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19255517888 Main Fax 0 GETTLER RYAN INC 0?L22:45 p.m. 05-31-2007 6/11 <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YES NO M' <br /> 2. Spec sheets attached for equipment to be installed YES 6( NO <br /> 3. Description of work to be completed: <br /> REPLACE A Veeder-Root POSITION SENSITIVE SENSOR(P/N 794380-323) <br /> 4. Description of equipment to be used: <br /> VEEDER-ROOT POSITION SENSITIVE PANISUMP SENSOR (794380-323) <br /> 5. All equipment is State certified or approved. YES 6f NO <br /> 6. Decontamination Procedures: <br /> 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 />