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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.[l N0 <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. <br /> 3. Detailed description of work to be completed. Ust.components to be repaired or replaced.and'.attach a diagram drawn <br /> to.scale showing location of repairs andlor.replacernents. If repairing.a.component, describe-how this wilt.be.done. (If. <br /> L_d piping,<UDC's, or other UST equipment,,or performing tank top upgrade, use.the:UST Installation Application <br /> pages 48 as necessary for a timely plan review): <br /> 6 PW <br /> Opop rum 25H, TL <br /> { <br /> 4. List of equipment to be used(Attach.-manufacturers specification sheet's showing third-patty approval): <br /> 2. .:. : . <br />