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. . <br /> 6'~``- -/ <br /> ��/ (�*���' / � <br /> /��� /`~~-�, <br /> \._\/�u`� , ' � / ~ , ` � <br /> ��� � | �������U� f��� ����� R E C�� 0 D~.~. . � .��� ..~~ . .�=~�.. .�.. ..~�. .. ~~ , � �� i "� <br /> (Submit minimum of3sets ofplans&applications as originals will be retained byEH0 <br /> 1Site map enclosed? YES[] NON � <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufactureri i -POEALTH � <br /> person in�oUingorhm� �h��8 <br /> testing Ensure 00 <br /> ! <br /> Plan"ioovai|aNeonthe jobniteus required byTl8a8' ` ' <br /> 3. Detailed description ofwork 0obocompleted. List components boborepaired urreplaced and attach adiagram drawn ! <br /> to scale showing location of repairs and/or replacements. If repairing o oumpunent,describe how this will be done. (|f i <br /> adding pipinQ. UDCo. or other UST equipmen!, or performing tank top upgrade, use the UST Installation Application | <br /> pages 4-8aonecessary for utimely plan n*view): | <br /> � <br /> ! <br /> Found 87 running slow due to leak detector not opening all the way. Removed old Red jacket FX1 and <br /> ! <br /> installed new vxx/ leak detector Ran v.vtest and passed | <br /> Permit requiredd boleak was not like for like <br /> | <br /> 4. List ofequipment huboused(Attach manufacturer's specification sheets showing third-party appmva): � <br /> / <br /> 1-VIVI| 89LID 2O0UGN171O188Q ^ <br /> ' <br /> ! <br /> / <br /> i <br /> | <br /> 3 <br />