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RECEIVE"'E-D <br /> UST SYSTEM RETROFIT OR REPAIR NUV 16 2017 <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> 1. Site map enclosed? YES r4 NO ENVIRONMENTAL HEAUTIH <br /> nERA RTMENT <br /> 2. Submit copies of ICC Service Technician and/or Installers 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 /> adft piping, UDC's, or other UST equipment, or performing tank top upgrade, use the LIST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> Replace all 6 MPD dispensers East 3 will be 3+0, West 3 3+1. Install Bravo conversion frames on all 2 dispensers. <br /> _ <br /> Convert Tank 3 uni. Ty.to diesel,'remove all reg., clean tank,for new product. <br /> Excavate 5x5 area at Tank 3 STP sump and 5x5 area south side of disp. 1/2, 7/8, 9/10. Trench from STP to UDC's <br /> and install new product line for diesel only penetration at UDC's. <br /> Also excavate 5x5 South of Tank 3 fill sump and break Tank 3 vapor from manifold and trench to vent stack area. <br /> Install new vent line for converted Tank 3 diesel. <br /> Will then install PLLD leak detector on Tank 3 turbine including cold start Veeder-Root to pTgrarn Tank 3 PLLD. <br /> Perform all required testing before backfill and after backfill. <br /> NOTE: To fence off area during project. <br /> 4. List of equipment to be used(Attach manufacturers specification sheets showing third-party approval): <br /> Smith Fiberglass Equipment: Other equipment: <br /> (1)2"End Cm 012020-180-4 (3)45 degree 012030-311-3 (3) 612/3 Ovation 2 Dispensers <br /> (1)4"End Cap 012040-186-4 (2)4"Tee 012040-4113 (3) B23/4-Ovation 2 Dispensers <br /> (6) Pipe 011020-069-2 (4)4x6 Nipple 012030-006-7 (6) BR-CONY-B2000-OPP <br /> (6) Pipe 011040-069-5 (6)4"90 degree elbow 012040-360-3 (6)Diesel OPWA I B-0100 Nozzle <br /> (3)Pipe 011030-069-2 (6)2"90 degree-elbow 012020-360-4 (12)Gas EMCO A4005EVR-052 <br /> (4)Sump Entry 2"012020-622-0 (3)3"90 degree elbow 012030-36Nozzle <br /> 0-4 (1)Vent Cap OPW 23-0033 <br /> (4)Sump Entry 4"012040-622-0 <br /> (2)3"and Cap 012030-160-4 <br /> 3 <br />