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s • <br />RECEIVED <br />UST SYSTEM RETROFIT OR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />ENVIRONMENTAL <br />Site map enclosed? YES V.NO [ ] + T T <br />2. Submit copies of ICC Service Technician 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 />adding 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 />CONVERT EXISTING 91 UST TO DIESEL, CONVERT EXISTING 89 TO 91 UST. <br />REMOVE AND REPLACE EXISTING DISPENSERS AND UDC'S <br />INSTALL 6 NEW MULTI -GRADE DISPENSERS WITH HANGING HARDWARE. <br />INSTALL 6 NEW DW UDC'S <br />RE INSTALL 208 SUMP SENSORS IN UDC'S, INSTALL NEW 209 SUMP SENSORS IN STP SUMPS AND FILL SUMPS <br />AND PERFORM COLD START OF TLS -350 <br />INTALL NEW PLLD IN TURBINES <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />INSTALL NEW DRESSER-WAYNE OVATION B-12 DISPENSERS WITH FACTORY INSTALLED HI -HOSE RETRACTORS AND ISD FLOW <br />METERS. INSTALL NEW DRESSER-WAYNE OVATION B-23 DISPENSERS WITH FACTORY INSTALLED HI -HOSE RETRACTORS AND <br />ISD FLOW METERS. <br />INSTALL NEW VEEDOR ROOT 209 SUMP SENSORS. <br />INSTALL NEW D/W UDC'S WITH NEW PENETRATION FITTINGS. <br />PLLD <br />2 <br />