COMPLIANCE INFO_2021 - Laserfiche WebLink

Home Browse Search

SAN10 A Q U I N Environmental Health Department - ----- COUNTY - -- UST SYSTEM RETROFIT OR REPAIR ( Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) 1 . Site map enclosed ? YES [ ] NO P9 2 . Submit copies of ICC Service Technician and /or Installer' s certificate and all manufacturer training certificates for each person installing or testing any component that is repaired or replaced . Ensure a copy of the " Site Health and Safety Plan " is available on the jobsite as required by Title 8 . 3 . Detailed description of work to be completed . List components to be repaired or replaced and attach a diagram drawn to scale showing location of repairs and/or replacements . If repairing a component , describe how this will be done . ( If adding piping , UDC ' s , or other UST equipment , or performing tank top upgrade , use the UST Installation Application pages 4-8 as necessary for a timely plan review) : • Replace One ( 1 ) damaged Wayne Ovation2 dispenser with One ( 1 ) new Wayne Ovation2 Dispenser • Install piping and conduit for fuel , vapor and electrical lines . • Purge air out of dispensers , calibrate dispensers , complete weights and measures " Place into Service" procedures . Complete startup of new equipment . • Upgrade and grade map Veeder Root . • Complete InOvation TV and EMV upgrades on newly installed dispenses . • Complete full Monitor Certification with local CUPA inspector. • CmmplPtP full Air Ouality testing with [oral Air Distrirt 4 . List of equipment to be used (Attach manufacturer' s specification sheets showing third -party approval ) : 1x Wayne Ovation2 Dispenser 5 , Decontamination Procedures : a . Will piping be decontaminated prior to removal ? YES [ ] NO [ ] b . Identify contractor performing decontamination : Name Phone ( ) Address City Zip 3 of 6 i i