Laserfiche WebLink
P6 f <br /> UST SYSTEM RETROFIT OR REPAIR RECEIVE® <br /> (Submit minimum of 3 sets of plans&applications as originals wil be retained by EHD) - <br /> t. Site map enclosed? - YES[] NO\14 JAN*$0 1015 <br /> 2. Submit copies of ICC Service Technician andlor 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 tobske as required by Tile S. <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 descrdte trove this will be done. (If <br /> adding piping, UDC's, or other UST:equipment, or performing tank top upgrade, use the UST Insfailation Application <br /> pages 4-8 as necessary for a timely plan review)_ - <br /> -;-• <br /> 4. List of equipment to.be used(Mach manufachtrees specification sheets showing third-party approval).* <br /> 3 <br />