Laserfiche WebLink
UST SYSTEM RETROFIT OR REPAIR 0 ,1017 <br /> (submit minimum of 3 sets of plans&applications as originals will be retained by EHDj <br /> 1. Site map enclosed? YES Pq NO[] .-" <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufactu IningnI4 for each <br /> on installing or testing any component that Is repaired or replaced. Ensure a cc the"Site Health and Safety <br /> Su n"is available on the jobsite as required by Title 8. <br /> Submit <br /> n <br /> son <br /> I <br /> t <br /> 8 <br /> c <br /> installing <br /> op <br /> sI <br /> es <br /> Ifin <br /> available <br /> t <br /> I <br /> nn <br /> dis w <br /> all m <br /> Ensu <br /> an <br /> e <br /> u <br /> retained <br /> r <br /> 0 <br /> E <br /> f <br /> originals <br /> a <br /> Ensure <br /> et <br /> a com ad <br /> the <br /> ral <br /> e <br /> E <br /> nin <br /> ..S <br /> H <br /> gD <br /> n <br /> Health <br /> red <br /> 3. D description of work to be completed. List components to be repaired replacAed and attach a diagram drawn <br /> \11 i 114 <br /> om <br /> to sc showing location of repairs and/or replacements. If repairing a com neat,describe how this will be done. (if <br /> I rade, <br /> adding ping, UDC's,or other UST equipment, or performing tank top u rade, use the LIST Installation Application <br /> pagesa7 4 <br /> ages 4- 9 necessary for a timely plan review): <br /> I trench <br /> re 0 i t 11 1p from <br /> t <br /> P al 6 .install p1pi!M from tank 3 <br /> ERMelace al )wdsting dispensers,change tank 3 unleaded to ' eel trenchns a p ing m tank <br /> to the tont(3\)dIs22pjM UCCg with Smith Fiberalass Dioipz <br /> La ngw- L tj i 1 0,0 C�_V'"It 11 0 Q44 <br /> CVA Q 1 <br /> A P, &41oL�- 4- <br /> L11M <br /> 4. List of equipment used(Attach manufacturees specificatko\)n h:eets showing third-party approval): <br /> 0 1 <br /> Smith W fiber:asred thread p:te and associated elbows and plings. <br /> Smith 4"1144nalass red thread second@U piping with associated e\1WWs., courAlms,and termination fittings. <br /> eloo <br /> 3 <br />