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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[] N0-'M— <br /> 2. Submit copies of ICC Service Technician and/or Installers certificate and all manufacturer training certificates for each <br /> person installing or beating any component that is mmpeimmd or replaced. Ensure a copy of the "Site Health and Safety <br /> Plan" ioavailable onthe jobmibaamrequired byTitle 8. <br /> 3. Detailed description of work to be completed. List components to be repaired or replaced and attach a diagram drawn <br /> to oom|a showing location of repairs and/or nap|emammnto. If repairing o comnponent, describe how this will be done. (|f <br /> adding piping, UDC'o. or other LIST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-8aonecessary for atimely plan reviow): <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br />