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0 0 RECEIVED <br />UST SYSTEM RETROFIT OR REPAIR VIRONMENTAP <br />M-ite map enclosed? YES [ ] NO [I <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 />87 Slow Flow - Found 87 leak Detector causing slow flow issues <br />Replaced tested - OK <br />4. List of equipment to be used (Attach manufacturers specification sheets showing third -party approval): <br />(1) VMI 99-LD2000 Vaporless Leak Detector <br />191 <br />