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• RETROFIT OR REPAIR • <br /> / <br /> 1, SITE MAP ENCLOSED WITH EQUIPMENT SHOWN/SPECIFIED. YES "� NO P <br /> 2 . DESCRIPTION OF WORK TO BE COMPLETED: <br /> W r vt.w fz fir/ <br /> ADDITIONAL PAGES MAY BE ATTACHED. <br /> 3 . DES RIPTION OF EQUIPMENT TO BE USED: <br /> 4 . ALL EQUIPMENT IS STATE CERTIFIED OR APPROVED. YES 04-�' NO <br /> 2 <br />