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RETRORT_OR REPAIR <br /> Site map enclosed YES J NO [] <br /> 2_ Spec sheets attached for equipment to be installed YES[]- NO [] <br /> 3- Description of work to be-completed: <br /> /,Q a c htj 5 L 60- ib3kak. <br /> &nd 91 <br /> 4_- De�rription of equipment to be used: <br /> 5_ All equipment is-Slate cedified or approved- YES[]. .:- No[]': : <br /> G_ Decontamination Procedures.- - <br /> a- WM piping be decontarninated prior-to removal- YES[j NO H <br /> - -- b- tdentify:conb5Ef d c>r performing deccwt"s hon: <br /> Address -.EYP <br /> C, Describe method'to be used for <br /> :. Oesrxfdecontamination::- ig�-. <br /> rsel risitfuto iareiE_li-sl� eie6zsate 3 ieriai <br /> e: Pa ate FfaWer and permif€ed Treater Sage 8�'DLVO.Sal Fac TIty <br /> i-Iata�er Name: <br />