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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[] NO [" <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for <br /> each person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health <br /> and Safety 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 <br /> drawn to scale showing location of repairs and/or replacements. If repairing a component, describe how this will <br /> be done. (If adding piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST <br /> Installation Application pages 4-8 as necessary for a timely plan review): <br /> Ree1Ctle- e?XlS'4/nc Vleejer^ -K'oc) 4- Sc�i»� S'etiSo;f Lltil <br /> W i�`1 Y e iJ 'Veelle r- levers Sc� nye Sell Co /911 `f 72-1390 -20 f <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> V eje r - jec),, PIA f 3fle <br /> 3 <br />