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SA N 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 N 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 /> Brine Leak has been found outside of Tank 2 87B STP sump. Will need to excavate around <br /> the sump. Epoxy entry fittings on the sump exterior. Re-fiberglass sump seams and reinforce entry <br /> fittings. Test repair. Fill with interstitial fluid. Backfill and resurface concrete to match existing. <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> Bravo - EP10ORF <br /> NOV - 18812310-001 SUMP LAYUP KIT (KIT LK)_(Legacy Item #98C00098) <br /> ontrination Procedures: <br /> a. Wi p decontaminated prior to removal? YES [] NO [] <br /> b. Identify contracto ling decontamination: <br /> Name Phone ( ) <br /> Address City Zip <br /> 3 of 6 <br />