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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[j <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacture raining certificates for each <br /> person installing or testing any component that is repaired or replaced. Ensure a cop f 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 placed and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements. If repairing a compo ent, describe how this will be done. (If <br /> adding piping, UDC's, or other UST equipment, or performing tank top upg de, use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> REVISED: Replace the Relief Valve Assemb y (Part #332217-001) and <br /> then test the sump sensor. <br /> NOTE: After replacing the liquid bow the sensor will need to be <br /> tested for proper operation. If t sensor is working properly <br /> it will not need to be replaced <br /> 4. List of equipment to be used( ttach manufacturer's specification sheets showing third-party approval): <br /> Veeder Ro t- Relief Valve Assembly #332217-001 <br /> 2 <br />