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Jul 12 06 03: 27p El it Iv Contractors Inc 209461 342 p. 1 <br /> ®b/Hb/lddb 15:1.1 71 b3 t .roaa_ ve• was .�".. __ <br /> r , <br /> RETROFIT OR REPAIR <br /> �� c,c�33�. <br /> 1. Site map enclosed YES[] NO 46 <br /> 2. Spec sheets attached for equipment to be instaftd YES bf NO[] <br /> 3. Description of work to be completed: <br /> $LSTa`!_ Va'PO -4e.S S 7 000 EMC i✓T �iL. <br /> Q ht �}' t STP ��12r•�c[. Qu V�'•-C. Y�oa cTIDILA'.C'. <br /> 4. Description of equipment to be used: <br /> 5. All equipment is State cartified or approved. YES QQ NO[] <br /> 6. Decontamination Procedures; <br /> a. Will piping be decontaminated prior to removal? YES [j NO[a <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 />