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RETROFIT OR REPAIR <br /> Site map enclosed YES [] NO <br /> �K <br /> 2. Spec sheets attached for equipment to be installed YES [ NO <br /> 3. Description of work to be completed: <br /> 4. Description of equipment to be used: <br /> ,,. All equipment is State certified or approved. YES NO () <br /> 6. Decontargination Procedures: <br /> a. Will piping be decontaminated prior to removal? YLS [] NO [] <br /> b. Identify contractor performing decontamination: <br /> Name Phone( ) __ <br /> Address city Zip <br /> C. Describe method to be used for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name - Phone(_ <br /> 2 <br />