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UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />1. Site map enclosed? YES [ ] NO [3 <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 />To break out existing fill cover manways, replace with Phil -rite Multiport Manwajs to match existing Phil-Tite spill <br />buckets. This will allow spill buckets to now hold minimum of 5 gallon amount as required. <br />4. List of equipment to be.used (Attach manufacturer's specification sheets showing third -party approval): <br />Phil-Tite: (3) M42 -2C -0 -1 -NPR Multiport <br />(3) 85100-1 Fill Buckets (replacing like for like with new) <br />(3) 85101-1 Vapor Buckets (replacing like for like With new) <br />Franklin: (6) WTRB-1 013 Reducer Boots <br />Western Fiberglass: (3) TAL-MTP-CU Multiporf Lids <br />3 <br />