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RETROFIT OR REPAIR <br />1. Site map enclosed YES NO [ ] <br />2. Spec sheets attached for equipment to be installed YES NO [ ] <br />3. Description of work to be completed: <br />Remove all of the existing Veeder Root <br />liquid sensors in the fill and turbine sumps and the UDC's <br />and install new Veeder Root 794380-323 "Position Sensitive Sensors" <br />sensors in their place. Once the sensors have been installed, we <br />will perform necessary inspections and certify the new sensors. <br />4. Description of equipment to be used: <br />(10) Veeder Root 794380-323 "Position Sensitive Sensors" <br />See attached paperwork <br />5. All equipment is State certified or approved. YES® NO [ ] <br />6. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES[] NO[] <br />b. Identify contractor performing decontamination: <br />Name Phone( ) <br />Address city Zip <br />C. Describe method to be used for decontamination: <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone( ) <br />2 <br />