Laserfiche WebLink
RETROFIT.OR REPAIR <br /> 1. Site map enclosed YES [ ] NOW <br /> 2. Spec sheets attached for equipment to be installed YES NO [ ] <br /> 3. Description of work to be completed: <br /> a <br /> 4. Description of equipment to be used: <br /> J bur\i tV P,- Tvi o (-Z) (I 4�tt�A I <br /> c 0.4"(6i � 4 '' Ie `� . <br /> 5. All equipment is State certified or approved. YES NO [ ] <br /> 6. Decontamination Procedures: J\ <br /> N A a. Will piping be decontaminated prior to removal? 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 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 /> 2 <br />