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�� <br /> �� �� <br /> LIST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of3sets ofplans 8`applications aooriginals will be retained by EHD) <br /> 1. Site map enclosed? YG8F—1 NC)[Z] <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and allnn$nufadu training rtiM tes'hor each <br /> person installing qrtesting any component that|srepaired orreplaced. Ensure ocopy oythe'Site Health and Safety <br /> Plan"isavailable onthe jnbobe asrequired byTitle 8. <br /> 3. Detailed description qfwork tobscompleted. List components tq6erepaired mrreplaced and attach a diagram drawn <br /> hoscale showing location ofrepairs and/or replacements. |yrepairing ocomponent, describe how this Will bedone. (If <br /> adding piping, UDC'm, urother UST equipment, or performing tank top upgrade, use the UST |nn1oUmdon Application <br /> pages 4-8ownecessary for atimely plan roview): <br /> replaced leak detectors in87and 91turbine sumps <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> VmpodeeoLD-2OOO <br /> 2 <br />