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'i `;:3<:?:i:=::Y F:�'s E2ti�is':�.L't`.2.:s£�'w.sK;t�xs� r:•� :::�- -..,,.v_z,,....:_,...._, -.,..__,.—_.,..__._-----'- <br /> 0 RECEIVED <br /> UST SYSTEM RETROFIT OR REPAIR JUN 16 2014 <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> HEALTH <br /> 1. Site map enclosed? YES } NO PERMIPSERENVIRONMENTALVICES <br /> 2. Submit copies of IGC 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 /> Pian"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 /> Addling 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 /> Replace manufactures O rings on Bio-Unit#2 meter and replaced drive shaft assembly on <br /> so- nit#1 1—nAhe-Bio-1iese shed. <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> i <br /> 1 <br /> v � <br />