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Jul, 14 11 12:46p <br />Elit IV Contactors 120946'5342 p.2 <br />/- U� Z -- <br />UST. SYSTEM' RETROFIT ORPE 'AIR'.' <br />(Submit minimum of 3 sets of plans &applications as originals w i be retained by EHD) <br />L . Site map -enclosed? YES• j) NO[] <br />2.. Submit copies of ICC Service Technician and/ort In certificate and all nufacturer training cerfifrcates for each <br />person installing or fesun- g, any component that is repaired or'repfaced. En's -jr a copy of the "Site Health and <br />Plan* is available on the jobsite as ri equfred by title'S. Safety <br />3. Detailed description of'work to tie completed. Ust.components to be repaired c ; eplaced.and: :aifach adiagram drawn <br />0-. ;cale:showing location of repairs anii/orr6placements. Iffepairing-a.corrtpc,rl nt, descriiie.(icowfhis will -be done. n <br />addinp•piping, UDC's, or other -UST equipment,'or performing tank top up ride 'use. the UST instaltafion Application <br />pages 4-aas-necessary fora timely pian review): <br />ff <br />rArN <br />��1ill. _) 1r <br />fb <br />Ir <br />�� 1 1J � —L l c� �111�•1.� .�,r <br />