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02/24/2005 23:47 2094883433 FIFTH FLOOR PAGE 04 <br /> RETROFIT OR REPAIR <br /> I. Site map enclosed YESi; NO <br /> 2. Spec sheets attached for equipment to be installed YES[} NOK <br /> 3_ Description of work to be completed: <br /> 4. description of equipment to be used: <br /> VLA <br /> 5. All equipment is State certified or approved. YES �` NO[j <br /> B. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [] NQ <br /> b, ldei7tify contractor performing decontamination: <br /> Name Phone( <br /> Address cityiP <br /> C. describe method to be used for decontamination: <br /> d. Describe know rinsate material will be stored onede prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name Phone( <br /> 2 <br />