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Sep 27 13 09: 40a Elite IU Contactors 12094616342 p. 2 <br /> , 2 <br /> j�1-Sh�,i <br /> UST SYSTEM RETROFIT OR REPAT <br /> (Submit minimum of 3 sets of plans'&applications as originals will-be. r twined by EHD). <br /> 1. Site map enclosed? YES[] NO I j <br /> 2. Submit-copies'of--ICC Service Technician and/or Installer's certificate-and.ali.manuFa curer_.training.certificates.for.each <br /> person'installing or testing any component that is repaired or replaced. Ensure a c py of the"Site Health and Safeiy <br /> Plan".is available.on the jobsite.as required by Title 8, <br /> 3. Detailed description of work be completed. List components to be repaired or n:-p iced and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements. If repairing a component:, :escribe how this will be done: (If <br /> ad din piping, UDC's, or other UST equipment, or performing tank top upgrade, u� the UST Installation Application. <br /> pages 4-8 as necessary for a timely plan review): <br /> tD <br /> 4\6c )m �� ����� 4 Cv _ ' 6�7 201.3r , <br /> c Ic C�cC 1 iso # 8 <br /> l'x1 i11�iC1 " L�, ,�iC1U ''- uhf r UOv <br /> z� <br /> xc'i�cn CA:_ ce—,rc.(1�^ �� 1 fJ 'X J <br /> a §c� +hU i c1 \(I�)VGJ\ <br /> gQ�kf tci ,roR LOC, kjl,ll tcSr CAtc,_rQ:S1CC;� <br /> 4. List of equipment to be used(Attach manufacturer's speciffcat(on sheets showing th rc party approval): <br /> Ab <br /> t 4 _ i t <br /> f <br /> r <br /> • • <br /> �t <br /> . 1 A 4 •t 1 x '� i • '1 .�t +�{i•a+i / l }' t t t t + t' •,i f tR * {-�t.t yx. a <br /> •8 �' <br /> iii t�, , t 4 • t t ♦ • t t i ai ;x�r 114, `+ ,• • l � I �: .... �x `'i <br />