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RETROFIT -OR REPAIR <br />Site map enclosed YES) NO [ <br />2_ Spec sheets attached for equipment to be installed YES [ ], NO[] <br />3_ Description of work to be. completed; <br />4_ LDescription of equipment to be used: <br />5_ 'AJ1 equipment is -State cerhiffed or approved_ YES [ ] . NO[] <br />Decontamination Procedures: <br />a_ Will piping be decontaminated prior- to removal? YES <br />-- <br />.b- ldentify:cbritrac-t®r performing decontamination: -_—_-,– -- _ <br />Name . Phoneme_} <br />Address City ' Zip <br />C. Describe method- to be used for decontanination_ _ <br />o_ Descri€i a hdo 4 unsafe material vrilll'be stoped oersite prior to ruanifes rig_offsite <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility_ . <br />i hauler Name Phone( j <br />2 <br />