Laserfiche WebLink
REGEWED I <br /> UST SYSTEM RETROFIT OR REPAIR MA 206 <br /> (Submit minimum of 3 sets of plans& applications as originals will be retained by l �I „ <br /> NMENTA <br /> 1. Site map enclosed? YES I) NO(] �I��E� �� ���" <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. y <br /> 3. Detailed description of work to be completed. List corrtponents 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 /> ad_ ding 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 /> LO <br /> ._ <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-partyapproval): <br /> 3 <br />