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0 <br /> RETROFIT OR REPAIR <br /> '[. 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 /> U12- <br /> 4. Description of equipment to be used: <br /> 5. All equipment is State certified or approved. YES NO [] <br /> 6. Decontaminatio rocedures: <br /> a. Will piping bedX <br /> prior to removal? YES [] NO[] <br /> b. identify contractdecontamination: <br /> Name one(_) <br /> Address city Zip <br /> C. Describe method to be used for de n mination: <br /> d. Describe how dnsate mate ' I will be stored onsi rior to manifesting offsite: <br /> e. Rinsate Hauler a permitted Treatment, Storage& Disposa acility: <br /> Hauler Name Phone(_) <br /> 2 <br />