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0 <br />0 <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />9. Site map enclosed? YES - NO[] <br />2. Submit copies of [CC 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. I=nsure a copy of the "Site Health and Safety <br />Plan' is available on the jobsite as required by Ti le 8. <br />3. Detailed description of work to be completed. LI t 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 haw 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 />Ci l.e� ay' cr( �-�17C� JAY. 13�'7ust;�Y1 x,✓� i.'~irf t� �eJ�t ' C-»'% E.� Lz �"-rJ�,�S <br />_5 Zl Z �1 I -� ✓ rr /.- J I � �lCi 1/ $" Cq 174��NO FIk�G <br />PU <br />Xj <br />'�/// /^ //� �—• gam• .! �,'.�J <br />e9 e' ei�ai'y t' <br />4. List of equipment to be used (Attach manufactures <br />/jam+(Jyf <br />specification sheets showing third -party approval): <br />3 <br />V, <br />