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RETROFIT OR REPAIR <br /> 1. Site map enclosed YESP( NOH <br /> ] <br /> 2. Spec sheets attached for equipment to be installed YESQQ NO [] <br /> 3. Description of work to be completed: <br /> Replace, UST 61?A1 con}9iners for fill b V.R. (Phasal � with <br /> C.A R 15approved Phil -Titt 6orwgonent,5 Mr Executive Order <br /> va- tot -0. <br /> 4. Description of equipment to be used: <br /> Fhil-Tile, sill eont2inmcv%t Weket5, debris bucket R rotatable adaptor <br /> DPW droptyye, Harrison Bros. dust cops � Huskyprvsure./vseuuM part <br /> valva -dnd Lkmiversal (or Qpw) e0rach7r fill ina� <br /> 5. All equipment is State certified or approved. YES NO [] <br /> 6. A/A Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [] NO [] <br /> b. Identify contractor performing decontamination: <br /> Name_ Phone( ) <br /> Address _ City____ _Zip <br /> 2 <br />