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ETROFMOR REPAIR <br /> 1. 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 Decrrintinn of eq uinmrrnt to be i used: <br /> 5_ All equipment is State certified or approved. YES [I NO [I <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [] 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. Rinsatee-Hauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name Phone( <br /> 2 <br />