualtrics.com/CP/Graphic.php?IM=IM_8HvGTwJPt7awyvX" alt="Graphic.php?IM=IM_8HvGTwJPt7awyvX"><br>
<strong><span style="font-family:"Arial",sans-serif">HOT WORK PERMIT REQUEST</span></strong><b><span style="font-family:"Arial",sans-serif"><br>
<strong><span style="font-family:"Arial",sans-serif">FACILITIES SERVICES AND OTHER DEPARTMENTS</span></strong></span></b><span style="font-family:"Arial",sans-serif"><br>
-----------------------------------------------------------------------------------------------------<br>
</span><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">HOT WORK IS BEING PERFORMED BY:
</span></strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Contractor under UC Riverside Facilities Services or other department supervision (small renovation or repairs)<br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT REQUESTOR:</span></strong> Jennifer Reising<br>
<strong><span style="font-family:"Arial",sans-serif">DEPARTMENT: </span></strong>Botany and Plant Services
</span><o:p></o:p></p>
<div>
<p class="MsoNormal"><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">PHONE NUMBER:</span></strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> 951-827-4401<br>
<strong><span style="font-family:"Arial",sans-serif">EMAIL: </span></strong><a href="mailto:jreising@ucr.edu">jreising@ucr.edu</a></span>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><br>
<strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">PROJECT MANAGER/SUPERVISOR:
</span></strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Ken Grombacher<br>
<strong><span style="font-family:"Arial",sans-serif">PHONE NUMBER: </span></strong>951-827-4370<br>
<strong><span style="font-family:"Arial",sans-serif">EMAIL: </span></strong><a href="mailto:kenneth.grombacher@ucr.edu">kenneth.grombacher@ucr.edu</a><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERSON PERFORMING HOT WORK: </span>
</strong>Matt Wiertzema <br>
<strong><span style="font-family:"Arial",sans-serif">COMPANY/DEPARTMENT: </span></strong>Scientific Services
<br>
<strong><span style="font-family:"Arial",sans-serif">PHONE NUMBER: </span></strong>619-694-8327<br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERSON PERFORMING FIRE WATCH: </span></strong>Matt Ulrich<br>
<strong><span style="font-family:"Arial",sans-serif">COMPANY/DEPARTMENT: </span></strong>UC Riverside Department of Botany and Plant Sciences<br>
<strong><span style="font-family:"Arial",sans-serif">PHONE NUMBER: </span></strong>909-525-7744<br>
----------------------------------------------------------------------------------------------------------------------------- </span>
<o:p></o:p></p>
<div>
<p class="MsoNormal"><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black;background:lightgrey">JOB DETAILS</span></strong>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> <br>
<strong><span style="font-family:"Arial",sans-serif">JOB START DATE: </span></strong>03/11/2020 9:00 AM<br>
<strong><span style="font-family:"Arial",sans-serif">JOB END DATE: </span></strong>03/11/2020 10:00 AM<br>
<br>
<strong><span style="font-family:"Arial",sans-serif">LOCATION - BUILDING/FLOOR/ROOM</span></strong>: Batchelor Hall Loading Dock <br>
<br>
<strong><span style="font-family:"Arial",sans-serif">JOB DESCRIPTION: </span></strong><br>
Brazing refrigerant coil on growth chamber </span><span style="font-family:"Arial",sans-serif"><br>
</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> </span><span style="font-family:"Arial",sans-serif"><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">THE FOLLOWING PRECAUTIONS HAVE BEEN ACKNOWLEDGED AND WILL BE IN PLACE WHENEVER POSSIBLE (FOR EXCEPTIONS - SEE COMMENTS BELOW)</span></strong><br>
</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> <br>
<strong><span style="font-family:"Arial",sans-serif">General:</span></strong></span>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">, Available sprinklers, hose streams, and fire extinguishers are in service and operable<br>
, Hot work equipment is in good repair<br>
, Fire detection equipment protected from false activation<br>
, PPE is used to protect workers from physical and chemical hazards while hot work is being performed</span>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><br>
<span style="font-size:10.0pt;font-family:"Arial",sans-serif"> <strong><span style="font-family:"Arial",sans-serif">Within 35 feet (11 meters) of work:
</span></strong></span><o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">, Flammable liquids, dust, lint, and oily deposits are removed/cleaned<br>
, Explosive atmosphere in area is eliminated<br>
, Floors are swept and clean<br>
, Combustible floors are wet down and/or covered with fire protection blankets<br>
, Other combustibles are removed when possible or else covered with fire protection blankets or metal shields<br>
, All wall and floor openings are covered<br>
, Fire protection blankets are suspended beneath work<br>
, Ducts and conveyors that might carry sparks to distant combustible materials are protected or shut down</span>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><br>
<strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Fire Watch/Hot Work area monitoring:
</span></strong><o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">, Fire watch will be provided during and for at least 30 minutes after work stops<br>
(including lunch and break times)<br>
, Fire watch is supplied with suitable fire extinguishers and fire fighting equipment<br>
, Fire watch is trained in the use of fire extinguishing equipment and in sounding emergency alarm<br>
, Additional fire watch may be required in adjoining areas, above, and/or below<br>
, Fire watch will verify isolated fire detection equipment is returned to normal operation</span>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><br>
<strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Work on walls, ceilings and/or roofs:</span></strong>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Does not apply<br>
</span> <o:p></o:p></p>
</div>
<p class="MsoNormal"><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Work on enclosed equipment:</span></strong>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Does not apply</span>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> <br>
<strong><span style="font-family:"Arial",sans-serif">OTHER PRECAUTION(S) TAKEN (IF APPLICABLE):
</span></strong></span><o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> </span>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> <br>
<strong><span style="font-family:"Arial",sans-serif">COMMENTS (WHY PRECAUTION(S) CANNOT BE PUT INTO PLACE):
</span></strong></span><o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> Brazen work on Growth Chamber
</span><o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> </span><span style="font-family:"Arial",sans-serif">
</span><o:p></o:p></p>
<div>
<p class="MsoNormal"><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">
</span></strong><em><b><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> </span></b></em><b><i><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><br>
<em><span style="font-family:"Arial",sans-serif"> End of Request</span></em></span></i></b><b><i><span style="font-family:"Arial",sans-serif"><br>
<em><span style="font-family:"Arial",sans-serif">-----------------------------------------------------------------------------------------------------------------------------</span></em></span></i></b><b><span style="font-family:"Arial",sans-serif"><br>
<strong><span style="font-family:"Arial",sans-serif;color:black;background:lightgrey">EH&S Approval </span></strong></span></b><strong><span style="font-size:14.5pt;font-family:"Arial",sans-serif;color:black;background:lightgrey">
</span></strong> <o:p></o:p></p>
</div>
<p class="MsoNormal"><strong><i><span style="font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></i></strong><span style="font-family:"Arial",sans-serif"><br>
<br>
</span><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">EH&S APPROVAL: <i><span style="color:#1F497D">[T.Stark]
</span></i><span style="color:#1F497D">Tracy Stark</span></span></strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT START (DATE): <i><span style="color:#1F497D">[T.Stark]
</span></i><span style="color:#1F497D">3/11/2020</span></span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT EXPIRES (DATE): <i><span style="color:#1F497D">[T.Stark]
</span></i><span style="color:#1F497D">3/12/2020</span></span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">APPROVAL SENT TO FS (DATE): <i>
<span style="color:#1F497D">[T.Stark] </span></i><span style="color:#1F497D">3/12/2020</span></span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">COMMENTS:</span></strong><br>
</span><span style="font-family:"Arial",sans-serif"><br>
<strong><i><span style="font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></i></strong></span>
<o:p></o:p></p>
<div>
<p class="MsoNormal"><strong><span style="font-family:"Arial",sans-serif;color:black;background:lightgrey">Send work completion notice to
<a href="mailto:hotwork@lists.ucr.edu"><span style="font-weight:normal">hotwork@lists.ucr.edu</span></a> </span></strong><strong><span style="font-size:14.5pt;font-family:"Arial",sans-serif;color:black;background:lightgrey">
</span></strong><span style="font-family:"Arial",sans-serif"><br>
<em><b><span style="font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></b></em><br>
<em><span style="font-family:"Arial",sans-serif;color:blue">Select reply and complete the below information before sending.</span></em></span>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> <br>
</span><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">JOB COMPLETED ON (Please specify DATE and TIME):</span></strong> 3/11/20<br>
<o:p></o:p></p>
<div>
<p class="MsoNormal"><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">SUBMITTED BACK TO EH&S (DATE): 3/12/20</span></strong><b><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">SUBMITTED BY:</span></strong></span></b> J. Reising<br>
<br>
<o:p></o:p></p>
</div>
</div>
</body>
</html>