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9255517888 Une 1 ^ 20:28 12-08-2015 5/9 <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) DEC 08 2a l5 <br /> 1. Site map enclosed? YES [] NO[� tNVIRONMEN _ <br /> AL <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training cert ica es or eac�iq�nlm <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 INTERSTITIAL SPACE SENSOR, PART NUMBER 794390-409(LIKE FOR LIKE)IN EXISTING TANKS. <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> INTERSTITIAL SPACE SENSOR(PART NO 794390-409) <br /> 2 <br />