Laserfiche WebLink
JUL-27-2009 16:07 <br />F <br />C <br />CJ <br />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 [ I Pio jq- <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 Health 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 stele showing location of repairs and/or replacements. If repairing a component, describe how this will be done, (If <br />Agdhq piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br />pages 4-8 as necessary for an timely plan review): 7 c' <br />/'e f) I aire., t/rf ?/? ( <'t� 7 / `i H "i 0 - .4 �? <br />+L f f - <br />G9 -r!A1 � k cAln/,�c41tt C ��l•)C(( c.� r -j.1..1 vi e c � <br />J i cY? S tS =��.tt el <br />IJ <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing thlyd•party approval): <br />