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S n N +J O n (� I Environmental Hed1tTrDepaff flit /� D <br /> COU NHTY --- y <br /> ` JIV p ]; �OZi <br /> UST SYSTEM RETROFIT OR REPAIR <br /> ( Submit minimum of 3 sets of plans & applications as originals will be retainedlbyf � MENTAL HEALTH <br /> IT/SERVICES <br /> 1 . Site map enclosed ? YES [ ] NO [ T <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 /> - Cut and Remove Concrete Around 91 -2 Spill Bucket <br /> - Remove and Replace 91 -2 Spill Bucket and Nipple <br /> - Overfill prevention testing <br /> 4 . List of equipment to be used (Attach manufacturer' s specification sheets showing third -party approval ) : <br /> OPW 5 gallon fill bucket ( OPW 2100 series ) <br /> OPW Fill Nipple <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 />