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14 <br />1 ..,1 / <br />I�flt <br />I , <br />f - <br />_ I� <br />I UST SYMM, RETR <br />OFIT_ORREPA�iR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />�: Site map enclosed?_. _ YES [I . No <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 jobsife as. required by Title 8. <br />p p P P - <br />to scpiping,g f work to: ai completed. iacements. If repairing a component, describe how -this a diagram drawn <br />Detailed description oList com onents to be repaired or replaced and attach <br />to scale showiri location of repairs and/or re <br />Q UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation n A plicatiill be done. on <br />pages 4-8 as necessary for a timely plan review): <br />I <br />i7Kj ) P (`0f¢f-_ <br />/510M a TA/ N> <br />.E� <br />M15 <br />4. List of equipment to be used (Attach manufacturer's specification sheets showina thirri_nnrhi <br />