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10/25/2002 10:36 2094683433 FIFTH FL" PAGE 02 <br /> • RETROFIT.OR REPAIR <br /> 1. Site map enclosed YES NO [] <br /> 2. Spec sheets attached for equipment to be installed YE P� NO [J <br /> 3. Description of work to be completed: <br /> Re o ✓ e Ides-- 7,reNCi� � ru2v <br /> .Z AI57TL ( ( l/ee 4 v 12ooT 7-,45 . 3so , Y' Sexsers <br /> ke -.Lv1S%a (( Ofd e -( /sr.4P C/Is1ey� SerScZ7N /V et/ <br /> CC ( 5 5er <br /> 4. Description of equipment to be used: <br /> F. <br /> i,/eee T J- 5 2s D Co>, so/e /^odes Y SerSoys <br /> 7-o Ta e is 7' c�t-4/-e in s e r- d a x s <br /> 5. All equipment Is State certified or approved. YESK NO [] <br /> 6. Decontamination Procedures: rvt/u5+`be _Qlccon+am�r�{��{ or ha.�.�. 14 <br /> pi°1^h tet+ Ks Hvd <br /> a. Will piping be decontaminated prior to removal? YES [I NOK <br /> b. Identify contractor performing decontamination: <br /> Name ,g ( TPhone 2( O ?j ¢Go / - G 3 '3 '7 <br /> Address 2 5 3 S W 9 w a City S r/<i4e Zip q��d <br /> C. Describe method to be used for decontamination: <br /> Tv-� X e i- :IN C; -e- ., re�/� <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> .sS 1, C� L" VA <br /> e. Rinsate Hauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name a(5L -)7a C2 /yy i ro ��ex%j Phone 9( <br /> 2 <br />