Laserfiche WebLink
0 RECEIVEL) <br /> OCT 0 9 2015 <br /> ENVIRONMENTAL <br /> LIST SYSTEM RETROFIT OR REPAIR rNIMIXOTAAMM <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]CC 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 Safely <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 replaced and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements. If repairing a component,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 /> 7 <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> 3 <br />