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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[j NO 11 <br /> 2.. Submit copies.of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person installing ortesting 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 tow this will.be done. (If, . <br /> adding piping, UDC's, or other UST equipment, or performing tank"top upgrade; use.the:LIST Installation Application <br /> pages 4-Seas necessary fora timely plan review): <br /> 71 <br /> ���on�l�a►� �Qi�c��ri r ivy k� � � i��l,�j� , . <br /> 4. List of equipment to be.used(Attach.manufacturer's-specifcation sheets showing third-party approval): <br /> : 2 <br />