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ST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3-sets-of-plans,&-applications as-originals-will be retained by EHD) <br /> I. Site map enclosed? YES[I NO[ <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 /> (1C6C� Ic Caru 4 9 . <br /> en. <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> f <br /> y <br />