Laserfiche WebLink
RETROFIT_OR REPAIR <br />1. Site map enclosed YES NO[] <br />2. Spec sheets attached for equipment to be installed YES jj NO[] <br />3. Description of work to be completed: <br />/� , / <br />/ � -2 uLo Y G O ! �� 1� !� a� o Y <br />x�f�LCK-P!� c, N rro�S a!i/y� 7—& <br />N ! 2 S e' I / a N k iv 5 71�- <br />v—o v!i- <br />ct�.c-� o�of�.� Uvea- ��G� �y-evCNl/o.� �/a/ves <br />4. Description of equipment to be used: <br />O G �V V R ^ / 0 2--,D <br />5. All equipment is State certified or approved. YES 11 NO [] <br />6. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? N/j4 YES[] NO[] <br />b. Identify contractor performing decontamination: <br />Name E1,1 %- f Phone( fO 9 6/- G 3 319 - <br />Add r e s s <br />19Address 2,S 3.- kli 9N/.4- City S e -/7o tl Zip �Sa4S <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 LIZA Phoneme) <br />E <br />L <br />