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DEC 11 2015 <br /> ENVIRONMENTAL <br /> UST SYSTEM RETROFIT OR REPAIR WICAITU nc:Dd DTAA^AiT <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> t. Site map enclosed? YES NO ✓(] <br /> 2. 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 /> Plan"is available on the jobsite 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, 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 /> Remove and Replace old penetration fitting in Vapor tank for bulk fueling rack. It will be a like for like replacement <br /> utilizing icon fittings. -THIS b.l 106 UST :5�- <br /> 6116}1T er�TUNf of ��PStr�6 ¢17tt✓d LdAK�pr <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> ICON <br /> i <br /> 2 <br />