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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[I NC3�(] s - <br /> 2. Submit copies of]CC Service Technician and/&Installer's certificate and all manufacturer traiining certificates for each <br /> person installing or testing.any component that is repaired or replaced. Ensure a cgpy 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, descrtie flow this will be done. (if. <br /> Adqj6g piping, UDC's, or other UST equipment,.or performing tank top upgrade, use.the UST Installation Application <br /> pages 4-'8 as necessary fora timely plan review): <br /> TCS fl � 0-1 ic.22ri. <br /> 1 <br /> lek 0, k)Citi t6j.(A 6CA i W.ALAJ L fn kf o <br /> 69ISALP Ev6 Rdad . oc'60W -- <br /> 4. _List of equipment to be used(Attach-manufacturer's specification.sheets showing third-party approval); <br />