Laserfiche WebLink
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[I _._ NO[ti]/ .. _ . <br /> 2: Submit copies of ICC Se�ice,Technlcian and/or Installer's certificate and all manufacturer training certificates;foreaeh <br /> p� <br /> person mstallin .,oraestin any component that Is repaired onreplaced, Ensure a copy of the "Site Health ar�d Safety <br /> Plan'!is.available:onthe']obsite.as.required byTitle78. <br /> 3. Detailed description of work tobe eomleted ,Lisfi Components to be repaired or replaced and attach a diagram drawn <br /> to scale showing'locatfon ofrepalra anal/br`replWn en s. If repair n'g a component, describe how this will be done. (if <br /> adding piping,UQC's, or other UST egyipment, or perforrhing tank top upgrada,_use:the*_LIST.lnstallatlon-Application <br /> pages 4-8 as necessary for a timely plan review): <br /> I'la') OIC <br /> LtA <br /> f <br /> 4. List of equipment to be used(Attach man4facturer's specification sheets showing third-party.approval): , <br /> 3 <br /> _. .. .___ ----------_.. <br />