Laserfiche WebLink
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 />Q <br />5 <br />C. <br />► [ r <br />Description of equipment to be used: <br />All equipment is State certified or approved. YES NO [ ] <br />Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? 0 /A 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 Phone(__) <br />K <br />