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. ckv%J%* kSf1?V °ISS <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> 1. Site map enclosed? YES(I N0 K <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person installing or testing any component that is repaired or replaced. Ensure a copy of the'Site Health and Safely <br /> Plan'is available on the jobsite as required by Title a <br /> 3. Detailed description of work to be completed. List components to bepaired or replaced and attach a diagram drawn <br /> to scale showing location of repairs and/or replacements If repainrja component; describe how this will be done. (if <br /> adding piping, UDC's, or other UST'equipment,orperforming tan top upgrade, use the UST Installation Application <br /> pages 4-B as necessary for a timely plan review). <br /> �P- EL <br /> (J <br /> W nd2CJ2�, -A r Cur- <br /> r <br /> 4. List of equipmerit to be u (Atte manufacturer's specification sheets showing third-party approval); <br /> 2 <br />