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Mar 31 09 02:08p Reliable PetroleumA 209-845-8953 p.5 <br /> 1 � <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 [] N4 jv� <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 8. sc-e <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 /> V-s-ov C_ 2 a <br /> W i X1'1 C e-T(�0 5TP- Ni L D , VU <br /> 4. List of equipment to be used (Attach manufacturer's specificatif�on^ sheets showing third-party approval): <br /> �- <br /> 2 <br />