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�t7i�ea Lt�r�p�r► 0�r23r� csg .�P 2 ars� <br /> RP.CI:SP� l.J�(EPlan 5j]3�10 CSB � <br /> UST SYSTEM RETROFIT OR REPAIR CA{I alto P <br /> (Submit minirrurm of 3 sets of plans&applications as originals vAK be retained by EHD) <br /> I. Site map enclosed? YESk NO[] <br /> 2. Submit copies of ICC Service Techrriclan and/or Im Meds certificate and all manufacturer training ceai[8cates for each <br /> person bashing or looft any component that Is repaired or replaced. Ensure a copy of the"Silo Health and Safety <br /> Plan'is avabble on the jobaite as required by Title 8. <br /> 3. Detailed description of work to be=npleled. Ust components to be repaired or replaced and attach a diagram drawn <br /> to scale shoving location of repairs and/or replacements. If repairing a component describe how this will be done. (if <br /> a@gft piping, UDCs,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): -U <br /> Ro�Qace GXi ski. w►�.r� �txx SJ,p�+�._ ra��,rvct �el-u�-eft °`` <br /> �3►nk sins drr�_ _P(�ng �sH�- �p�� � be re9..►otJitd..�.� � �' <br /> is S;,Jr Aei Wea 'I 1 6e JIMA,? � <br /> PiPG. �� Di Gina W r <br /> F } N <br /> X>rci Ve Di j& . W� DiIc rA)i I 1 ; 01W <br /> sac"%= D+pe. 01,A (.t)r t <br /> n" done Loa It tp.. Tk� milt 62 no eKeztub&� <br /> o1a piDin4 _.�,jt foe nd Ikea oyb �� �st•;� �«►�� r,Pe-. •_� <br /> -` ry L a <br /> drCGMId&i,t t+dr I( M'lain_ t ti ACP dn� �c�G as �_ Corld_Jr't fm •1 = o� <br /> Ali n►cc�J �y� y_ '— OW(Solto) - imia I #4Are.Iw W veekr rVb.4- <br /> F. WeA};iar br re-kst< seit+ondetr <br /> 2 <br /> t,� sr <br /> puma/u dn� _ ir6 rck n__0"Pira_ w;b, ftew joiLle wall �t <br /> Q. List of equipment to be used(A{dach mainufacturers ape0callon sheets showing thtird-party approval): <br /> wen <br /> cTr e t t I't�i r+ i`a <br /> (,x rt ALea&s (o- ex- best vtblc <br /> N k�mar moi! l�rE tor,ca61e` i�lln pJAtKs Wp Z <br /> s,, ZG4 <br /> _ » 4"-Ae best: knot~ _ <br /> er Loaf✓ IiJjj leak scrvsor__ <br /> 103 E <br /> MAY 13 2010 <br /> SAN JOACL4i;V COUNTY <br /> ENVIF!o,Nz ENTAL <br /> HEALTH DEi"ARTMENT <br />