Laserfiche WebLink
UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will'be retained byEFID). <br /> 1. Site map enclosed? YES4 N0[j <br /> 2. Submit copies of ICC Service.Technician and/or:Installer's•certificate and all-manufacturer.tralning 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 workto.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 /> i. i? 3 t 5 'a U .14T 6"Wd a <br /> Nee(A 16 cm- y I j ff-filoy-1 2-) 314 "CI 1 ne c ;c h <br /> (0 <br /> a _5�(o - b4h I f1� t111 <br /> cot- -,) i 6c) c1 i q b ., I*a ki(rrl w MUL, (:eacn.t ftcwja v in <br /> [tcin+ of ench dCo' M Ao (Qu Irect��n _c!�� f . <br /> l <br /> I - re- sb 6n A d k Ackm� - <br /> c,11AU %U �C t (Trac " G� it l:ano <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> tj <br /> l \ 1 f <br /> 3 ISI& <br /> 314/1 (`�lS? i`� -3 I4" (rr -r k"rpt oc.:-rnhirn) <br /> , <br /> $ <br /> di <br /> 7 <br /> a .e ; 1n <br /> I <br /> 1 1 A <br /> 44 - I0 <br /> / A # Y + #1 <br /> # # ISR#'.''' ro <br />