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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 /> i. Site map enclosed? YES[] NCS] <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. 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 replaced.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 /> adding piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-6 as necessary for a timely plan review): <br /> ice <br /> Cr k 0z fro [ta s <br /> 1 17ta C.�[ '1c�Lt Get L] A-kA"5 `6 0.1 UJl.�1. <br /> L <br /> 6 _ <br /> 61156 ' P <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval); <br /> 2 <br />