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• RETROFIT OR REPAIR <br /> 1. Site map enclosed YES [ ] NO [ ] <br /> 2. Spec sheets attached for equipment to be installed YES [ ] NO [ ] <br /> 3. Description of work to be completed: <br /> 4. Description of equipment to be used: <br /> 5. All equipment is State certified or approved. YES [ ] NO [] <br /> 6. De ntamination Procedures: <br /> a. Wi iping be decontaminated prior to removal? YES [ ] NO [ ] <br /> b. Identify c tractor performing decontamination: <br /> Name one( ) <br /> Address City Zip <br /> C. Describe method to beus d for contamination: <br /> d. Describe how rinsate aterial willl stored onsite prior to manifesting offsite: <br /> e. Rinsate H ler and permitted Treatment, Stora & Disposal Facility: <br /> Hau r Name Ph o e( ) <br /> 2 <br />