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r <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> 1. Site map enclosed? YES [] NOX <br /> 2. Sub nit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> perE on installing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health and Safety <br /> Pla " is available on the jobsite as required by Title B. <br /> 3. Det iled description of work to be completed. List components to be repaired or replaced and attach a diagram drawn <br /> to s ale showing location of repairs and/or replacements. If repairing a component, describe how this will be done. (If <br /> adding 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 /> Replace UDC (L 4) <br /> 4. Lis of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> 2 N I TINVeeder-Root <br /> 2 <br />