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(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />1. Site map enclosed? YES DI NO [] <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" 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 />Furnish and install a new DIM module. Perform a "cold start" of the monitoring system, including <br />05/12/14 -]Replaced TCP/TP module in bringing the monitor back uI it went into warm Cyjje <br />loon Had to cold start monitor and restore from archive <br />I -- <br />05/19/14 - During the MSC after cold start found 409 annular sensor bad in the 89 tank. Replaced <br />and retested <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />VR330280-001 DIM Module <br />VR330020-425 TCP/IP Module <br />VR794390-409 - Interstitial Sensor <br />3 <br />