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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 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 />OQ <br />4. List of -equipment to'be used (Attach manufacturer's specification sheets:showing third -party approval): <br />Lp <br />2 <br />