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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 [ ] 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 tank top upgrade, use the UST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />Remove and replace existing UDCs 1/2 and 3/4 with Bravo B8000 UDC. <br />Remove and replace existing coaxial piping from STP sump to UDCs 1/2 and 3/4 with new OPW flexworks 1 1/2 " <br />coaxial piping. Reconnect existing satellite underground piping. <br />Pressure test primary and secondary piping per manufacturers specifications. <br />Remove and replace existing dispensers as needed to gain access. <br />3 <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />OPW IOBFP 1.5" Shear valve female top <br />- OPW <br />IOBHMP <br />1 .5" Shear valve Male top <br />�-- OPW <br />C15A <br />1.5" DW pipe <br />• OPW <br />AXP40 <br />4" Gravel guard <br />• OPW <br />DPC-2150 <br />1.5" DW pipe end male w/test port <br />OPW <br />DEB -4015A <br />1.5" DW sump penetration f/DW pipe <br />OPW <br />EBF -0751 <br />''/z",'/a" & 1" sump penetration f/conduit <br />Ww"g <br />F -F, }.�x t Ri ill�xi\� td� <br />i S' 1 R" FlP ,., <br />c \ <br />s-�rre x eerr n®xa:ooeox <br />Bravo B8000-F2S-B <br />Two product SW FRP dispenser sump <br />3 <br />