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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[] <br />2. Submit copies of ICC Service.Technicianand/or Installer's certificate and all manufacturer training certificates <br />^'rsoa-installing-or_a ng -any -corn . ire or rep ace . nsure a copy of the "Site Health and Safety <br />Plan" is available on the jobsite as required by Title B. <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; 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 />ai��� <br />