Laserfiche WebLink
May 31 12 09:35a Reliable PetroleumA 209-845-8953 p.14 <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit inimum of 3 sets of plans&applications as originals will be retained by 2HD) <br /> 1. Site map enclosed? YES I I No Ir( <br /> 2. Submit copies of ICC ervice Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person installing or te. ting any component that is repaired or replaced. Ensure a copy of the"Site Health and Safety <br /> Plan" is available on tf a.jobsite as required by Title 8. <br /> 3. Detailed description ol work to be completed. List components to be repaired or replaced and attach a diagram drawn <br /> to scale showing locat on 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 necessa V for a timely plan review): <br /> rk caS e o-- u <br /> 4. List of equipment to be ised (Attach manufacturer's specification sheets showing third-party approval): <br /> ve�t�r V S SL r 1Yll fq <br />