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06/11/1999 18:00 7077451477 OCIH PAGE 03 <br />cOWMED SPACE ENTRY PERMYF <br />General Location of Work: Get -N -Go Market, 574 West Grant Road, Tracy, California <br />Exact Name of Confined Space. UST, inspection & possible repair <br />Possible Atmospheric 1-lazards, in any: Oxygen deficiency, organic vapors (gasoline/diesel) <br />Possible Safety &. Related Hazards: Slips, trips, falls, traffic, flammable atmosphere <br />Hazardous Materials to be used/generated YES or NO (If yes, list by chemical name): <br />REQUIRED CONTROLS <br />Done NIA Ea lamstion <br />Isolations & Lockoa Try -Out <br />Ventilation(Natural or Mechanical <br />Personal Protective! i ent <br />Body Harness & Line, Hoist <br />Eme Libts <br />Communications (Verbal, Radio, Tug <br />Signals, Air Hornetc <br />Emergena Procedures Review <br />Grounding & Bonding <br />Welding Permit <br />Fine Extinguisher <br />Area Security Post &Fla <br />Rescue Service Contacted <br />AIR TESTING <br />(Continuo= air monitoring required at a8 <br />tion aekas otierwiw ootid <br />Results <br />Time <br />By <br />Results <br />Time <br />By <br />Results <br />Time <br />By <br />(Acceptable Limits in Parenthesis <br />Ox 19.5 - 23.5% <br />Lower Flammable Limit <10% <br />Carbon Monoxide <35 ppML <br />Hydrogen Sulfide <IO m <br />Other/Comments <br />Instrument Used: GasTech Model: GT -2-01 <br />I Serisil Wn • 9RT7157 <br />