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UST SYSTEM RETROFIT OR REPAI <br /> (Submit minimum of 3 sets of plans&applications as originals i be retained by EHD) <br /> .. Site map_enclosed? .~S[_] .°^~E] <br /> — Submit_ copies of ICC Service Technicianand/or"Installer's ce i ate and all manufacturer training certificates for each <br /> person installing or testing any component that is repaired replaced. Ensure a copy of the"Site Health and Safety <br /> Plan"is available on the jobsite as required by Title 8. <br /> -. Detailed description_work ~~~completed, <br /> to scale showing location of repairs andi- --Pi ments. If repairing a component, describe how this will be done. (If <br /> ag"In piping, UDC's, or other LIST equip nt or performing tank top upgrade, use the LIST Installation Application <br /> pages 4-8 as necessary for a timely plan view): <br /> emergency response to co ant warm start; cold started the VR- <br /> also reDlaced bad 352jre*"'n' sor "like for like" C_ j-) <br /> 4. List pfequipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> see attached <br /> 2 <br />