Laserfiche WebLink
RETROFIT OR REPAIR <br /> 1. Site map enclosed YES'K NO [] <br /> 2. Spec sheets attached for equipment to be installed YESI< NO [] <br /> 3. Description of work to be completed: <br /> rlEmouE [7/SP �� //s2 Cy f l qc Al 3 �� pouf/Eu r�CL <br /> 5 -69 c- <br /> NEw <br /> jig //Ca�P�i 3 . //,i�E to Ex tE-"p r <br /> To o �a L <br /> l05/ T/ON <br /> 4. Description of equipment to be used: <br /> .3 51EEL1E C,,PIIti6 A, o/go3o -/0/ - 8 <br /> 3// 5£coAo,9ry -,y< CIA 63o - CC>6 -,5 <br /> 5. All equipment is State certified or approved. YES>4 NO [j <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [] NO [] <br /> b. Identify contractor performing decontamination: <br /> Name f-% Phone_) <br /> Address city Zip <br /> C. Describe method to be used for decontamination: <br /> �tIMAry to, PE w/LL �I17. ' b-r wff*KD 0.c�. o.� ly 5ECo.x-'9/9rj' <br /> n/i/nE u /LC Be rEp/n CED . APP/max 6 9 „ <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> .N/q <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name Phone(_) <br />