Laserfiche WebLink
RETROFIT OR REPAIR <br /> 1. Site map enclosed YES [4 NO [] <br /> 2. Spec sheets attached for equipment to be installed YES t4 NO [ J <br /> 3. Description of work to be completed: <br /> TZ E_0A 0 u E_ A-►-L� Tz C 1►-tom.- �Ai F� S(�i c ( C O►�1 A-� � <br /> S P c, L C 0 --T-A-i "C N-f�_ Ct <br /> A Fr( (_ C SvwuP - <br /> 4. Description of equipment to be used: <br /> 0PVj Z ( LoO (�;:e'y'—I " 2 _ <br /> 5. All equipment is State certified or approved. YES 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 /> 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 />