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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[] NOX <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 replaced and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements. If repairing a component, describe how this will ba done. (If <br /> adding 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 /> H-8 crash during Seapndary Containment testing 10-17-2013 <br /> Secondary containment-89 boot replacement at#3/4&#7/8 UDC's. ��'99 r�'1 /per p� <br /> Secondary containment-87 boot replacement at 87 STP sump. B 1�t E' V�""1 1 <br /> t. <br /> LINIVIRUNMENTAL <br /> HEALTH DEPARTMENT <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> ISR Q 5x2 enc ROOT Reducer Sprit off-set 3,5'x2.4' CPI IT (use with FA TF I E Bonder) <br /> ISR 3.5x2.408& BOOT Reducer. Split off-set 3.6&4',4' SPLIT with air test&clamps (use with FASTFUSE Bonder) <br /> 576010-695: BATTERY TLS-350 CPU board <br /> 2 <br />