Laserfiche WebLink
,l <br />I <br />i <br />M VT rO R TSFJTIORRE <br />Submit minimumof 3 sets of lasts appcatio s as o <br />& iriginals will be stained ti EHD): <br />( p <br />. • . Site map enclosed? YES 11 NOfl <br />Submit eopies of ICCervic TeYinicir�_ando_#nstaiipr'siieateJard ail manu,y cturr�fC <br />person instailing or' Testing a y component that hi --n or eplaced: Ensure a opy of th' "Site Health -and Safety <br />Plan".Is..avdilabte.on the-3.obsite.as.required by Title 8.' ' <br />3.1 Detailed de cription of work'to;be completed. List components to be r@paired or replaced an attach a diagram drawrc� <br />to scale showing iocation:of repairs and/or replacements; If re airing a component describe ow'this will be:done: (If <br />adding piping, UDC's, or,other UST equipment, or perforrriing'tank top upgrade, use the US Installation Application <br />pages 4-8 es necessary fora timely plan review): <br />Al- ALM (4fTIAUT ib E I VE CUE —0 <br />i k <br />.{ ., V •O - <br />4. List of equipment to be used, (Attach manufacturer's spectffcatton.�heets showing third+party app oval): <br />j <br />.._... _....:... .. .. _..... i._.. .. ...... ...... . ....... ....... ..... _. _. <br />_ i •i <br />+ I I <br />