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ORIGINAL <br /> UST SYSTEM RETROFIT OR REPAIR ' ' <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> AUG 2 7 2015 <br /> 1. Site map enclosed? YES[] NO <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer traEirr NTL <br /> person installing or testing any component that is repaired or replaced. Ensure a copy of the "S' Ffe ri <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, LIDC'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 /> PER SRQ07?q75- <br /> Re lace 304 sensor at#1/2 UDC annular. <br /> ,ped <br /> da <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> 794380-304- SENSOR Mini-Hydrostatic Single Point <br /> 2 <br />