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UST SYSTEM RETROFIT OR REPAIR SEP 1 4 ?Ulb <br /> (Submit minimum of 3 sets of plans 8 applications as originals will be retained by EHD) <br /> 1. Site map enclosed? YES t j NO[] <br /> 2. Submit copies of Icc Service Technician and/or Installer's certificate and 911 manufacturer <br /> training <br /> �n tcertificates <br /> H�I ht and Safety <br /> person installing or testing any component that is repaired or replaced. 'Ensure a copy <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 Dation of repairs and/or replacements. If repairing a component,describe Mow this will be done. (If <br /> addin piping, UDC's, or other UST equipment, or performing tank top upgrade, use the /1ST Installation Application <br /> pages 4-8 as necessary for a timely plan review): <br /> Brake-out concrete and repair the existing man-way lid on 87-unleaded fill sump-raising <br /> Install new reducer boots,band clamps,inner sump li6s and sump gaskets on the 87- <br /> 4. List of equipment to be use (Attach manufacturer's specification sheets showing third-party approval) <br /> 7.Franklin Fueling WTR-1019 reducing buts with camp,4-(87)unleaded sump 2-(91)Premium sump 1-Diesel sump <br /> king,hold dawns,nuts,end screws-al§three sumps <br /> 3.Western Fibergiass type D gaskets kit-cau <br /> 3.Western Fiberglass custom lids partNOW42aCT-56B33PT-all three sumps <br /> 1.western Fiberglass custom fit sump shield part#TAL-MTP.unleaded sumps <br /> 1.Western Fiberglass Retrofit kit Riser Reducer Type B ParV1 TA9985 unleaded sump <br /> 7 <br /> EH230036(11+v1eed 12-11-16) <br />