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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[] NOj <br /> 2. Submit copies of-ICC-Service Technician and/or Installer's:certificateandall Manufacturer_training.certificates for each <br /> person installing or testing any component that is repaired or replaced. Ensure a copy of the Tile 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 perfonoing tank top upgrade, use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> Ofed ) re law krvi r Aej +K6 <br /> t mIU kdcd 'P� l A. 0)r1a yup® 15e 8( I '-�-'!C <br /> ,Uncr ) GniC(Md- <br /> aa� , <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> Y . <br /> V ced-C f-((Y1l5 4�6 - <br /> 1 1 <br /> Y.,A <br /> { 1.11 <br /> p <br /> 11 •! 1 / { { ! 91 <br />