Laserfiche WebLink
} <br /> i <br /> f <br /> i <br /> TEM RETROFIT OR REPAIR ta ION <br /> UST SYS ,,;� � <br /> ( Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) { : ' <br /> 1 . Site map enclosed? YES [ ] NO [ ] <br /> - r+ ,� IR �h�hLNTAL. <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 /> Remove existing dispensers install 4 new product dispensers <br /> Remove and replace back island diesel dispensers , 1 ) Hi-flow diesel dispenser, 2 ) Satellite dispensers <br /> Install Bravo conversion frames <br /> poSsil� Geld S ✓t . <br /> 4 . List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval ) : <br /> 4) Wayne Ovation Dispensers <br /> 2 ) Wayne Ovation Satellite Dispensers <br /> 1 ) Wayne Ovation Hi-Flow Dispensers <br /> 7) Bravo Conversion Frames <br /> EH230038 (revised 12-11 -15) 3 <br />