Laserfiche WebLink
RETROFIT OR REPAIR <br />1 _ Site map enclosed YES [] NO [ j <br />2. Spec sheets attached for equipment to be installed YES [ ; NO [ ] <br />3. Description of work to be completed: - <br />CA cl C) C <br />sj Descrintinn of eqr sinmr�nt to ha t tcnri- <br />r. -„- _ - - <br />a - <br />�� Q _ 1D(2) ` OCU. <br />Ck5 ne e.e\ e c`. <br />5- <br />6- <br />4- <br />_6_ <br />A I equipment is State certified or approved. YES [ j NO [ I <br />Decontamination Procedures= <br />a_ Will piping be decontaminated priorlo removal? <br />YES[ J NO i I <br />b_ identify contractor performing decontamination_ <br />Name Phone( ) <br />Address <br />. City <br />C' Describe method to be used for decontamination. <br />d. Describe how rinsa,e materia will be stored onsie prior to rnanifestiny offsite= <br />e_ Rinsate Hauler and permitted Treatment, Storage & Disposal Facility- <br />Hauler <br />=acilityHauler [Mame Phone( <br />2 <br />