Laserfiche WebLink
RETROFIT OR 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 /> uP�yt(c,o�lti- �o (b , u 2 Ski it L Ad?e --5 <br /> 4. Description of equipment to be used: <br /> '3 t2LJ Z IoU !j-er c -P �s <br /> 5. All equipment is State certified or approved. YES j NO [ ] <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [ ] NO [ <br /> b. Identify contractor performing decontamination: <br /> Name �N Phone(31oG ) x'23-27 Y <br /> Address—! 1 (v t�AvA -- �jv CA City Liv, CEJ Zip 5 b 3Z <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 />