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i <br />UST SYSTEM RETROFIT OR REPAIR DEC L 3 2017 <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />Site map enclosed? YES p9 NO [ I ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />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. <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 2 existing dispensers with new Encore 700 series 3+1 dispensers. <br />Remove 2 existing UDC under dispenser 3-4 & 7-8. Install new Bravo B1000 UDC under Dispenser 3-4 & 7-8. <br />Rework existing piping and fill sumps as necessary on Tank #1 to be put in diesel service. <br />Install new NOV FRP rigid diesel piping as shown on sheet F-4 and back fill piping with approved pea gravel. <br />Upgrade Veeder Root TLS 350 Monitor system as applicable. <br />Existing vent lines will remain and diesel vent riser will be isolated at vent risers. New PV vent cap will be installed. <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />Bravo'B1000 UDC <br />Gilbarco Encore 700 3+1 Dispenser <br />Morrison 2" vent cap <br />Veeder Root Mag Diesel Probe kit <br />EH230038 (revised 7-26-2016) <br />