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i <br /> UST SYSTEM RETROFIT OR REPAIR <br /> — -(Submit-minimum-of-3 sets--of-plans&appiications-as-briginals-will-be-retained-by-EHD) --- - <br /> 1. Site map enclosed? YES [3 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 /> Replace one(1)3"product penetration with Bravo SWAT repair penetration at T-5 STP sump. <br /> Fiberglass sump collar with 4 layers of matting at T-5 STP sump.Bravo part#BR-FRP-KIT-400 <br /> Replace three(3)3/4"electrical penetrations with Bravo SWAT repair penetrations at satellite UDC#22. <br /> Replace one(1)3"product penetration with Bravo SWAT repair penetration at satellite UDC#22. <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> (2)BR-F-30-RETROFIT-S(3"Bravo SWAT repair penetration fitting) <br /> (3)BR-F-07-RETROFIT-S(3/4"Bravo SWAT electrical repair penetration fitting) <br /> Bravo fiberglass matting,resin and catalyst Bravo part#BR-FRP-KIT-400 <br /> _D <br /> E G -4-A E <br /> MAR 0 2 2017 <br /> ENVIRONME <br /> DEPARTMENT �� i <br /> EH230038(revised 7-26-2016) 3 <br />