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FILE CRE " <br /> UST SYSTEM RETROFIT OR REPAIR ' <br /> (Submit minimum of 3 sets of plans R applications as originals will be retained by E,R) y 8 2017 <br /> 1. Site map enclosed? YES[] NO[] <br /> Y M TF.I_HEALTH <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufa copy i each <br /> person installing or testing any component that is repaired or replaced. Ensure a co of thR'S'a ealth a ety <br /> 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 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 /> Replace 407 sensor with 409 sensor on the 87 grade <br /> 4. List of equipment to be used (Attach manufacturers specification sheets showing third-party approval): <br /> (1)WR 749380-409 Interstitial Sensor For Double-wall Fiberglass Tanks <br /> EH230038(revised 12-11.15) 3 <br />