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Jar, 6. 2011 10:130 RUMS ,ONSTRUCTION II,,�4 7 D. 1 <br />oNtL2/30/2010 xa0 11:54 FAx 209468, A SJC LHn Ll L ' � C���1�( aa001/001 <br />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[] NOW_ <br />2_ Submit copies of ICC SeMce Technician and/or Installer's certificate and all manufschxer training certificates for <br />each person installing or testing any component that Is repaired or replaced. Ensure a copy of the `Site Health <br />and Safety 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 <br />drawn to scale showing location of repairs and/or replacements. If repairing a component, describe how this will <br />be done_ Of adding piping. UOCs, or other UST e*pment, or performing tank top upgracle, use the US 7% <br />Installation Application pages 4--8 as necessary for a timely plan review). <br />�movai o-� aLl an�u,(.� se.�s�s �Fr�rn usi `5 is �yedn�- -fa ae-�mu� <br />make <br />,�, �,� o�d ,��,1 s�,sor's -�C Ue�le✓ �;,�{- �3'S a- cjyreA <br />I'l�e �rc�rarnm�n9 �k Vee�er loaf- Consul -� ec"�shr� sensn�. <br />4. List of equiprnent to be used (Attach marxdacBz&s specification sheet`; showing third -party approval <br />MQ <br />3 fu <br />