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12/02/2002 15:17 2094683433 FIFTH FLOOR PAGE 05 <br /> Signature____ _ • <br /> Keith A. Talli , Presi ent r— <br /> EH230038 <br /> (revised 1/31/02) <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YES[j NO [I <br /> 2. Spec sheets attached for equipment to be Installed YES (d NO [] <br /> 3. Description of work to be completed: <br /> —Repair leaks found during recent SB 989- testing. <br /> Excavate and properly seal piping sumps on tanks. <br /> Excavate and repair secondary product piping as <br /> necessary. Retest in accord with SB 989 . <br /> 4. Description of equipment to be used: <br /> Weaver manufacturing LLC bulkhead repair_fittings <br /> parts to be used to repair secondary containment <br /> piping will be determined once leaks and type of <br /> piping are determined when found and excavated. <br /> 5. All equipment is State certified or approved. YESJ] NO[] <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES[] NO [$ <br /> b. Identify contractor performing decontamination. <br /> Address --- -- - --- city---------Zip <br /> 2 <br />