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FROM : SIDHU GURP PHONE NO. 209 474 3293 <br />Signature—. <br />EH230038 <br />(revised 1/31102) <br />I Site map enclosed YES J/f NO [] <br />2. Spec sheets attached for equipment to be installed YES NO <br />3. DescAption of work to be completed: <br />�Saw e.,n aA-e SQ,t <br />4. Description of equipment to be used: DPW <br />Tta I 21®O_ -- got, <br />%ski, S--01 P,0AQkL,— <br />UG3V C- <br />Aes <br />JUm S cae-,j4, 9 f As v. cx; e, <br />5. All equipment is State certified or approved- YES NO <br />6. Decontamination Procedures, <br />a. Will piping be decontaminated prior to removal? YES(] NO[] <br />b. Identify contractor performing decontamination: <br />Name Phone(—) <br />city Zip <br />2 <br />