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118/2085 09:01 ; 683433 EK) PAGE 03 <br /> RETROFIT OR REPAIR <br /> 1' . Site map enclosed YES (J NO <br /> 2• Spec sheets attached for equipment to be installed YES ( ) NO a•j� <br /> 3. ( <br /> . �scdptlon of work to completed: <br /> 7—� ,1/f i <br /> 64- All c 47t �f�= <br /> 4. DescdpUon of equipment to be used: <br /> `5. All equipment is State certified or approved. YES NO ( J <br /> 6. Decontamination Procedures: <br /> a. Will piping be deco te�lin to prior k re oval? YES ( ] NO <br /> b. Identify contractor erform g deco to Ina on: <br /> Name honeL_) <br /> Address City --Zip <br /> C, Describe method to be used or decontamination: <br /> d. Describe how rinsate material will be stored n dor to manifesting offsite: <br /> e, Rinsate Hauler and permi ed Tre tme t, S <br /> ge & Disposal Facility; <br /> Hauler Name <br /> Phone( <br /> 2 <br />