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May 06 06 03:04p Mike Dotten 209-533-2650 p.2 <br />RETROFIT OR REPAIR <br />1- Site map enclosed YES [ ] NO X <br />2. Spec sheets attached for equipment to be installed YES [ ] NO [ ] <br />3. Description of work to be completed: <br />REP(_,4c.E 9FFEcn4I✓ Sven to L(C-1vIv5 <br />S C).-►So2. 11J DF Pi9ik& Sur%p <br />4. Description of equipment to be used: <br />�( _ & IJ o n1 -- D 15 C*2 % M N R Tl 4.J (r L_ t itizy i O 5 Fu sop - <br />5. <br />op -5. All equipment is State certified or approved. YES J4 NO [ ] <br />6. Decontamination Procedures: M/A <br />a. Will piping be decontaminated prior to removal? IV 1A 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 dnsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal f=acility: <br />Hauler Name Phone( <br />2 <br />