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Jun 09 03 11 : 55a Ca ie Brown [209] 461 -6342 P. 1 <br /> 05/28/2003 13:51 209443 FIFTH FLOOR � PAGE 03 <br /> & 7w RETROF,�TOR REP R <br /> I. Site map enclosed YES [] NO{] <br /> 2. Spec sheets attached for equipment to be installed YES [J NO [j <br /> 3. Description of work to be completed: <br /> ,J Gc <br /> 4. Description of eauiomen to be use <br /> nAvj 6608, <br /> b�o-1 „ CU- <br /> 5. All equipment is State certified or approved_ YES [J NO{J <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [] NO [J <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 />