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RETROFIT OR REPAIR <br /> 1. Site map enclosed YES)q NO [ ] <br /> 2. Spec sheets attached for equipment to be installed YESA NO [] <br /> 3. Description of work to be completed <br /> 4. Description of equipment to pbe used: <br /> cJ <br /> 5. All equipment is State certified or approved. YES NO [] <br /> 6. Decontamination Procedures: <br /> a_ Will piping be decontaminated pnor 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 Phoma ) <br />