UC Santa Barbara                                Attachment 5465 A
Policies                                              
Issuing Unit:  Administrative Services          Date: July 1, 1985




           UNIVERSITY OF CALIFORNIA, SANTA BARBARA
               Environmental Health and Safety
                              
                       HOT WORK PERMIT
                              
                                                 Permit No.________________
                                                 Date:_____________________

 - Welding/Cutting        - Open Flame
 - Other ________________________________________

Site Location(s):



Work Start: (Building, Date, Time)



Work Complete: (Building, Date, Time)



Building(s) Requiring Fire Alarm System Shut Down:


Signed:    _______________________________________________________
               Requires Building Maintenance Manager's Signature

I understand and will comply with all required and special precautions
listed on reverse side of this permit.

Signed:________________________________________
Department/Company:____________________________
Approved:______________________________________

  For information, contact Campus Fire Marshal at Ext. 3008
                              
        (This permit must be displayed at work site)

For questions or comments regarding the format of the above information, please contact webcontact@ucsbuxa.ucsb.edu.

Last Modified By: HMW, 5/21/97

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