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08/27/2004 10:32 20546 <br />Signatures <br />EH230038 <br />(revised 1/31102) <br />:T* <br />VALUED ENGINEERIN PAGE 01 <br />�e <br />Mz <br />1. Site map enclosed YES [ ] NO CQ/Y <br />2. Spec sheets attached for equipment to be installed YES j j/ NO[] <br />3. Description of work to be completed: <br />Lis-��.1 sir' <br />h4�tQ e ---- <br />-L� W qmytu-zd Kv(au, d4'Sajpr &ef- 16itSm <br />a,+ A f -a � i -eei 0—rI 1 <br />4. Description of equipment to be used: <br />W0 F5, -Aeino I ra�t5`n �'a I� -(ec <br />(l) one_ VeeJ e -K koo4- 6Lnsor- -7q 43q p-qo,7 <br />[ rl e. VQe.d e s( - i I F 7q 3 <br />All equipment is State certified or approved. YES NO [I <br />DecoMamination Procedures: <br />a. Will piping be decontaminated prier to removal? <br />b. <br />YES [ ] NO [ ],q- <br />I'd 2�110ib660a HOWIS N3QNIAUM eSb:01 fro LZ 2nb <br />