Laserfiche WebLink
a <br />2, <br />9 <br />63 <br />n. <br />Site map enclosed YES.] f NO <br />Spec sheets attached for etIulpment to be installed YES NO <br />YV <br />Description of work to be completed, <br />ns LACICO-4 <br />C'J. 0 C5 -a so I <br />All equipment is State cartiflied or approved, YES NO <br />Decoaamination Proc�duxTis.- <br />a. Will piping be decontaminated prior to removal? YES[) NO(] <br />b. Identify contractor performing decontarnInation- <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 />0 <br />'1 5-1 tA V C- <br />LAAACICO­� <br />Cs - 4 <br />"t *',Mo - <br />ns LACICO-4 <br />C'J. 0 C5 -a so I <br />All equipment is State cartiflied or approved, YES NO <br />Decoaamination Proc�duxTis.- <br />a. Will piping be decontaminated prior to removal? YES[) NO(] <br />b. Identify contractor performing decontarnInation- <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 />0 <br />