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RETROFIT-OR REPAIR <br /> 1- Site map enclosed YES f] NO j <br /> 2_ Spec sheets attached for equipment to be installed YES[]- NO[] <br /> 3_ Description of work to be completed; <br /> 4-- Descrip ion ofequipment to be used. = <br /> do <br /> GL <br /> tprnent i S to- or appro ed_ O - <br /> .:6- Decontamination Procedures:. <br /> a- Will piping be decontaminated prior to removal? YES <br /> - b_ tdentify.CD itraidar perforrring deconta,-.mation .-- .. - ---- <br /> amok— <br /> mo Phone{ <br /> Address Csty Zp <br /> C- Desciibe method to be used for decontamination:-:- <br /> d: ves i e iicr�M:i a e-'material vr�l be sta ed <br /> sit,6,p. <br /> e. Rinsate Haider and penn.itled Treatment Storage&Dis ._Fa�ity . <br /> HaWer -----------_ <br /> -- <br />