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El <br />F1 <br />A <br />28/2004 16:30 2094 33 <br />Site map enclosed YES [] <br />FIFTH FLOOR <br />Z141 d <br />• r • r. , <br />Spec sheets attached for equipment to be installed YES [] NO [ <br />Description of work to be completed: <br />Description of equipment to be used: <br />All equipment is State certified or approved. YES[] �ifk NO[] <br />PAGE 09 <br />Decontaminatlon Procedures: <br />a. ' Will piping be decontaminated prior to removal? YES [q-�NO [ ] <br />b. Identify contractor performing decontamination: <br />Name rcwJ.c5�1t , ► Cry. .'�c. Phone(?Z,c) 469,Z5MT <br />Ie, - �, ♦ • <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 />y c.�J � v>'�0►As-� Phone(Zo4 ) �� � �� 2 � <br />Hauler Name <br />2 <br />