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RETROFMOR REPAIR <br /> 1. Site map enclosed YES [] NO <br /> 2. Spec sheets attached for equipment to be installed YES <br /> NO [] <br /> 3. Description of work o be corn ( <br /> 4. Description of equipment to be used: <br /> 6101-z5. All equipment is State certified or approved. YES NO [] <br /> 6. Decontamination Procedures: <br /> *A YES [] NO <br /> a. Will piping be decontaminated prior to removal? <br /> b. Identify contractor performing decontamination: <br /> Name <br /> Phoned_______) <br /> Address <br /> 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 <br /> 2 <br />