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19255517888 Main Fax GETTLER RYAN INC <br /> 11:32:58 a.m. 06-28-2006 2/2 <br /> cnu <br /> •. �bI'L!i/'1F}YJb YJii:b4 Lb'jµbti.i4 <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YES[I <br /> NO 14 <br /> 2. Spec sheets attached for equipment to be installed YES NO [] <br /> 3. Description of work to be completed: ((JJ \tz"� -r c-4 U t VJ <br /> 4. Description of equipment to be used: <br /> ,J �6t'rJiL ��i4iL <br /> b. All equipment is State certified or approved. YES` NOH <br /> ] <br /> g, Decontamination Procedures: <br /> YES [] NO [l <br /> a. Will piping be decontaminated prior to removal? <br /> b. Identify contractor performing decontamination: <br /> Name <br /> Gly Zip�— <br /> Address <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 <br /> Phane(�� <br /> 2 <br />