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Mar 30 12 02:27p Reliable PetroleumA 209-845-8953 p.5 <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans& applications as originals will be retained by EHD) <br /> Site map enclosed. YES[] NO <br /> 2. Submit copies of I Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person installing or esting any component that is repaired or replaced. Ensure a copy of the "Site Health and Safety <br /> Plan" is available or 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 f tion of repairs and/or replacements. If repairing a component, describe how this will be done. (If <br /> adding piping, UDC , or other UST equipment, or performing tank top upgrade, use the UST Instalfation Application <br /> pages 4-8 as neces,, ry for a timely plan review): <br /> 9 STP 5��. � Sc�,�sc%rte Ueck er i2v fi <br /> -H q 3�8 Z3 LI'Wo <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-parfy approval): <br /> Suwvv 'I G L 2 9 y 38C-3Z <br /> 3 <br />