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RETROFIT OR REPAIR <br /> 1. Site map enclosed YES4 NO [] <br /> 2. Spec sheets attached for equipment to be installed YESJ NO [] <br /> 3. Description of work to be completed: <br /> SEF GLANS <br /> 4. Description of equipment to be used: <br /> 5. All equipment is State certified or approved. YESO NO [] <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [] NO (] <br /> b. Iden ' contractor performing decontamination: <br /> Name Phon ) <br /> Address City Zip <br /> C. Describe method to be used fo contamination: <br /> d. Describe ho7rinsaWmaterial will be store"do ite prior to manifesting offsite: <br /> e. Ri ate Hauler and permitted Treatment, Storage & Dispo I Facility: <br /> Hauler Name Phone( <br /> 2 <br />