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19255517888 Main Fax GETTLER RYAN INC - '8:40 p.m. 05-03-2007 6/11 <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YES [ ] NO V <br /> 2. Spec sheets attached for equipment to be installed YES NO [ ] <br /> 3. Description of work to be completed: <br /> REPLACE DISPENSER PAN SENSOR (794380-323) ON DISPENSER#314 <br /> 4. Description of equipment to be used: <br /> VEEDER-ROOT POSITION SENSITIVE PAN/SUMP SENSOR (794380-323) <br /> 5. All equipment is State certified or approved. YES 6( 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 />