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RETROFIT OR REPAIR <br /> 11- 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 /> T/V9A2 '&� X12 4( ,f:�i —k' <br /> Uf <br /> 4_" Desp6ption of equipment to be used:. <br /> rs n _? "IA,nAr -O- 01;e '79V24V. 0wP <br /> iO4 0 i ,t b1y <br /> Ail-equipment is State cefiiied ar approved. YES 11 Ntl[j -. <br /> 6_ Decontamination Procedures <br /> piping be decontaminated prior-to removat2- YES[j NO <br /> b .. IdenSfy:conFrac2or performing decon &aina*iori - - <br /> Name Phone( <br /> Address_ city zip <br /> c. Descdbe <br /> mefhod'to be used fordecontani iatiom: <br /> eseri€5e iio= rtrisa a material;A16 stnedconsit pix to aa rig �sRE_. <br /> e. Rinsafe Hauler and <br /> permitted Treatment,Storage&Disposal FaaTdY <br />