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40 RETROFMOR REPAIR 0 <br />1. Site map enclosed YES NO K <br />2. Spec sheets attached for equipment to be installed YES <br />3. Description of work to be completed: <br />9 <br />.1 <br />I <br />EM <br />All equipment is State certified or approved. YES NO <br />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 />