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i <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans &applications as originals will be retained by EHD) <br /> I <br /> 1. Site map enclosed? YES [] 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 /> Diesel Sump failed hydrostatic test _ <br /> Remove existing poly split repair including all fill in repair boot. Clean prep sand the sump <br /> for new f;::Pr rin-,, snli Pntry nenetwtion iisPci with fihpr nl —, q <br /> IRONMENTAL HEALTH <br /> INT <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> F-20-retrofit-s-dct = 2" fiber glass entry for vent <br /> F-20-retrofit-s-Icx-dct = 2" Icx product entry <br /> F-07-retrofit-s = conduit, electrical entry <br /> All parts listed are by Bravo Manufacturer <br /> EH230038(revised 12-11-15) 3 <br />