Laserfiche WebLink
Jan 05 10 10:58a Reliable PetroleumA 209-845-8953 p.2 <br /> AWL <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 N{ <br /> 2. Submit copies of ICC Service Technician and/or Installers certificate and all manufacturer training certificates <br /> Person installing or testing any component that is repaired or replaced. Ensure a copy of the "She Health and Safety <br /> y <br /> Plana 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 <br /> to scale showing location of repairs and/or replacements. if repairing a component, describe how this will be done. <br /> ci O piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br /> drawn <br /> Pages 4-8.as necessary for a timely play; re 'ew); {If <br /> ----- pp cation <br /> 6 <br /> r <br /> 6. <br /> 4. List Of equipment to be used(Attach manufacturer's <br /> specification sheets showing a <br /> ng third-p rtY app►bva!): <br /> �11 Cr <br /> ly Z11 <br /> r <br /> 2 <br />