Laserfiche WebLink
Jun -20-03 11: 25A •����� J}/-76/* <br />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 />4. Description of equipment to be used: <br />P-02 <br />5. All equipment is State certified or approved. YES fA NO [ ] <br />6. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES M NO[] <br />b. Identify contractor performing decontamination: <br />Name IIIA �-Tort E�c t aEe m,.c(, µPhone 9( (G. ) 3 <br />Address ? 0- 3101c IG Z 5— City <br />C. Describe method to be used for decontamination: <br />?(LIOIL tO �lsC o r(w(rivTcwc� FR ow T/M(/L — FLVSH WtTN �(cTnO (6+1 <br />[1i e e n aL.f 6�S A.0h f7t- it it U) LTi WA_T_&1'Z - - - - - <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />1Z r �c s vr�. roti , #( L �1'ti�rt� S s • C: A- t, c o u n <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name ]RA wo S. j5T,4 v, R o-( w6—to,, Phone( 916 ) J--► - S-+ <br />2 <br />