Laserfiche WebLink
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? YESQ NO 0 <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)obsite 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 end/or replacements. If repairing a component, describe how this will be done. (If <br /> addino piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-q8 as necessary for a timely plan review): Ij <br /> -- \,�-i �I ii u Pc�. a i � 1���✓' `� �L= �4-�S ,�- i,- � {�� ��� SC r.S� <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> vft-pes�ease� J r �� <br /> 2 <br />