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11I137I23ca2 11: 32 2194 E.F,3cl_' FIFTH FLDOR PAGE 02 <br /> { 1 10 -RETRQFIT�OR REP/ IA <br /> 1. Site map enclosed YES N1 NO [] <br /> 2. Spec sheets attached for equipment to be installed YES fv� NO ] <br /> 3. Description of work to be completed: <br /> U. <br /> l Irk ih '= U N .. m r— (UPC <br /> ArAU <br /> 4. Description of equipment to be used: <br /> b. Ali equipment is State certified or approved, YES [ NO [] <br /> 6, Docontamiination Procedures: <br /> a. Will piping be decontaminated prior to rernov2l? YES NO [ <br /> b. Identify contractor performing decontamination: <br /> Name 4 C7 ' NS'�Rv ic�i�. Phone( 20 'u1�J1 0 <br /> Address -Q, ►22 City Le 01 . CPA Zip 3 <br /> C. Describe method to be used for deoontamination_ <br /> A+I. L- PS P I r-w, N i LL[ l-S K 5ev w D t'ep+�1r--, I q+D 5o o-t-, <br /> tr�l f�T�f� � t�--_rte R.Ci,'�t�lT � 't��'►�5 � 'C�-4�r-t �Lt--E�w�o �._.,.�ice. <br /> d. Describe how rinsate material will be stared onsite prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal f=acility: <br /> Hauler Name Cr F,E� Vel- LV 6tf , _Phone(_ ) '�;45 <br /> 2 <br />