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Nov 07 14 03:35p Elite IV Contactors 12094616342 D <br />0 RECEINN: <br />"TROFIT OR RE: F AJR <br />IST SMEM RE NOV 0 7 2014 <br />(Submit mk*mm of 3 seits of plans & applicaffo.ins as orbinals 11A be retained by F -HD) <br />HEALTH <br />1 Site map, endosed? YES NOU ENVIROMVE", <br />D"T <br />2. Submit copies of ICC Service Teclukko ond/tr lnstalWs cerifficate and all in nufacturertrainkV oertiricatesibil' <br />person lnsWhg Or tesdng anY component tW is repaired or replaced- Ensim I a copy of the IS" Health and <br />Plan" Ls avallable on the jobsite as required by Tft 8. <br />3. Detailed descdP*m of work to be completed. List components to be repairaL I i r- replaced and aftach a diagram d <br />to scale shomAng lo�n of repeim andfor replacenumts. if repairing a cornpo leriL describe how Ws will be done. <br />3. <br />aLftg piping, -UDC. s. or offm UST -equipment or pWonWnq tank top upgr,?x a, use the LIST InstMation ApplIC00 <br />pages 4-8 as necess-my for a mnaly plan review): al <br />-7 111 1 Tr- <br />t4JW <br />cs <br />MW I <br />3 <br />M5 <br />n(Aui�r df YA(j/-1 <br />I <br />-&ifmA1f,1W, <br />-7 111 1 Tr- <br />t4JW <br />cs <br />MW I <br />3 <br />