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RECEIVED <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 seta of plans & applications as originals will be retained by EH[}C T 18 2016 <br />1. Site map enclosed? YES W NO [ l ENARONMENTAL HEALTH <br />2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer trainlrDMMt"ch <br />person Installing or testing any component that is repaired or replaced, i=nsure a copy of the "Site Health and Safety <br />Plan" Is available on the jobsite as required by Tele 8. <br />3. Detalled description of work to be completed. List components to be repaired or replaced and attach a diagram drawn <br />to scala 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 48 as necessary for a timely plan review): <br />Sawcut concrete 7x7on the existinu 87 main turbine sump. Remove existing turbine and Install 2 turbines <br />In the 87 tank and replace the existing turbine in the 91. Replace existing MLLD's with new PLLD's for the <br />UST's. <br />13 2017 <br />vlE1C�E TAL <br />HEALTH <br />SES <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />3 <br />Received Time Apr.13. 2017 2:30PM No,1250 <br />