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FROM :TLM PETRO LABOR FORCE FAX NO. :5629238138 -al. 28 2004 01:01PM P5i7 <br /> Signature_ /R-,Oc� <br /> EH230038 <br /> (revised 1/31/02) <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YESK NO [] <br /> 2. Spec sheets attached for equipment to be installed YES NO [] <br /> 3. Description of work to be completed: <br /> V-i/I~Yh_q$¢ = G�- ° ------------------------------------------ <br /> ------------------------------------- <br /> - <br /> -- <br /> 4. Description of equipment to be used: <br /> ------—-------------- <br /> ---- -------------- <br /> 5. All equipment is State certified or approved. YESX 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 /> 2 <br />