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UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of pians & applications as originals will be retained by EHD) <br />Sito map enclosed? YES [I NO [] <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 />Pian" 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 repla tq a d'a m awn <br />to scale showing location of repairs and/or replacements. If repairing a component, d� w�Q� (If <br />Add— piping, UDC's, or other UST equipment, or performing tank lop upgrade use A on <br />pages 4-8 as necessary for a timely plan review): <br />NOV 19 <br />ENVIRONMENTAL <br />L-19 Alarm On Veeder-Root - Alarm cleared checked sensor. <br />Found sensor not going into fuel alarm, when sensor is flipped <br />!-1EXTH r)PPAPT1UPKIT <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />