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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[] NO [ ] <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 Hea 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 />Remove dispensers, saw cut & break out concrete at island UDCs. Remove concrete transport to dump, remove UDC interior <br />t-iping - taKe son sample. bet 4 new noergiass uuus - tnstan pipe entry nttings. MUM noergiass proouct s vapor piping into 4 UUU. rressure <br />test lines with EHD present. Make final plumbing. Precision line test each line product line with EHD present. <br />87 STP sump- Found existing interior vent line penetrations and electrical boots. Replace with Bravo repair boots. Changing from rubber entries to fiberglass <br />"see attached" ' Saw cut & break out concrete at 87 STP sumps 'Remove existing turbine pumps, piping & flex connectors - replace with new. <br />'Remove all STP sump rubber entry fittings 'Install new STP sump fiberglass entries, product, vapor & vent lines. 'Install new STP sump electrical <br />fiberglass entry fittings. <br />'Break out concrete at vent transition. 'Remove rubber entry fittings, install new fiberglass entries, 2 vent lines & 1 electrical. <br />'Back fill STP sumps & transition sumps. 'install new man way covers over 87 & 91 STP sumps. <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />See attached equipment list for dispensers and piping <br />Western fiberglass 3/8" stainless steel test port <br />Bravo F-30-SS-D-BLR-S-RND & Bravo F-40-SS-D-BLR-S-RND Split Retro Fittings <br />Bravo titan composite manway cover 42" <br />FFS STP150-VL2 Submersible Turbine <br />FFS FF20X24HMXM346 Flex Connector <br />AUG 8 1018 <br />ENVlRntu,y ENI , _H <br />DEPARTMENT <br />EH230038 (revised 12-11-15) <br />