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RETROFIT.OR REPAIR <br />1- Site map enclosed YES[] N <br />2. Spec sheets attached for equipment to be installed YES NO <br />3. Description of work to be completed: <br />1i1/� C9 �e e V 13 <br />R.t e Q <br />r�oc� rintinn of ent iirlrnt�nf to hr? used: <br />r- Y <br />- - --- -r- <br />_ Al', tempi -Tient is State certified or approved_ YE NO <br />tom- DeContarninatiori Procedures: <br />a. will piping be decontaminated prioro removal? <br />b- identify contractor performing decontamination: <br />Name <br />YES <br />Address <br />CityZ1p--..�_.. <br />_ i <br />c- Describe method to be used for decontamination: <br />d_ Je ; cd gbe t �gw rirgsate material wi i be stored onsite -prior to reianifesting offsite - <br />e. Ririsate Hauler and permitted Treatment, Storage & Disposal Facility_ <br />Hauler !Marne Phone,' ) <br />I <br />