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RETROFIT-CR REPAIR <br /> 1_ Site map enclosed YES(] NO(j <br /> 2- Spec sheets attached for equipment to be installed YES []- NO [j <br /> 3_ Description of work to be.completed; <br /> P 1jacy- i n <br /> 4-- Description of equipment to be used: <br /> Q lam r ld <br /> 5_ <br /> All equipment is Sfate cerbffed or approved YES <br /> ai Decontamination Procedures_. . <br /> a_ <br /> Will piping be decontaminated prior to removal? A YES j j"_ NO(] <br /> :b_ Iden,tify:conFraclor_performing deconta.m" tion_ <br /> Name Phone(_} <br /> Address City. Zip , <br /> C. Describe method to be used for decontmination; <br /> `d_ Desixibe fEios+v rinsa_e material vn11be stored onsite prior to inan�fesfing.affs e_ <br /> e_ .Rinsate Hauler and permitted Treatment,Storage&Disposa).FaaTity_ - <br /> Hauler.Name <br /> Phone <br />