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Sep 04 09 09:41a Elite IV Contactors 12094616342 p.l <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by`Kew <br />9. Site map enclosed?YES [ ] Nd ®®� <br />b� �frt <br />2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer train% s for each . <br />person installing or testing any component that is repaired or replaced. Ensure a copy of theth and Safety <br />Plan" is available on the jobsite as required, by "!Title 8.T <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 ancUor replacements:.ff repairing a component, describe how.this will be done. (if <br />2!2 i pipingi UDC's, or. oth& UST equipment or performing. tank top upgrade,use. the UST In Application <br />pages 4-8 as necessary for a timely pian -review): <br />�c11J--� - <br />2 <br />