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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 NO 0 <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer traini `certificates for each <br /> person installing or testing any component that is repaired or replaced. Ensure a copy of th 'Site Health and Safety <br /> Plan"is available on the jobslte as required by Title 8. <br /> 3. Detailed description of work to be completed. List components to be repaired or reply d and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements. If repairing a component, scribe how this will be done, (If <br /> Adding piping, UDC's, or other UST equipment, or performing tank top upgrade, e the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review): // <br /> 1)Installed penetration fittings on 87 STP and 91 fill sump(completed last AugU�o <br /> 2)Remove both boots from 3"chase pipe to the 2"chase pipe between 97#d 91 fill sump; install NOV termination <br /> fitting(to make chase pipe come into the VPH system) This is amendmot#1 to scope of work <br /> 3)Remove both ends from 3"chase pipe to the 2"chase pipe betweef diesel STP and Diesel fill sump; install NOV <br /> termination fitting(to make chase pipe come into the VPH system) This is amendment#2 to scope of work in response to <br /> r <br /> field inspection by Stacy Rivera / <br /> H V 17 n <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> NOV Fiberglass Systems,Termination fittings 3"inch to 2" <br /> 2 <br />