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• RETROFIT OR REPAIR* <br /> 1. Site map enclosed YESJJ— NO [] <br /> 2. Spec sheets attached for equipment to be installed YESA NO [] <br /> 3. Description of work to be completed: <br /> S ES 4TT 4 c,�t E j-,> L 7,7 7 7, <br /> 4. Description of equipment to be used: <br /> AC*F G L) G P S c1r`F cy; kjZ u(W IL Iy 1-� <br /> 5. All equipment is State certified or approved. YES NO [] <br /> 6. econtamination Procedures: <br /> a. iping be decontaminated prior to removal? YES [] NO [] <br /> b. Identify contr r performing decontamination: <br /> Name a Phone( <br /> Address C ------ <br /> Zip <br /> c. Describe method to be used for ntamin ' n: <br /> d. Descri ow rinsate material will be stored onsite prior to m Testing offsite: <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name Phone(__) <br /> 2 <br />