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*RETROFIT -OR <br />i i is <br />Site map enclosed YES [ ] NO [, <br />Spec sheets attached for equipment to be installed YES [ ]. <br />Description of work to be. completed: <br />MI <br />4-- Description of equipment to be used: <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 j ] <br />b. Identify contractor performing decontamination: <br />Name Phone( } <br />Address city Zip <br />C. Describe method to be used for decontamination: <br />d `)escribe hdW (in -sate material gill -be stored onsite prior to manifesting offsite: <br />e. Rinsate hauler and permitted Treatment, Storage & Disposal Facility. <br />Hauler Name Phone( ) <br />2 <br />