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May 15 06 08:03a Elite Iv Contractors Inc 2094616342 p.l <br />7� N.CC f OFF :OR REPAIR <br />I- Site reap enclosed YES NO[] <br />- <br />2_ Spec sheets attached for equipment to be installed YES <br />3- Description of work to be. completed: <br />60 L <br />&ahl <br />4-- Descdptian of equipment to be used. - <br />-Aa <br />- = i/ <br />ILin -.-)Lono <br />,Alt, equ m6ht is State cerbTM or a' roved_ YES <br />S= iP pP . <br />F_ Decontamination Procedures:- . <br />a� Will piping be decorkaminated prior to removal? YES t j = . NCO. j j 1 <br />b_ Identify coni actor perform ing.decontaumaiion ... -- <br />Nagie Pbon } <br />- Address Cityp <br />c_ Deseiibe meethad to be used for decont=ination_ <br />_esr�tbe iicFau ictsa Q rrzaiers Ly:�, su sonske-pho 10 i lies _o sue;. 'ti <br />e. Rinsate Hauler andpermitted Treatrne L Storage & Dispascility_ <br />al Fa . <br />twirler blame 411���} <br />