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<p class="MsoNormal">Permit is Approved. </p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Please remember to fill out below completion section once the work has been completed.</p>
<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal" style="border:none;padding:0in"><b>From: </b><a href="mailto:noreply@qemailserver.com">Hot Work Program</a><br>
<b>Sent: </b>Monday, July 13, 2020 5:29 PM<br>
<b>To: </b><a href="mailto:tracy.stark@ucr.edu">Tracy Kathleen Stark</a><br>
<b>Subject: </b>NEW Hot Work Permit Request - Facilities Services and Other Departments</p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"> <img border="0" width="180" height="45" style="width:1.875in;height:.4687in" 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-size:12.0pt;font-family:"Arial",sans-serif">HOT WORK PERMIT REQUEST</span></strong><b><span style="font-size:12.0pt;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-size:12.0pt;font-family:"Arial",sans-serif"><br>
-----------------------------------------------------------------------------------------------------</span><span style="font-family:"Arial",sans-serif"><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> Jessica Rodriguez<br>
<strong><span style="font-family:"Arial",sans-serif">DEPARTMENT: </span></strong>Chemistry</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"> 916-225-6753<br>
<strong><span style="font-family:"Arial",sans-serif">EMAIL: </span></strong>jrodr084@ucr.edu</span><o:p></o:p></p>
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<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"><br>
<strong><span style="font-family:"Arial",sans-serif">PHONE NUMBER: </span></strong><br>
<strong><span style="font-family:"Arial",sans-serif">EMAIL: </span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERSON PERFORMING HOT WORK: </span>
</strong>Robert Harned<br>
<strong><span style="font-family:"Arial",sans-serif">COMPANY/DEPARTMENT: </span></strong>Scientific Refrigeration<br>
<strong><span style="font-family:"Arial",sans-serif">PHONE NUMBER: </span></strong>714-596-8642<br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERSON PERFORMING FIRE WATCH: </span></strong>Jessica Rodriguez<br>
<strong><span style="font-family:"Arial",sans-serif">COMPANY/DEPARTMENT: </span></strong>Chemistry<br>
<strong><span style="font-family:"Arial",sans-serif">PHONE NUMBER: </span></strong>916-225-6753<br>
----------------------------------------------------------------------------------------------------------------------------- </span>
<o:p></o:p></p>
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<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>07/16/20 9:30 am<br>
<strong><span style="font-family:"Arial",sans-serif">JOB END DATE: </span></strong>07/16/2020 4:00 pm<br>
<br>
<strong><span style="font-family:"Arial",sans-serif">LOCATION - BUILDING/FLOOR/ROOM</span></strong>: Pierce Annex 206<br>
<br>
<strong><span style="font-family:"Arial",sans-serif">JOB DESCRIPTION: </span></strong><br>
Replacement of defective compressor connected to glove box freezer. Technician will follow all EPA guidelines for proper recovery of refrigerant inside the system before replacing parts. The repair work requires technician to use oxygen/acetylene torch set
for use to un-braze copper lines to remove compressor & filter drier then braze new parts in, pressurize the system to test for leaks, evacuate system with vacuum pump, charge system with new refrigerant, then braze lines closed and test for proper operation.</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>
</span><strong><span style="font-size:12.0pt;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><span style="font-family:"Arial",sans-serif"><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">, Enclosed equipment is cleaned of all combustibles<br>
, Containers have been purged of flammable liquids and vapors<br>
, Pressurized vessels, piping, and other equipment removed from service, isolated, and vented</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"> </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>
</span></b><strong><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black;background:lightgrey">EH&S Approval </span></strong><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-size:12.0pt;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: T.Stark</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): 7/16/2020</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT EXPIRES (DATE): 7/17/2020</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">APPROVAL SENT TO FS (DATE): 7/13/2020</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>
</span><strong><i><span style="font-size:12.0pt;font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></i></strong>
<o:p></o:p></p>
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<p class="MsoNormal"><strong><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black;background:lightgrey">Send work completion notice to hotwork@lists.ucr.edu </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>
</span><em><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></b></em><span style="font-family:"Arial",sans-serif"><br>
</span><em><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:blue">Select reply and complete the below information before sending.</span></em><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><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):</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><br>
<br>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
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