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RAST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3�sees of plans$applications as originals will be retained by EHD) <br /> 1 Site map enclosed? YES[�' NO() <br /> Z Submit copies of ICC 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 /> /f(J✓ Plan"is available on the jobsits 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 /> adding piping, UWs, or other UST equipment, or,performing tank top upg , use the UST Installation Ap <br /> pages 4-8 as,necessary for a timely plan review): �`76jyj� 116WOr relvtf`l� <br /> !=7 <br /> U <br /> {� V 12 1/f edar -fva� C4 vi vltt 1 <br /> e i Sh Kmp apt � �t�dwur� <br /> _5i-fe, a -� SW--17'0ns <br /> otrboo-Ca.nniI I - 5 - /McAtd S � <br /> r)oz�S a�,j hoses GtJ- nha <br /> -- qtr �/�w ^�,i,�c�✓d�-a�.f <br /> C/77 C 2fr err Sr7t/ce C c ';Vl 7X <br /> 4- List of equipment to be used(Attach manufacturers specification sheets showing third-party approval): <br /> S-e.2 C.2.�lEcto�r.A_�A Gc.,�k S�ex..-E-s <br /> 2 <br />