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UST MT I--.'-RI TR'4FIT O R:': EPAlf'� <br />(Submit minimum of 3 gets of plaits i applii ailohs as originals will be retained. 4y EHD)": <br />: 1 m <br />Site ap enclosed? YES •[ ] Nb.[ <br />.':.ec(ci aPA'_ <br />ers�;G RW__O ert►5 #popeso <br />person.-installing or testing-:any'com op_Ensdre <br />a-copy of the -''Site Health -and Safety, <br />. F:�T"an,. is.�au+ ai�ab�e. on ha• o situ"s.require by �'itla. .°. •, ., � .: .:.. • ... <br />3. Detailed descdpPon ofwork'to.be completed: Lisicomponents to:bQ.repaired qr replace. and attach a diagram drawn <br />to scale showing location'of-repalrs and/or replacements:•.If repalring-a component, describe how- this will be:done: <br />adding• piping, UDC's, or other UST-equipment, br performing tank' top, upgrade, use the-UST Installation Application. <br />•pages 4-8 as necessary for a timely plan review): <br />4. List of equipment to 6esed:(Atiach martuac#i <br />• •._. ;�•: ,� gam' t - <br />�........ _.•._ .._. ��r�c�o �. � ave-.. ��:����� <br />pacification sheets showing"thir'd party approval): " <br />r • <br />t f r <br />1.1.x.1,: lyd4 h,w, '�fcy fxFd Ft. y'. ft i..:. •f;.yj,� <br />L;i+ �� will. 1, r +:..i1 ;F ri�`" �.t1 ll'• F 11�. a: F c�'.ikr•,4i,{,t R./ f:� !Y Y <br />. A { <br />