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v <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans 8, applications as originals will be retained by EHp) <br />t . Site map enclosed? YES [ ] N0 <br />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 />Detailed description of work to be completed. List components to be repaired or replaced and atkach a diagram drawn <br />to scale showing location of repairs and/or replacements. If repalring a component, describe how this will be done. (if <br />ad__dina 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 />List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />