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RECEIVED <br /> 01 C 10 15 21 0 17 <br /> UST SYSTEM RETROFIT OR REPAIR <br /> plans&applications as originals will be retained by EHD� <br /> ENVIFOW&Mng�Affg -H <br /> i. siternapenckWRARTMM" NO[I <br /> W <br /> ENVIP , <br /> rcl. .CVOEW <br /> 2. Submit copies of[CC Service Technician and/or Installees certificate and all manufacturer training aas 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 kmWn 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 /> RMlace,alll(6)existing dispensers,changle tank 3 unleaded to diesel,trench,install piping from tank 3 <br /> to the front(3)disg2risgrs UDC's mfth Smith Fi!LeWlass airing, <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> Smith 3"fiberglass red thread pipe and associated elbows and coupliMs. <br /> Smith 4"fiLmArl ass red thread secongM 2112ing with associated elbows,couj!li!Ms,and termination fittings. <br /> 150 Nz- A—noq mz <br /> dn <br /> Ais - 6Ege22�A <br /> 3 <br />