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• 0 <br /> RETROF[T 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 fo be completed; p <br /> CZedly on � c� <br /> 4_- De-pription of equipment to be used: - <br /> AH egiriprrYent is Sffate cerhTied or a roved_. YES NO <br /> 6_ Decontamination Procedures <br /> a- Will piping be decontaminated prior to removal? YES (]- RO <br /> b_ Identify confraclor,perfomnng decoretaianafion: <br /> Name Phone(_ }. <br /> Address_ Y �P <br /> C. Desciibe rrrethod'to be used fordecontaininaticpn_ <br /> Oesenr)e iia,Nrsnsa_e materd YM b-stored on- p. to Tanne�tirig�f`.s��_. <br /> e. Rinsate Haider and permitted Treatment,Storage&DiTosal Faa7ity <br /> Hauler Name <br />