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Jul 08 09 11:33a Elite Iv Contractors Inc 20946113342 P.1 <br />tit <br />UST SYSTEM RETROFIT OR REPAIR <br />5d -M <br />,i <br />(Submit minimum of 3 set:: or plans & applications as original.. will be rct,73 wt V "i <br />1. Site map enclosed? YES [I NO <br />2. Submit copies of ICC Service Technician and/or InsWiler's certificate and all manufacturer training(trtit <br />fnneach <br />person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site eal an afbty <br />Plan" isavailable on the jobsite as required by Title B. SAN J0,1,,( -4U% COUNTY <br />3. Detailed description of work to be completed. List components to be repaired or replaced and p ffili;10 wn <br />w i. <br />is W111 b"N <br />to scale showing location of repairs and/or replacements. If repairing a component, describe how (if <br />- <br />daLrla piping. UDC's, or other UST equipment, or performing tank top upgrade, use the LIST Installation Application <br />pages 4-8 as necessary for a timely plan review) - <br />4. List of equipment o be used (Attach manufacturer's specification sheets showing third -party apgrval), <br />1 !71 <br />r= <br />2 <br />