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Feb 15 11 05:07p <br />1. Site map <br />Reliable Petroleu 4 2 45-8953 p.5 <br />Iit 1- <br />Z. Submit copies of <br />each person Inst, <br />and Safety Plan" <br />UST SYSTEM RETROFIT OR REPAIR <br />minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />? <br />YES [j NO <br />;C Service Technician arWor Installer's certificate and all manufacturer training certificates for <br />ing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health <br />available on the jobsite as required by Title 8. <br />3. Detailed descripti n of work to be completed. List components to be repaired or replaced and attach a diagram <br />drawn to scale shwing location of repairs and/or replacements. If repairing a component, describe stow this will <br />be done. (If add 19 piping, UDCs, or other UST equipment, or performing tank t <br />Installation Appl. n pages 4-8 as necessary for a timely plan review): -- oP use the UST <br />17 <br />4. List of equipment to used (Attach manufacturer's specification sheets showing third- <br />L party approval}: <br />3 <br />