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04/15/2013 13:23 (209)465-4988 Henderson Maintenance Cc Page 1;a <br /> !'ADDENDUM: SR006644 <br /> Shell-Stockton <br /> 1206 E March Ln E VVE UP" <br /> Stockton,CA 95210 <br /> UST SYSTEM RETROFIT OR REPAIR APR 15 203 <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD)SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> 1. Site map enclosed? YES[] NO HEALTH DEPARTMENT <br /> 2. Submit copies of ICC 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 /> gqgLinq 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 /> ADDENDUM SR0066492- <br /> Replace Diesel Drop Tube (missing) <br /> Replace defective Diesel MLLD <br /> 0006 <br /> 5� <br /> �N <br /> 1"me* <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> 61T-736 . DROP TUBE Without Overfill 4"X 15' OPW DEEP BURY <br /> 99LD-2000' LEAK DETECTOR Vaporless L02000 <br /> 2 <br />