Laserfiche WebLink
RETROFIT-OR REPAIR <br /> 1. Site map enclosed YES [] NO [ ] <br /> 2. Spec sheets attached for equipment to be installed YES [] NO [} <br /> 3. Description of work to be completed: <br /> 4. DesCrintinn of ent�inmantto ha tt�gri- <br /> r-- - _ - <br /> 5_ All equipment is State certified or approved. YES NO [] <br /> G. Decontamination Procedures: <br /> a. Will piping be decontaminated priorto removal? YES 1 NO <br /> b. Identify contractor perfonning decontamination: <br /> Name Phone <br /> — i <br /> Address City Zip <br /> C_ Describe method to be used for decontamination: i <br /> d Describe how rinsate matenai will be stored onsite prior to manifesting offsite- <br /> i� <br /> I <br /> e. Rinsate Hauler and permitted Treatmeiit, Storage & Disposal Facility <br /> Hauler Name___ _ Phone( <br /> 2 <br />