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Mar 16 ' 09 01 : 24p Elite Iv Contractors Inc 2094616342 p. 2 <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will to retained by EHD) <br /> t. Site map enclosed? YES() NO(I <br /> 2. Submit copies of ICC Service Technician and/or Installers certificate and all manufacturer training certificatos for each <br /> person installing or testing any component that is repairod or replaced. Ensure a copy of the"Site Mealth and:safety <br /> Plan"is available on the jobsde as required by Title 8. <br /> 3. Detailed description of work to be completed_ List c ompononts to be repaired or replaced and attach a diagram drawn <br /> to skate showing location of repairs and/or replacements. If repairir+g a component,dela bo how this will be done. (if <br /> addirg 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 roview): <br /> _.� _ uPC-��._ D�,_�1�T1KC�► ��VFFr��_ ��li���. a u�i �-�tA ( .� <br /> 4. t.ist of equipment to be used(Attach manufacturers specification streets showing third-party approval). <br /> t 2L1RU HA�C,D <br /> �1�1�E, d UFA -E <br />