Laserfiche WebLink
soft, <br />E (0;`E I V E D 0 RECEIVE# <br />2013 Vs UST SYSTEM RETROFIT OR REPAIR <br />ENVIRONMEN;IoLmit minimum of 3 sets of plans & applications as originals will be re"yt ENTAL <br />_AL <br />DE A, <br />HEALTH DEPARTME HEAL DE " ARTIVIENT <br />1. Site map enclosed? YES[] NO <br />2. Submit copies of [CC 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 LIST equipment, or performing tank top upgrade, use the LIST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />41 . DIED ii, E! <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />2 <br />