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~ ,. <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of3sets ofplans&applications aaoriginals will beretained byEH[) <br /> 1. Site map enclosed? YES [3 N(} [] <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" ioavailable onthe jobeiteasrequired byTitle 8. <br /> 3. Detailed description ofwork tobecompleted. List components toberepaired nrreplaced and attach adiagram drawn <br /> to scale showing location of repairs and/or replacements. If repairing a component, describe how this will be done. (|f <br /> adding piping. UDC'o, or other UST equipmant, or performing bank top upgnyde, use the UST Installation Application <br /> pages 4-8asnecessary for otimely plan review): <br /> Replace 91 SC with like-for-like OPW SC for: adjacent concrete repairs. <br /> Schedule inspection with County Inspector and perform final testing of <br /> repaired 91 SC and provide reports to CUPA and Owmoer. <br /> 4. List ofequipment hobeused (Attach manufacturer's specification sheets showing third-party appnovo|): <br /> O2W direct bury 2100 series spill container <br /> 2 <br />