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19255517888 Main Fax GETTLER RYAN INC GMK-08 p.m. 04-19-2007 5/12 <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YES NO <br /> 2. Spec sheets attached for equipment to be installed YES [vf NO [ ] <br /> 3. Description of work to be completed: <br /> REPLACE DRAIN VALVE, O-RING, SIPHON JET, and PLLD <br /> 4. Description of equipment to be used: <br /> DRAIN VALVE (P/N 85400F) <br /> O-RING (P/N 85035) <br /> SIPHON JET (FE PETRO-400562901) <br /> PLL D (VEEDER ROOT-848480-001) <br /> 5. Ali equipment is State certified or approved. YES 6( 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 /> 2 <br />