Laserfiche WebLink
RETROFIT OR REPAIR <br /> I, Site map enclosed YES NO ( a <br /> 2. Spec sheets attached for equipment to be installed YE NO [J <br /> 3. Description of work to be completed: <br /> 4. Descrip(\tion of equipment to be used-, <br /> 5. All equipment Is State certified or approved. YES NO [ a <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YE4[ ) NO [ ] <br /> b. Identify contractor performing decontaminate rte__ <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 />