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^ <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> 1Site map enclosed? YEDV NO[] <br /> 2. Submit copies of[CC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person installing nrtesting any component that iarepaired orreplaced. Ensure acopy nfthe"Site Health and Safety <br /> Plan" isavailable onthe joboitoanrequired byTitle 0. <br /> 3 Detailed description of work to be completed. List components to be repaired or replaced and attach a diagram drawn <br /> � tuana|onhowing |000tionofropoirsand/or replacements. If repairing a component, describe how this will be done. (if <br /> adding piping, UDC's, or other LIST equipment, or performing tank top upgrade, use the LIST Installation Application <br /> pages 4'0oanecessary for otimely plan neview): <br /> Remove All Existing Fill&Turbine Manways&Replace with DPW Fill&Turbine Manways- Install New OPW <br /> Fill Tubes With Overfill Protection. <br /> 4. List ofequipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> Please see plans submitted with this |i ti &cutsheets/spec sheets provided. <br /> 3 <br />