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UST SYSTEM RETROFIT OR REPAIR //// ' <br />(Submit minimum of 3 sets of plans & applications as originals will be reftV by EH9)b 2014 <br />1. Site map enclosed? YES NO[]MPN <br />p� gTg�Ae l ` LL <br />2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training ce'rti e fps ibr each <br />person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site He th 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 ch a diagram drawn <br />to scale showing location of repairs and/or replacements. If repairing a component, describe ow this will be done. (If <br />adding piping, UDC's, or other UST equipment, or performing tank top upgrade, use the ST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />Remove and replace associated coaxial piping with new OPW flexworks <br />Pressure test primary and secondary piping per manufacturers specificati <br />Remove and replace existing dispensers 1/2 and 3/4 as needed to gain/, <br />ss. <br />All piping except for satellite runs <br />61 <br />irA <br />kAV <br />4. List of equipment to b/ud Attach manufacturer's specification sheets showing third -party approval): <br />Bravo Systems 880 <br />OPW Flexworks iping <br />Diversified P ducts <br />3 <br />