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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. EHU) <br /> 1 , Site map enclosed? YI_SF�j NO M <br /> 2 . Submit copies of ICC Service Technician andfor instalier'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 kA diagram drawn <br /> to scale showing location of repairs and/or replacements . If repairing a component, describe how this will be done.. (If <br /> addino piping , t1DC's, or other LIST equipment, or performing tank top upgrade, use the. UST Installation Application <br /> pages 4 8 as necessary for a timely plan review): <br /> replace drop tube with overfill prevention device on all tanks (3 ) <br /> replace 3.5 gallon fill buckets with 5 .0 gallon buckets <br /> no excavation required <br /> 4 , List of equipment to be used (Attach manufacturer's specification sheets showing third=party approval): <br /> I <br /> Franklin Fueling Defender Series XXXX- 1922 <br /> E <br /> I Phil-tite 85100 series fill buckets (5 gallons) <br /> i <br /> pl <br /> 1 <br /> 1 _ <br /> a <br /> i <br /> 2 <br /> , <br /> I g , iN = r <br /> I <br />