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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 'enciosed? YES [] NO[] <br />2 Submit copies. of ICG Service Technician and/or• Installers certificate and all manufacturer lrarning Certificates for each <br />person installing or testing any Component that is repaired orreplaced. Ensure a copy of the Site Health and Safety <br />Plan" is. avaifab'le on the jobsit. 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/orreplacements If repairing, a. component, describe how this will:be done.. (If. <br />adding piping, UDCs, or other USS equipment or performui <br />Pages 48 as nece ary fora timely plan review). g tank 3 rade us <br />op 'up' a the UST installation Applicafion <br />