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' 19/Y5/2t�02 19:36 2e54�33t;1rP' <br /> FIFTH FLOOR PAGE 02 - <br /> �tvr <br /> "I( <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YES NO t] /'r e v , `n _: ; /� S <br /> 2. Spec sheets attached for equipment to be installed YE NO <br /> dF 3. D ption Of work to be completed: <br /> •may- _ L I <br /> LA <br /> 7e c� fi .v c �.e--C / <br /> Description/of equipment to be used: <br /> 3 S-O <br /> �o <br /> ➢n� tt,.. 7YL .S CL '� C< CC V- c�e V' cl r r <br /> .7�-Ltd 777 :' _C1 <br /> r , $ <br /> All equipment is State certified ora <br /> i% pproved. YES NO [] <br /> 1 <br /> Decontamination Procedures: <br /> Ik�' <br /> n yfi: a: <br /> Will piping be decontaminated prior to romoval? YES j] NO <br /> ,r <br /> b. Identify contractor performing decontamination: ' <br /> LPhone�C�) 4 &../ 3 ,7 <br /> Address_ 5 3 -� W! cc'a y,t D.r—city Zip � p-5 <br /> C. Describe method to be used for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> CL <br /> 17. <br /> e. RtnSate Mauler and permitted Treatment, Storage 8& Disposal Facility: `. <br /> --� 1/A-�e y Phone <br /> Hauler Name ��7r7� w,i c is { E�,._„�,} <br /> °. 2 <br /> ' I <br /> ,drys; < <br /> 1 f <br /> SAV y i <br /> b0 'A £T T£LLb60Z 173AA03N3Hr Wa Gb= ZO Z0-T£-OAG <br />