Laserfiche WebLink
'UST$YSTEM RET'RorIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD). <br /> 1. Site map e6closed2 YES I1 NO[] <br /> 2. SUbmli-00101 Qf jGGAgrvio Technician and/or Installers certificate and all manufacturer,.tl'alning Gooffcat@ for ag <br /> person Installing ortestlo(1 any component that Is repaired or replaced. Ensure a ropy of the",Site Health and Safety>. <br /> Plan"Is available on th©Jotisite as required by Title H. <br /> 3. Detailed description of work to.be completed. List components to be repaired or replaced and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements. If repairing a component, describe how this will be done: (If <br /> adding piping, UDC's, or other LIST equipment,or performing tank top upgrade,use the UST Installation Application <br /> pages 4-6 as necessary for a timely plan revlew)r <br /> q1 <br /> r <br /> (*j). <br /> cci Cit, d I of 3 On r hot IIP�r �'l0 Pyr <br /> 4. List of equipment to be used(Attaoh maifuiW ei speoiflcallon sheets showing thing-party approval): <br /> n! Lc MJY <br /> 1 <br /> �t lC:f 0r ". <br />