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UST SYSTEM RETROFIT OR REPAIR pPR 2 7 2016 <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD3 A�M <br /> �Ep <br /> 1. Site map enclosed? YES[] NO[] F_r`VIRk0 V `t7/, <br /> HFaT7P VACGaF;trRr="'V <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer <br /> the Healthng certificates for Safety <br /> person installing or testing any component that is repaired or replaced. Ensure a copy ty <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 /> addinci 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 /> 4/18/16-Site was given violation on the 91-sump sensor cord too short needs to be relocated to the <br /> correct sump side to detect a leak at the earliest possible opportunity. <br /> 4/27/16-Correction was made, found sensor wrapped around turbine head. Pulled excess wire <br /> from junction box Relocated sensor on discharge side of sump. <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> None <br /> 3 <br />