Laserfiche WebLink
01/25/2002 10:09 20946*3 <br />I.-- Site -map enclosed _ YESg <br />FIFTH FLOOR • <br />RETROFIT OR REPAIR <br />NOT]_ <br />2. Spec sheets attached for equipment to be installed YESX <br />NO[] <br />PAGE 03 <br />3. Description of work to be completed: ti <br />" . ►l t _ ��/2 i )21:5�j EA 1) <br />is Esps; <br />NST'% iK (G, (�C- K% -e:A L T )C) P 11)Rf=C 1) �,1�� I I UAi � ` <br />4. Description of equipment to be used: <br />5. All equipment is State certified or approved. YES NO [ ] <br />6. Decontamination Procedures: I <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 <br />2 <br />JAN 25 '02 9:10 <br />Phone(__) <br />2094683433 PAGE.003 <br />