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Nov 30 10 05:24p Reliable Petrol A -845-8953 p.5 <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Subm t minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> 9. Site map enclosec? YES[I NO Iii <br /> 2. Submit copies of I C Service Technician and/or Installer's certificate and all manufacturer training certificates for <br /> each person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health <br /> and Safety Plan" i 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 <br /> drawn to scale stK wing location of repairs and/or replacements. If repairing a component, describe how this will <br /> be done. (if add piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST <br /> Installation Applica'on pages 4-8 as necessary for a timel plan review): <br /> 7 � VM_7t 9 <br /> 4_ List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval); <br /> 3 <br />