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95551788$ Line 12:43:04 02-06-2015 5/12 <br /> EIVEf- ) <br /> UST SYSTEM RETROFIT OR REPAIR FEB 0 G 2015 <br /> (Submit minimum of 3 sets of plans & applications as originals will be retained by1VIRONMENTAL <br /> 1. Site map enclosed? YES [] NO Vr)CDl!OTtRCFIT <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacture training certificates for each <br /> person installing or testing any component that is repaired or replaced. Ensure a copy f 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 re aced and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements. If repairing a compone , describe how this will be done. (If <br /> adding piping, UDC's, or other UST equipment, or performing tank top upgrade use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> REPLACE A POSITION SENSITIVE SENSOR(PIN 794380-323)FOR ALL SITE UDC'S TO 27 4380.208 SENSORS AND REPLACE"LIKE <br /> FOR AR SRACIESENSOR 794380 303 IN At L 3 TANKS <br /> i <br /> i <br /> i <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> VEEDER-ROOT POSITION SENSITIVE SENSOR(PIN 794380-208)VEEDER-ROOT ANNULAR SPACE SENSOR(PIN 794380303) <br /> 2 <br /> Received Time Feb. 6. 2015 11 : 31AM No. 8055 <br />