SANDBLASTING AGREEMENT  (printed via Shelter Island Marina website)
Boat Name: ______________________________________________


I ______________________________________________the undersigned, owner and operator of 
_______________________________________business and/or vessel and I agree to the following

        conditions related to Sandblasting activities on Shelter Island Marina Inc. property.
  • I will place a cash deposit with Shelter Island Marina Inc. of  $500.00.
  • I will use canvas or other appropriate material to surround the sandblast area to prevent all airborne materials from leaving the worksite.
  • I will ensure that all workers will be properly equipped for the proper operation of sandblasting equipment and will wear all of the appropriate safety clothing and air breathing protective devices.
  • I will ensure that the site is completely clean upon completions of sandblasting activities and I will notify the Shelter Island Marina Foreman when I have completed sandblasting operations.
  • I will agree to pay for all clean up of the work site that does not meet acceptable standards defined by the Shelter Island Marina Foreman
  • I will dispose of sandblasting materials in accordance with all regulations
  • I authorize any cost to Shelter Island Marina for clean-up and or disposal of debris from sandblasting operations may be deducted from my deposit and, in the event, the deposit is insufficient to cover clean-up and disposal cost, I will pay additional charges.
  • I will notify the Shelter Island Marina Office before I conduct any sandblasting activities.
  • I will terminate all sandblasting activities in the event of equipment failure, or other occasions which would cause any material to leave the containment area and I will refrain from initiating sandblasting activities until containment facilities are operating properly/
  • I will comply with all regulations applicable to sandblasting operations to include air and water quality standards and waste disposal requirements.
Sandblasting dates – Beginning ______________________ Ending _________________

Location of sandblasting operation____________________ Deposit $_______________

_____________________________               _______________________________
Signature of operator / owner                                            SIM (Authorization to proceed)

This Approval must be posted in a prominent place at the sandblasting area.

_____________________________________________
SIM approved refund of deposit &/or charges to deposit

Updated: September 15, 2004