Laserfiche WebLink
RETROFIT OR REPAIR <br /> 1. Site map enclosed YES [ ] NO [4 <br /> 2. Spec sheets attached for equipment to be installed YES [y]' NO [ ] <br /> 3. Description of work to be completed: <br /> -f�a ks ik ( cam - <br /> 4. Description of equipment to be used: <br /> 0pw (01 S 6 <br /> 5. All equipment is State certified or approved. YES [ NO [ ] <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [ ] NO [ ] <br /> b: Identify contractor performing decontamination: <br /> Name Phone) <br /> Address Cit Zip <br /> C. Describe method to be used ford nta ation'. <br /> d. Describe how rinsate material- ill be stor nsite prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name Phone(_) <br /> 2 <br />