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A18/2005 09:01 2094683433 EHD PAGE 03 <br /> RETROFIT OR REPAIR <br /> Site map enclosed YES (] NO <br /> Spec sheets attached for equipment to be installed YES H-� NO [] <br /> Description of work to be completed: <br /> i0re— <br /> Description of equipment to be used: p <br /> 5 All equipment is State certified or approved. YES ( NO [ J <br /> 6 Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES-(- [ ] <br /> b. Identify contractor performing decontamination: <br /> NamE*� S';�a_ Phone(Z-o"? ) <br /> Address p�'00 /4 ULI J'90 S�_ cit�5 �--0Z zip �� <br /> C. Describe method to be us9d for de ntamination: <br /> 7—LCtS14 '2)7 <br /> d. Describe how��riin4sate material�will be stored onsite prior to manifesting offsite: <br /> e. <br /> e. Rinsate Hauler and permitted 4Treatment, Storage & Disposal Facility: <br /> Hauler Name_ <br /> 2 <br />