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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 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 avAlable 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 /> naaes 4-8 as necessary for a timely plan review): <br /> Re: SR0060840, SJC-Public Works-Corporate Yard <br /> In addition to the scope of work, as previously modified and approved on December 3, <br /> 2010, please amend the scope of work to include It and remove a portion of the <br /> concrete drive pad over the diesel tank to expose the diesel sump in order to accomplish <br /> necessary repairs on the sump". <br /> See attached site plan describing area of tank drive pad to be removed. <br /> NOTE: Excavation (approximately 16' x 14') of the concrete drive pad above and around <br /> the tank and tank sump will expose fuel lines and conduits. <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> DEC 2 9 2010 <br /> 'T <br /> 2 <br />