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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 />Site map enclosed? YES y NO [ <br />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 />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 />INSTALL ONE (1) NEW 12,000 GALLON UNDERGROUND STORAGE TANK FOR STORAGE OF <br />DIESEL EXHAUST FUEL (D.E.F.), AND INSTALL ASSOCIATED PUMP AND PIPING <br />WITH CONTAINMENT HOUSING AND DISPENSER AT EXISTING TRUCK DIESEL CANOPY <br />FUELING AREA. REPLACE EXISTING DISPENSERS WITH NEW DISPENSERS EQUIPPED <br />WITH DIESEL AND D.E.F. <br />List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br />SEE CUT SHEETS ATTACHED <br />3