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RETROFIT OR REPAIR <br /> 1. Site map enclosed YES [I NO <br /> 2. Spec sheets attached for equipment to be installed YES [] N0 <br /> 3. Description of wo k to be completed: <br /> Akwl <br /> Aar <br /> 91 <br /> Clij <br /> U <br /> r <br /> 4. Description of equipment to be used: <br /> S <br /> 'Fla 67- <br /> 5. All equipment is State certified or approved. YES NO [] <br /> 6. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? 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 />