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, , ' • RETROFIT OR REPAIR • <br /> 1. SITE MAP ENCLOSED WITH EQUIPMENT SHOWN/SPECIFIED. YES ( <br /> NO <br /> 2 . DESCRIPTION OF WORK TO BE COMPLETED: <br /> - <br /> n <br /> ADDITIONAL, PAGES MAY BE ATTACHED. <br /> 3 . DESRIPTION OF EQUIPMENT TO BE USED: <br /> 4 . ALL EQUIPMENT IS STATE CERTIFIED OR APPROVED. YES P'Y NO (] <br /> 2 <br />