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RETROFIT-OR REPAIR <br /> 1_ Site map enclosed YES j J NO ] <br /> 2_ Spec sheets attached for equipment to be installed YES[]_ NO []- <br /> 3- <br /> O []-3_ Description of work to be,completed; <br /> ill_ (r_ <br /> NJ <br /> 4-- Description of eq"uipment to be used: <br /> SSP -D r <br /> S_ <br /> All equipinent is'Sfate certiffed or approved: YES <br /> 6_ Decontamination Procedures-- <br /> a- <br /> rocedures=a- Will piprng.be decontaminated prior-to rernoval? YES <br /> b- lderi*contract)r performing decontai. station. ;----- -- - <br /> Name Phone{` . } <br /> Address City Z"sp <br /> c. Desmbe method to be used for decontamination_. <br /> Describe friaW�v,r a!i,a e material trill be stored 6hsite prior to man is? <br /> e. Rinsate Haider and permitted TreatmenL Storage&DisposalFacr�rty_ <br /> Haider. Name . ' Phone( } <br />