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Jul 07 06 09: 43a Jeffrey C. Henley 714-7Q2-1499 p. 5 <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YES W' NO [] <br /> 2. Spec sheets attached for equipment to be installed YES[] NO [] <br /> 3. Description of work to be completed: <br /> 4. Description of equipment to be used: <br /> 5. All equipment is State certified or approved. YES [] NO [] ra 1=-, <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? ik� YES [ ] NO [] <br /> b. Identify contractor performing decontamination: l'-A �a <br /> Name Phone(�_� <br /> Address city Zip <br /> C. Describe method to be used for decontamination: <br /> ya AQ, <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> M /". <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name 1,A Phone( <br /> 2 <br />