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0 0 RECEIVED <br /> LIST SYSTEM RETROFIT OR REPAIR MAR 18 2015 <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained byNIRONMENTAL <br /> 1 Site map enclosed? YES[] NO[] HFVr'q nPPARTUFMT <br /> 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 /> ad"n 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 /> NINA f$1/5/7 <br /> J(9"[&A.) <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> 6tLow ato MC .5-00 ,t- <br /> 3 <br />