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UST.SYSTEM RETROFIT OR RE.PAIR <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 1CC 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 wort{to be completed. Inst:Components to be repaired or replaced.and:,attach a diagram drawn <br /> toscale showing location of repairs and/or replacements. 1f 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 4-4-as necessary for a timely plan revieW): <br /> Cil [�STZ(V f.1. GF lE _ ' -�- C 1'� vw4t CA <br /> cJ07 <br /> 4. List of equipment to be used(Attach manufacturers specification sheets showing,third-party approval); <br /> 2 .: <br />