Laserfiche WebLink
Mar 21 12 09:04a E1itqjftjV Contactors j120940342p.1 <br />'U <br />UST SYk"\TEM t.. <br />RETRO 60 Fd PAIR 11�04�, <br />urn 3 sets of 'A <br />(Submit minim of. plans & applications as origims fa <br />be retained: by EHID) <br />9. Site map enclosed? YES'NO <br />2. Submit copies of 10C Service Tecbrilclan drid/or Installer's RI <br />person S CeM=te and all ianufadmw*fr-�mfn;� .4= <br />Aj Y, <br />41 WF caLHealth Vior, <br />'--I 9U Or wwng any component that is repaired or replaced. Eris ra a copy of the OSft <br />ea <br />Plan . * Isavallable on the jobsfte as required by Tille 8. <br />MAR 9. <br />Id _11, 201? <br />3. retailed description of work to be completed. 'List components to be-repalpid rreplaced I and attach a diagram drawn <br />to scale showing -location of repairs and/or replacements.. - If repairing comp, lent deSc <br />rfbjj�joW thitLwiff be done:( <br />if <br />addlO9 Piping, UDCs, Or 064 UST equipmM eor performing tank top upg m I... use` the -UST Ihi6lb, tion Application <br />Pages 4-8 as necessary for a timely plan review <br />0 Me it <br />, 11 a, , <br />d -party approval): <br />