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RETROFIT OR REPAIR <br /> 1. Site map enclosed YES NO 14 <br /> 2. Spec sheets attached for equipment to be installed YES NO" <br /> 3. Description of work to be completed: <br /> Remove and replace two Vaporless LD 20 Line Leak Detectors and two <br /> Turbine "R" Style Check Valves. <br /> 4. Description of equipment to be used: <br /> See above. <br /> 5. All equipment is State certified or approved. YES NO <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? S [] NO [] <br /> b. Identify contractor performing decontamination: <br /> Name Phone <br /> Address Ci -Zip <br /> C. Describe method to be use or e nta ion: <br /> r <br /> I:ateri be <br /> d. Describe how rinsate m;; stored onsite prior to manifesting offsite: <br /> At <br /> 'Ar <br /> e. Rinsate Haule dpermitted Treatment, Storage & Disposal Facility: <br /> Hauler N PhoneL <br /> 2 <br />