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0 5`1 <br /> hi <br /> 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 /> Boot replacement is undetermined at this time, testing has been done prior to actual scope of work. <br /> We did list the sealant as that may all thats needed. Diesel #2 STP sump. <br /> The UDCs#8#9/10#11/12 &#14 will be tested as per violation. This will be overdue <br /> -6-month test only.. No repairs <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> Diversified Bulkhead Bonder <br /> EH230038(revised 12-11.15) 3 <br />