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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 [X] <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 /> Replace all dispensers with new Encore 700 series 3+0 dispensers. <br /> Install new Bravo CONY B2000 UDC dispenser conversion frames on all dispensers. <br /> Repair leaks in all UDC's by re-sealing using pipe dope and Teflon tape. <br /> Demo existing canopy and replace with new. <br /> Install new Bravo CONY-RETROFIT-PLATE-KIT on UDC's 1/2 and 5/6. <br /> Conduct SB989 Testing of any potentially affected components due to demo during canopy installation. <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> Bravo CONY B2000 UDC dispenser conversion frames <br /> Gilbarco Encore 700 3+0 Dispenser <br /> Rectorseal Tru Blu Pipe Dope <br /> Blue Monster Thread Seal(Teflon)Tape <br /> Bravo CONY-RETROFIT-PLATE-KIT on UDCs 1-2 and 5-6 <br /> EH230038(revised 7-26-2016) 3 <br />