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RETROFIT-OR REPAIR <br /> 1_ Site map enclosed YES [] NO [] <br /> 2_ Spec sheets attached for equipment to be installed YES []. NO [J <br /> 3_ Description of work to be.completed: <br /> 4_ Description of equipment to be used: <br /> � a 35 <br /> 5_ All equipment is State certified or approved. YES [] NO[] <br /> 6. Decontamination Procedures: <br /> a_ Will piping be deco ritaminated prior to removal? YES [J 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 hoer rinsate *amatenal Y411 be stored onsite prior to manifesting o`` <br /> e. Rinsate Hauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name Phone( <br /> 2 <br />