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J/ 8/2005 09:01 2094683433 EHD PAGE 03 <br /> • • <br /> RETROFIT OR REPAIR <br /> Site map enclosed YES (] NO <br /> Spec sheets attached for equipment to be installed YES W. NO ( ) <br /> Description of work to be completed: <br /> Description of equipment to be used: <br /> Wg;-: 4arw . <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-Me-'NO ( ) <br /> b. Identify contractor performing decontamination: <br /> Name Sg4, 91-1-A Phone(Z-o'f <br /> AddressgoO UhtlO�, Cit Tvt���ts� Zip Zt�J� <br /> C. Describe method to be us9d forde ntaminati n: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> Z— 40,4ss? w Z d..r77 -40 <br /> e. Rinsate Hauler and permitted tTreatment, Storage & Disposal Facility: <br /> Hauler Name � u iu'tIRtLFc/Phone(Ae'9D)_Z. z— <br /> 2 <br />