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UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />1 Site map enclosed? YES Fj NO [ ] <br />2 Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br />person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health and Safety <br />Plan" is available on the jobsite as required by Title 8. <br />3. Detailed description of work to be completed. List components to be repaired or replaced and attach a diagram drawn <br />to scale showing location of repairs and/or replacements. If repairing a component, describe how this will be done. (If <br />adding piping, UDC's, or other UST equipment, or performing -3ank top upgrade, use the UST Installation Application <br />pages 4-8 as necessary for a timely plan review): 4L <br />REPLACE BLUELINE FITTINGS AT SUMPS, REPLACE BRAVO UDC'S AT DISPENSERS AND REPLACE BLUELINE <br />FITTINGS AT VENT BOX. REMOVE ALL BLUELINE FITTINGS AT SUMP, UDC, AND VENT BOX, REPLACE <br />WIT -H SMITE PITTINGS(IDRIMARVIISECONDARY) AND BRAVO F -17 -RR -r) T <br />VOLTAGE) ALL FITTINGS WILL BE ADHERED WITH PROPER ADHESIVE, MSDS ATTACHED BRAVO B8000 <br />REMOVED WILL BE REPLACED WITH NEW BRAVO B8000 B -D -AB <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />#7014 FIBERGLASS SYSTEMS ADHESIVE KIT <br />#012030-626-0 UL LISTED FIBERGLASS SYSTEMS (SMITH) BONDED DOUBLE WALL SUMP ENTRY TERM <br />#B8000 -B -D -AB BRAVO DOUBLE WALL DEEP DISPENSER CONTAINMENT <br />#F -17 -RR -D BRAVO DOUBLE WALL UNIFITTINGS <br />#011020-069-2 UL LISTED FIBERGLASS SYSTEMS RED THREAD IIA PRIMARY PIPING 2" <br />#011030-069-2 UL LISTED FIBERGLASS SYSTEMS RED THREAD IIA SECONDARY PIPING 3" <br />2 <br />