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NIN Environmental Health Department <br /> , 1111 - COUNTY <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br /> 1 . Site map enclosed ? YES [ ] NO [ ] <br /> 2 . Submit copies of ICC Service Technician and/or Installer' s certificate and all manufacturer training <br /> certificates for each person installing or testing any component that is repaired or replaced . Ensure a copy of <br /> the " Site Health and Safety 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 <br /> diagram drawn to scale showing location of repairs and/or replacements . If repairing a component , describe <br /> how this will be done. ( If adding piping , UDC' s , or other UST equipment, or performing tank top upgrade , <br /> use the UST Installation Application pages 4-8 as necessary for a timely plan review) : <br /> Termination boots leaking on all UDC 's <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval) : <br /> Split repair boots SR- FB 5 . 9x4 . 5WSRP <br /> Split repair insert fuel SR- IZ 4 , 5xM. MSRP <br /> Diversified zip-tie solvent CH - DGK-4- MSRP <br /> Diversified Bulk Head Cleaner CH - DBC II - MSRP <br /> 5 . Decontamination Procedures : <br /> a . Will piping be decontaminated prior to removal? YES [ ] NO [ ] <br /> b . Identify contractor performing decontamination : <br /> Name Phone <br /> Address City Zip <br /> 3 of 6 <br />