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Sep 04 09 09:20a Elite IV Contactors 12094616342 P.1 <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans &.applications as originals will be retained by EHD) <br />I. Site map enclosed? <br />YES N <br />2. Submit copies 00 CC Service. Technician andlor:Installer's certiiicate and all manufacturer training certificates f6r 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 descripfion Of work to. be'completed. List components to be repaired or,replaced and <br />to -scale showing location of repairs and7or replacements. If repairing a component describe hattach a diagram drawn <br />ow.this will be done. (if <br />244!M PiPirigi UDC's, or other UST equipment, -or performinguse the UST Instaillatio <br />tank top, upgrade, n Application <br />pages 4-8 as necessary for a timely plan ,review): <br />SFP <br />tf ZUU9 <br />C <br />ry <br />ZAJ <br />