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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 [Xj NO [ j <br />2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br />person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health and Safety <br />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 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 UST equipment, or performing tank top upgrade, use the UST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />Removal of 10 existing Environ sump and replace with new Bravo B-8000 dispenser sump. Currently the site has only 2 diesel filling locations. <br />During construction will will be added diesel to all filling locations. <br />During construction we will be removing a portion of pipe for removing the existing UDC's. Existing pipe to be reconnected to and extend to all <br />other filling locations. <br />3 2017 <br />€ :fir t-. )Xl1Wc;\ITAL HFAI TH <br />ENVIRONMENTAL HEALTH '^IFNT <br />DEPARTMENT <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval),- <br />Bravo <br />pproval):Bravo B-8000 Single Wall deep under dispenser containment <br />Smith Piping Red -thread IIA <br />Bravo F -32 -TS -MP penetrations / Fitting for 3" over 2" FRP pipe w/ dual test port <br />OPW - Shear Valves 1 OBHMP-5830 <br />Franklin Fueling Flexes - FFUL1 5X1 8HMXHM 1 1/2" dia flex w/ 1 1/2" hex male by 1 1/2" hex male 18" <br />