Laserfiche WebLink
RETROFIT -OR REPAIR <br />1. Site map enclosed YES [I NO [I <br />2. Spec sheets attached for equipment to be installed YESH. ]. NO[] <br />3. Description of work to be completed -- <br />4_ Description of equipment to be used: <br />- All equipment is State certified or approved. Y'ES ] NO [ j <br />6. De-entarnin ition Proc -dares: <br />a. Will piping be decontaminated prior to removal? YES[] NO[] <br />b. Identify contractor performing decontamination: <br />Name Phone_) <br />Address city Zip — <br />C. Describe method to be used for recontamination. <br />d_ Describe how rinsate material will be stored onsite prior to manifesting offsite: _ <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name _ _ Phunei <br />2 <br />