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Aug ,08 12 01 : 30p Elit V Contactors 120846 42 p. 2 <br /> LIST SYSTEAN RETROFIT OR RAW- R- <br /> (Submit minimum of 3 sets of plans&applications as originals tivi Lie retained by EHD) <br /> 9. Site Map enclosed? YES[I <br /> NO[] <br /> Z Submit copies bf ICC Service Technician and/or installer's ceiUlicate <br /> Person installing or testing any component that is and all r'i wfacturer training certificates for each <br /> -Plan"is available on the jobsite.as re repaired or replaced. EnSL rf ar <br /> cOPY Of Me"Site Health and Safety <br /> required by Tine a. <br /> 3. Detailed description of work to be <br /> Completed. List components to be repaired x <br /> to scale showing 10caltiOn of repairs and/or replacem".* If repairing a comportj Vaced and attach a diagram drawn <br /> 1� describe how this will be ddne (if <br /> Piping, UDC's, Or Other UST eqUipment;or pertbrrhing tank top upgrade Use the UST Installation application pa 4:8 as necessary for a UMeIY'plan review).' ication <br /> w . <br /> CIF <br /> -- ----------.................................... <br /> 4. List of equipment to be used(,attach manufacturer's .PeCification sheets showing third- ;arty.approvaj).- <br /> jo <br /> ----------- <br /> — ------------ <br /> - --------------— <br /> .. ............... <br /> .. ................................... <br /> ----------- <br /> 3 <br />