Laserfiche WebLink
Jul „10 12:26p Elite IV Contactors 12094616342 p.l <br />JUL 092010 <br />UST SYSTEM RETROFIT OR REPAIR <br />SA� f Y ' Pt^�ninimum of 3 sets of plans & applications as originals will be retained by EHD) <br />HEA,LLDi LgEt <br />1. Site map enc F�dT YES[] NO E 3 <br />2. Submit copies of ICC Service Technician and/or Installer's certificate and ail 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 UST equipment, or performing tank top upgrade, use the UST Installation Application <br />(paag\e!s 4-8 as necessary for /a�tifinely plan review)- <br />9- 1B e,\ . A 04 !�C l _ `1k + ki <br />4. <br />List of equip ent to be used (Attach manufacturer's specification sheets showing third -party approval): <br />� <br />A <br />2 <br />J <br />