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RECEIVED <br /> UST SYSTEM RETROFIT OR REPAIR AUG 2 4 2016 <br /> (Submit minimum of3sets ofplans&applications osoriginals will baretained byBH0 <br /> 1. Site map enclosed? YES[I NO[] ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 ie repaired or replaced. Eoouna a copy of the"Site Health and Safety <br /> Plan"ioavailable onthe joboiteeorequired byTitle 8. <br /> 3. Detailed dmschpti*n of work to be completed. List components to be repaired or replaced and attach m diagram drawn <br /> to uua|m showing |nnmdon of repairs and/or replacements. If repairing a cnmponant,describe how this will be done. (if <br /> gdd_ing piping. UOC'o. or other LIST equipment, or performing tank top upgrade, use the UST |nedm||odnn Application <br /> pages 4'8omnecessary for mtimely plan navimm): <br /> Replaced 89 STP 208 Sensor <br /> \/emdeFRootdisplay L2 alarm, unable toclear. Needed t# replace bad sensor. <br /> ` <br /> 4. List of equipment to be used(Attach manufacturer's specification ohea\a showing third-party approval): <br /> \/R794380208 Sump Sensor. <br />