<p> NASSCO Environmental Request Form #6: Request for Authorization to Use Polyester Resin or Perform Fiberglass Work</p><p>Instructions: All polyester resin use and fiberglass work conducted at NASSCO facilities must be approved by the Environmental Engineering Department prior to the start of the job. Each entity wishing to use polyester resins and/or machine fiberglass must submit a completed and signed copy of this form to the NASSCO Environmental Engineering Department at [email protected] or by fax to 619-744-1088. Polyester resin and fiberglass work may not begin until approval has been received. For questions, contact 619-544-7506. Company Name:</p><p>Address: Ship or Project Name:</p><p>Start End Date: Date: Facility Where  NASSCO 28th & Harbor Drive Work Will Be  Other: ______Performed: 1. Indicate type work that will be performed by your company at GD NASSCO  Application of Polyester Resins, including gel coats, fire resistant resins, corrosion resistant resins, fiberglass layup, and associated cleaning solvents  Machining of Fiberglass Products at a designated workstation  Cutting, sanding, grinding of fiberglass products aboard vessel using hand tools and not at a designated workstation 2. List San Diego Air Pollution Control District (SDAPCD) permit numbers that activities will be conducted under:</p><p>3. Check here  if performing a resin application activity that is exempt from SDAPCD permit requirements, then provide reason:  Marine Vessel Repair < 0.5 gal/year  Other, describe:</p><p>4. For non-exempt operations, have you provided copies of current SDAPCD permits to the NASSCO Environmental Engineering Department?  Yes  No 5. Company listed above has reviewed and agrees to comply with applicable San Diego Air Pollution Control District Rules  Yes  No 6. Has company submitted Material Safety Data Sheets for all materials proposed for use to the NASSCO Safety Department for review?  Yes  No 7. Company has reviewed and agrees to comply with applicable NASSCO Environmental Policies and Best Management Practices (BMPs) related to polyester resin and fiberglass work  Yes  No 8. Company has provided training on the following requirements to all employees that will work with polyester resins and fiberglass materials at NASSCO or will provide such training before painting activities begin:  Yes  CLOSED CONTAINER POLICY: NASSCO BMP #202 on Solvent and No Paint Container Management requires that all containers of VOC- containing material remain closed when materials are not being added or removed.  Yes  CONTAINER MANAGEMENT POLICY: NASSCO BMP #401 on No container labeling requires all containers to be clearly and correctly labeled as to contents. Containers must be maintained in good condition to prevent spills and leaks.  Yes  RECORDKEEPING REQUIREMENTS: For resin application No operations, daily records of amounts and types of materials applied at NASSCO must be maintained and submitted  Yes  MONOMER LIMITS: For resin application operations, APCD Rules No specify maximum allowable monomer content for each rein type. Use of complaint products is required at all times.  Yes  HAZARDOUS WASTE DISPOSAL: Employees have been made No aware of applicable laws and NASSCO policies on proper disposal of hazardous waste.  Yes  EMERGENCY RESPONSE: NASSCO BMP #102 on Emergency No Response outlines policies for reporting spills and medical emergencies.  Yes  OVER-WATER PROTECTION: NASSCO BMP #310 on Over-Water No Protection outlines containment policies to prevent release of debris into the Bay.  Yes  DUST CONTROL: For fiberglass machining at designated No workstation, SDAPCD permit conditions related to control of dust and operation of air pollution control equipment. For incidental hand tool machining aboard vessels, the requirement to control dust using enclosures, vacuums, wet methods, or other dust suppression and containment techniques. 9. Company understands that it is required to provide a monthly summary of resin and solvent usage to the NASSCO Environmental Engineering Department each month that polyester resins will be applied.  Yes  No  Company will not apply polyester resins CERTIFICATION: Acting as an authorized representative for the company listed above, I hereby certify that the information provided herein is true, accurate, and complete to the best of my knowledge. I further certify that the company listed above has reviewed and agrees to comply with any and all SDAPCD and CARB Rules or Regulations and NASSCO requirements applicable to the use of polyester resins and fiberglass materials at all times while work at any NASSCO facility. I understand that the failure to comply with applicable rules and regulations or procedures may result in the revocation of the authorization to use polyester resins or perform fiberglass work at NASSCO. Printed Name</p><p>Page 2 of 3 Rev. 02/04/11 Title E-Mail</p><p>Phone Fax Number Number</p><p>Signature Date</p><p>FOR NASSCO USE ONLY: Request Reviewed By: Authorization:  This request has been approved. Approval is limited to the time period and job described on page 1 of this application.  This request has been denied. The polyester resin and/or fiberglass machining operation described in this document may not be performed at NASSCO Additional Comments or Restrictions:</p><p>Page 3 of 3 Rev. 02/04/11</p>