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I <br />5. <br />6. <br />RETROFIT.OR REPAIR <br />Site map enclosed YES [I NO [] <br />Spec sheets attached for equipment to be installed YES [ ] <br />Description of work to be completed: <br />Descriptinn of equipment to be used: <br />U <br />Ali equipmeN is State certified or approved. YES [ ] <br />Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contractor performing decontamination: <br />Addrass ___-- --- - — <br />thod to be irsed for decor" r iration: <br />NO [] <br />0 <br />YEo [] 1`40 I i <br />Zip--- .. <br />C. Descnbe me <br />t� d o 1,00, .o r••= nifc,t:r offsite <br />e, i nsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />?hone(__I_ <br />Hauler Name __ <br />2 <br />