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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[] NO[] <br /> 2. Submit copies of ICC Service Technician and/or Installers 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 replace d;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 /> A01ag-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 /> P,enla�re) tcic34 <br /> TuCal <br /> THAI <br /> m +k nfir-111 i nca . ro ` �cl«� br cry a <br /> 4. List of equipment to be used(Attach manufacturers specification sheets showing third-party approval): <br /> U.F MAIL 'X f 4i <br />