Laserfiche WebLink
RETROFIT OR REPAIR <br />Site map enclosed YES [] NO <br />2. Spec sheets attached for equipme . nt. to be installed VESA NO[] <br />S. 0 scn'PbQn of worklo be completed, <br />Ie�ntClmg a wt Stva SU:k;0C4 :SVStP-MS7 wzq b4P- C"feLQ ('n a_ <br />JA4 0 Q4, <br />77t-kLG i wO&Ua-4,1QM-" Vr_41Lwr?_ a_ S10R1!:qV-P' "Ayd(it; <br />4. Description of equipment to be used: <br />V 334" <br />5. All equipment is State certified Or approved. <br />ed. YES -A NO [I <br />6. Decontamination Procedures: <br />a. Will piping be decontaminated phor to removal? YES NO <br />b. Id I entify contractor perf . orming decontaminatir: <br />0 <br />Address <br />c. Describe method to be <br />I Describe <br />City _Zip <br />for decontamination: <br />.e material will be stored onsite prior to manifesting offsite: <br />e.n, <br />sate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler <br />/H ler Name Phone( <br />2 <br />