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OE-22-06 02:38pm From-TAIT ENVIROMENTAL 714-560-8237 T-666 P.04/06 F-995 <br /> Signature <br /> EH230038 <br /> (revised 1/31/02) <br /> 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. Description of equipment to be used: <br /> 5. All equipment is State certified or approved. YES <br /> NO[) <br /> 6. Decontamination Procedures: <br /> a• will piping be decontaminated prior to removal? YES (] NO <br /> b, Identify contractor performing decontamination: <br /> Name__ —�—•-- <br /> _Phone(,____...._) <br /> Address <br /> City----Zip--�.-- <br /> 2 <br />