Laserfiche WebLink
7 <br /> Y <br /> RETROFIT OR REPAIR <br /> 1 . Site reap enclosed YES [] NO (] <br /> 2. Spec sheets attached for equipment to be installed YES (] NO [ ] <br /> 3_ Description of work to be completed: <br /> 4_ Descrnntinn of ee tinm-nt to he s esed: <br /> + rte-°-• - �-- -�--- -- -- _ - <br /> W/ <br /> 5- All equipment is State certified or approved- YES [,]� N� s" <br /> 6. Decontamination Procedares: <br /> a. Will piping be decontaminated priorto removal? YES [ NO i i <br /> b- identify contractor performing decontamination_ <br /> N:-1me —PhoneC – ---� <br /> Address ("Ity Zip <br /> C_ Describe method to be used for decontamination: <br /> d. Describe how will be storF�d onsite prior to manifesting offsite: <br /> i <br /> e. Rinsate.Hauler and permitted Treatment, Storage& Disposal Facility.: <br /> Hauler Name Phone( I <br /> 2 i <br />