Laserfiche WebLink
ff <br /> LIST 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 Pq NO(I ALI <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training%'it 6i Gi 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 48 as necessary for a timely plan review): <br /> Replace all(6)wdsfiM dispensers,change tank 3 unleaded to diesel,trench,install piping from tan.,3 <br /> to ie front(3)disDensers UCCs with Smith Fiberolass Dloina. &Q-LLI j&,,1�AodVhI&J <br /> C. <br /> lu M la 67 CArAaar 12 0 941 <br /> 0 <br /> ---CA61ba-j <br /> A <br /> La2 itn j ras ii 2zuat� <br /> tz <br /> ;L CZ;i Q A S-K <br /> -773 rvilu 4eo- 'o P101 I <br /> e <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> Smith W fiberglass red thread 21p2 and associated elbows and couplings. <br /> Smith 4"fiberalass red thread sga piping with associated elbows,couplings,and termination�fift�s. <br /> A <br /> tm P, ILA <br /> a&-db,41j1- 3 <br /> A 1 &00 <br /> A-V1)ffL&L±2L <br /> 3 <br />