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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? YESO NO Q <br /> 2. Submit copies of ICC Service Technician and/or Installer's certffzate and all.manufacturer training cgrtfficares 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 a. <br /> 3. Detailed description of work to be completed. List components to be.repaired or replaced and ottaeh`a.diagram drawn <br /> to scale showing location of repairs and/or replacements. If repalrin�a cglnponant,:describe how this'Will be dorle. (If <br /> adding piping; UDC's, or other UST equipment, or performing tank top upgrade, use the.Uv'lnstallatlon Application <br /> pages 4-8 as necessary for ilmely plan review): <br /> installed 67 STP and 91 fill sump Icon boots on chase pipe <br /> t tag U uk.. �, l�k- - '�✓' _�" <br /> i <br /> 4. List of equipment to be used(Attach manufacturers speciifcation sheets showing.thed',party approval): <br /> ICON 3.5x2.4 A boots <br /> 2 <br />