Laserfiche WebLink
Mar 31 11 10: 18a Elite IV Contactors 12094616342 P. 2 <br /> .. <br /> P a�. UST SYSTEM RETROFIT OR REPA. ;b <br /> (Submit minimum of 3 sets of plans&applications as originals will be ietained by EHD) <br /> t. Site map enclosed? YES[] NO[] <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all m� +ufacturer training certificates for <br /> each person installing or testing any component that is repaired or replaced. I nsure a copy of the "Site Health <br /> and Safety 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 r replaced and attach a diagram <br /> drawn to scale showing location of repairs and/or replacements. If repairing a c +rnponent, describe how this will <br /> be done. (If adding piping, UDC's, or other UST equipment, or performing Mk top upgrade, use the UST <br /> In$tallation Application pages 4-8 as necessary fora timely plan review): <br /> qt? <br /> f C26�J / J`!l7' i , (L`LL;k1)K ' - <br /> I�,S►uc.v . <br /> aa, Wf CIU L/A.1, c''vc< vm <br /> _ r J <br /> Z /7llti GLY� �t lli/ 2fiE� ISL; �. ( � 6 <br /> �CG2'.PG� . �zJemee <br /> fyl&t% vPA) 15 -In frz c!/Lt u1 .CY CL <br /> iC(c ct }c. una. lam, 7Ln 95 <br /> �,r 1 UhOhV/ (Atli 1,"W-' U2�c�li ftr � lir <br /> fit <br /> 2 Ct !^ <br /> sh <br /> ' 2 4 <br /> �L'7�cf <br /> 4.� used(„ �.� ...a,......,��.".�_^. fid.�csa� hee�s` o inch iir(!=P rtry"arp <br /> Lrstp�tov/a <br /> of ipmen to be u <br /> ) G ;?GGt'(G• j!�'/Jty.,Af: <br /> RI c -L�cuf 1� ut l�� 79y ��-�0 9 <br /> a il adic( .' eAge, <br /> '0 r t) (01,2141-P TO LLL do <br /> Cfk 1. L���U c `• �1 .Q (�iS _un <br />