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RETROFIT.OR REPAIR <br />1. Site map enclosed YES )� NO[] <br />2. Spec sheets attached for equipment to be installed YES(. NO [I <br />3. Description of work to be. completed: <br />CA 'CO <br />4. <br />G � GISd <br />Descririion of equipment to be used: <br />All equipment is State certified or approved. YES ( NO [I <br />Decontamination Procedures. <br />a Will piping be decontaminated prior to removal? <br />YES[] NOH <br />] - <br />b. Identify contractor performing decontamination: <br />Name Phone______) <br />Address <br />City Zip - <br />C. Describe method to be used for decontamination: <br />ate material will be stored onsite prior to manifesting offsite:- <br />d_ Describe how rirs_ <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name PhoneL_) <br />2 i <br />