Laserfiche WebLink
SAN J O A Q U I N Environmental Health Department <br /> - 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 [ ] NOY]� <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 /> sow <br /> 4 . List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval ): <br /> G6V t <br /> 5 . Decontamin ion ocedures : <br /> a . Will pip' g be de ntaminated prior to re al ? YES [ ] NO [ ] <br /> b . Identi contractor rforming deconta ation : <br /> Na /heA ress ip <br /> 3of6 <br />