Laserfiche WebLink
09/06/2006 09:54 916-372alihl 72 <br />or <br />1. Site map enclosed YES <br />WALTON ENGINEERAM <br />- . W <br />IV 4 9 Ztel-I 0 1k - <br />M <br />2. Spec sheets attached for equipment to be installed YES t4 NO [ ] <br />PAGE 02 <br />3, Description of work to be completed:• I 14 <br />V ve. 5 C 0 A.,T X I I,[ Fr V%- rfLL TV114P <br />_ejCL <br />(ZF-PtA-ce- 744E 79 k Oh PIA 10 <br /># 2 F- e A r- IL- t � E F1 T.4o'(v- -&gAfV/-A-tL 5.En-UO2 <br />to A,G �L- A�G V C WS75! r - r<6:0 g Q k -C <br />4. Description of equipment to be used'. <br />• SPILL rQ*L-Vk-(A&rt 0 f CAJ S_- _1k <br />IM I L F- 5 f, !19 ZOO 0 <br />tA tj tj t krL o Or—, <br />5. All equipment is State certified or approved, YES NO <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. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone( <br />K <br />