Laserfiche WebLink
RETROFIT OR REPAIR ..i <br /> 1. Site map enclosed YES NO [ ] <br /> 2. Spec sheets attached for equipment to be installed YES [ ] NO [ ] <br /> 3. Description of work to be completed: <br /> �laCpj 0C-i-uCi � 1 E* IIl LLkcko:p <br /> 4. Description of equipment to be used: p <br /> o 2tC�S 4/ 202- 0 <br /> 5. All equipment is State certified or approved. YES 1-] NO [ ] <br /> 6. 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 /> C. Describe method to be used for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name Phone( ) <br /> 2 <br />