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.. RETROFIT OR REPAIR -► <br /> 1. Site map enclosed YES fit] NO [] <br /> 2. Spec sheets attached for equipment to be installed YES NO [] <br /> 3. Description of work to be completed: <br /> EVe ��wsa I U�4eRDE <br /> 4. Description of equipment to be used: y <br /> �EnwVE P.ivA �2.EF�1�-E. -��Cf/VPjb2 P•dA�-�,o2s� CAFES 171ZOa YutS <br /> ' Nb VENTS CQ P--& &,Mb RE IA-K-E "' Eve_- Phk'SC tony�onteN�s <br /> 5. All equipment is State certified or approved. YES [r] NO [] <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? ]`lo C F "JF- . YES [] NO [ ] <br /> b. Identify contractor performing decontamination: Ro 6 Nq e- <br /> Name Phone(_) <br /> Address city Zip <br /> C. Describe method to be used for decontamination: <br /> K/p- <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> WR- <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name W#. Phone( ) <br /> 2 <br />