Laserfiche WebLink
Jul 01 10 11:56a Reliable Petrole 0 20 5-8953 p.1 <br />. UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />1, Site map enclosed? YES [ j NO [( <br />2. Submit copies of ICC Service Techrician 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 />Plan" 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 />201: -ng piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />F' ,M L L.-T�:) <br />M U qyL� 260(D V10 <br />4_ List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />min V� <br />0-2-i Glc <br />iU <br />K <br />