Laserfiche WebLink
1 <br />2 <br />3 <br />4 <br />5. <br />6. <br />RETROFIT OR REPAIR <br />Site map enclosed YES [] NO [q" <br />Spec sheets attached for equipment to be installed YES [ ] NO <br />Description of work to be completed: <br />Description of equipment to be used: <br />'.2 L 7 c� vP 4) 1z4,rZ <br />All equipment is State certified or approved. YES NO [ ] <br />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 />K <br />