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12!18!2003 14:24 4640138 <br />Site map enclosed YES C <br />FINVIRONMENTALf <br />i 0 , <br />i + <br />2. Spec sheOtS attached for equipment to be installed <br />3. Description of work to be completed: <br />4, Description of equipment to be used: A r <br />PAGE 02 <br />NoO-� � MA e GJl <br />W <br />5. All equipment is State certified or approved. YESM NO [) <br />g, Decontamination procedures. tu <br />YES [ ] NO[) <br />a. Will piping be decontaminated prior to removal? <br />b. identify contractor performing decontamination: <br />Name <br />City Zip ..� <br />Address <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, <br />Storage 8, Disposal Facility: <br />Hauler Name <br />K <br />