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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 byECEI <br /> 1. Site map enclosed? YES [] NO �� , <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training cerNARtl tor2ii5h <br /> person installing or testing any component that is repaired or replaced. Ensure a copy of tiheIt and Safety <br /> Plan" is available on the jobsite as required by Title 8. NVIAUMENT' <br /> F4!'J,t'TV nM5OT4AC 1-r <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 /> Replaced 91/diesel annular sensor(IOW liquid alarm continually) <br /> Replaced 91 PLLD transducer(PLLD Open alarm) <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> 794380-303: SENSOR Dual Point Hydrostatic for Brine annular, Veeder-Root <br /> 848480-001: TRANSDUCER PLLD w/o swift check <br /> 2 <br />