Laserfiche WebLink
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 NO <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 LIST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> Replaced diesel leak detector, performed 3gph test-passed with EHD on site. <br /> Removed Red Jacket Fx(model#FX1 1 DV)and replaced with Vaporiess LD <br /> 4. List of equipment to be used(Attach manufacturers specification sheets showing third-party approval): <br /> (1)Vaporless LD 2000 SR# 16121102 <br /> EH230038(revised 12-11-15) 3 <br />