Laserfiche WebLink
Aug 23 10 10:25a Elite V Contactors 12094616342 P.1 <br />KYI" <br />AUG 2 3 2010UST SYSTEM RETROFIT OR REPAIR <br />giopurn of 3 sets of plans & applications as originals will be retained by EHD) <br />„ al <br />1. Site m eTcklsec; YES [ ] NO [ I <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 />Plana is available 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 />4. List of equipent to be useo,(Attach manufacturer's spIcification sheets showing third -party approve(): <br />Pa <br />