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Site map enclosed YES [] <br />RETROFIT.OR REPAIR • <br />NO [I <br />Spec sheets attached for equipment to be installed YES [I <br />Description of work to be completed: <br />NO [] <br />to Vc�nocr cky-\A \2c.K.s <br />4. , Description of equipment to be used: <br />5 CZ.C�c_�� <br />5. All equipment is State certified or approved. YES NO[] <br />6. Decontamination Procedures: j <br />a. Will piping be decontaminated prior to removal? YES [ ] NO[] <br />b. Identify contractor performing decontamination: <br />Cflr��t`acVor�5 Phone ,20 ) \-],61 " 633i <br />Address 0(-- city S' OCV nr'N Zip �C <br />C. Describe method to be used for decontamination: <br />no <br />e. <br />Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name <br />2 <br />Phone( <br />