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UST SYSTEM RETROFIT OR REPAIR RECEIVED <br />(Submit minimum of 3 seta of plans & applications as originals will be retained by EHg T 18 ZO 16 <br />I, Site map enclosed? YESW NOH ENVIRONMENTAL HEALTH <br />2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer trainlrD fffPX ftj8NtPch <br />person Installing or testing any component that Is repaired or replaced, i=nsure a copy of the "Site Health and Safety <br />Plan" I8 available on the jobslte 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 scale showing location of repairs and/or replacements. If repairing a component, describe how this will be done. (If <br />adding piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />i�coK� <br />Sawcut concrete 7x7on the existing 87 main turbine sump. Remove existing turbine and Install 2 turbines_.._ <br />In the 87 tank and replace the exlsting turbine in the 91. Replace existing MLLD's with new PLLD's for the <br />UST's. <br />., <br />3 201? <br />NVIRONMEN TAL H AL.TH <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />3 <br />Received Time AP 0 3. 2017 2:30PM No,1250 <br />