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UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />1. Site map enclosed? YES ( ] NO [I <br />2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training"Ste certificates <br />and Safety <br />person installing or testing any component that Is reired or re aced. Ensure a copy <br />Plan" is available on the jobsits as required by Title 8. <br />d and <br />ch a <br />ram <br />3. Detailed description tiro re airs and/orbe ed. replacements, components <br />if repairing a component, daired or escribe howathis will be done. drawn <br />to scale showing location P rade, use the UST Installation Application <br />gd in piping, UDC's, or other UST equipment, or performing tank top upgrade, <br />pages 4-8 as necessary for a timely plan review): <br />`i ce e <br />t <br />OL0 <br />4 k4 <br />4. list of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): Cycc``(S <br />dl <br />V� <br />2 1201 <br />1 4 <br />