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UST SYSTEM RETROFIT OR REPAID. <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained b -EHD) <br /> 1. .Site map enclosed? YES.[7 NO[]. <br /> 2.. u mit copies of ICC Service Technician and/or Installers 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"is,available on the 7obsite as required by Ti#6 8. <br /> 3. ..Detailed description ofiwork to be completed. List.com <br /> tponentsto be repaired or replaced and attach a diagram drawn <br /> o.scale:showing location of repairs andlorreplacerrients If repairing a.component, describe how this will:be done. (If. <br /> adding piping, UDC's, or other-UST equipment, or performing tank lop upgrade; use,the:IJST lnstallafion Applicaffon <br /> pages 4=8 as necessary fora timely plan review): <br /> -------------- <br /> 4. List of equipmenfto be used(Attach..manufacturer's specification-she'efs showing third-party approval): <br /> V 40 Q <br /> 2, <br />