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^ / <br /> Eli <br /> @���=�� �� ��.�=� <br /> UST SYSTEM RETROFIT OR REPAIR MAR 1 9 2015 <br /> (Submit minimumof3sets ofplans&applications aeoriginals will beretained [��������������� <br /> ����������u�A�8��o�n��u. <br /> nc�r <br /> 1Site map enclosed? YES [] NO [] '/17y'—or7,1"17rg <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" isavailable nnthe jobuiteoorequired byTitle 8. <br /> 3. Detailed description ofwork tobocompleted. List components toberepaired orreplaced and attach odiagram drawn <br /> hoscale showing location cfrepairs and/or replacements. |frepairing acomponent, describe how this will bedone. (|f <br /> adding piping, UOC'm, orother UST equipment, or performing tank top upgrade, use the LIST Installation Application <br /> pages 4-8ounecessary for otimely plan reviaw): <br /> Replacing existing Diesel turbine and relay box <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> Red Jacket Part#410648-0O2 Relay Control Box <br />