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Jul 07 06 09: 49a Jeffrey C. Henley 714-739- 1499 p. 20 <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YES NO [ ] <br /> 2. Spec sheets attached for equipment to be installed YES [] NO [ ] �►.a �i�. <br /> 3. Descri tion of work to be completed: <br /> -2--- `+ Z�., . r-t Lam. nL=� - � <br /> 4. Description of equipment to be used: i.,j /a-- <br /> 5. All equipment is State certified or approved. YES [ ] NO [ ] r-►.��- <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? ? YES [ ] NO [ ] <br /> b. Identify contractor performing decontamination: f-� I=— <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 /> 76- /r-:,- <br /> e_ Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name Phone( ____j <br /> 2 <br />