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Waterloo Shell <br />8/30/2018 Amendment to SR 0078796 <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />�l <br />Site map enclosed? y��echnician <br />NO [ ] <br />Submit copies of ICC Service 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 />STP & Vent Box Transition Sump Repair / New UDC & Dispenser Replacement <br />- Saw cut & breakout concrete @ 87 & 91 STP sumps, remove existing manways / break out concrete @ vent transition sumps <br />Remove all existing STP sump rubber entry fittings - remove vent transition sump existing fittings <br />Install new STP sump Bravo fiberglass split entries: product, vapor, vent lines & electrical -communication test port in 87 STP sump <br />-Install new Bravo split entries for vent box sump (2) & 1 electrical ' Perform required testing <br />Back fill STP sumps & transition sumps, set new water tight manways, pour back concrete <br />Remove 4 existing dispensers, saw cut, breakout concrete at all existing UDC's <br />Remove all UDC unterior piping, conduit & wires, cut back approximately 2' of existing piping to each UDC <br />Install 4 new Western Fiberglass DW UDCs with new Smith Fiberglass entry fittings, 3 flex to be installed at UDC 1 vapor 2 product <br />Plumb smith fiberglass product & vapor piping into 4 UDCs / install new OPW product & vapor shear valves <br />At this time- replace 2 submersible turbine & with new accessories in both STP sump, reinstall LDS <br />Pour concrete at UDC cavities <br />Install 4 new dispensers / install Veeder-Root software for ISD, perform cold start- follow all EHD testing requirements <br />Will triple rinse and dispose of UDCs and fiberglass piping at Forward Landfill 9999 S Austin Rd Manteca Ca, will place triple rinse in barrels on site <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />See attached list for dispensers, UDC & piping <br />STP & vent sump - Bravo F-30SSD-BLR-S-RND & Bravo F-40-SS-D-BLR-S-RND Split retro fittings <br />Bravo Titan composite manway cover 42" <br />FE Petro submersible turbine STPR150-VL2 <br />FFS FF20X24HMXM346 Flex connectors <br />/ � .:zee y <br />OPW product shear valve �•, . ii t <br />OPW vapor shear valve AUG 8 0 J 2018 <br />P10012 Western test port C <br />FWHUNMENTAL HEALTH! <br />DEPARTMENT <br />EH230038 (revised 12-11-15) 3 <br />