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01/11/2012 19:42 (209)465-4988 Wayne Henderson Page 2/2 <br /> I > <br /> UST SYSTEM RETROFIT OR REPAIR <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 UST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> AUDEU121 fns•SR Q064055 <br /> Dameron Hospital <br /> ATTN:Plant Operations and Maintenance <br /> 525 W Acacia St <br /> Stockton,CA 65203 <br /> ADD: Test port to be installed at inlet of DAY TANK located on East wall of banement. <br /> ADD: Approximately 80'of T fiberglass piping and 70'of 3/4"steel piping from UST to day tank inlets. <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> 2 <br />