Laserfiche WebLink
Feb 05 10 03: 08p Elite IV Contactors 12094616342 p. l <br /> a-vf C\ <br /> C\ UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans 8 applications as originals will be retained by EHD) <br /> 1. Site map enclosed? YES[] NO[) <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 B. <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, 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 /> 4. List of-equipment io be used(Attach manufacturer's specification sheets.showing third-party approval): <br /> VS; CU <br /> FEE oaAte <br /> SAN JOF;CUIN Co Utiry <br /> 2 - tSNI'iRJ:r'14ENTAL <br /> . .Th—ACTH CEPARTMEw - <br />