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12/0,3/2010 10:02 2093675424 BAGLEY ENTERPRW PAGE 02/02 <br /> 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 each <br /> person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health and Safety <br /> Plan" is available on the jobsite as required by Title S. <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, <br /> mponent, describe how this will be done, (if <br /> ad in piping, UDC's, or other LIST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> Attn.; Jeffery Wqng <br /> Re: SR0060940, SJC-Public Works-Corporate Yard <br /> Tn.addition to the scope of work, as previously modified and approved, <br /> please amend the <br /> scope,pe of work, to include "repair of one (1) 1" electrical penetration fitting with.a <br /> "Diversified-Hard Angle Conduit Repair Kit" P/N URBKZ C45-1 X (Diversified Conduit <br /> 'Repair Instruction sheet enclosed). <br /> Also, please change it repair diesel sump 42 using Diversified Product Bulkhead Bonder <br /> ITT" to read "repair diesel sump 42 using Containment Solutions Kit AD-Adhesive " <br /> (Containment Solutions Single-Wall Tank Sump Installation Instruction sheet enclosed). <br /> Please note that all products specified and intended for use are UL Listed. Enclosed you <br /> will also find.ICC certificates and a Containment Solutions factory trainirm-certi5cate for <br /> James Payton, our. Service Technician that will be primary on the job. <br /> 4, List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> Sa <br /> l Z) <br /> 2 <br />