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OEGEIVEI' <br /> UST SYSTEM RETROFIT OR REPAIR S ? i <br /> (Submit minimum of 3 sets of plans&applications as originals will <br /> 1. Site map enclosed? YES[J NO[] ` '"RNT� <br /> A1' <br /> 2. Submit copies of lcc Service Technician andfor Installer's certificate and an 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. Gist components to be repaired or replaced and attach a diagram drawn <br /> to scale showing location of repairs andfor 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 /> Replace Vac Sensor for 87A vent -In alarm <br /> 01 handle alrm posted on Veeder-Roof-Cold start required to get rid of alarm <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> Veeder-Root 33002Q-463 vac sensor <br /> No part required for coli start <br /> 3 <br />