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usr. srsTEM R • <br /> ETROFIT OR REPAIR. <br /> ? ; t (Submit minimum of 3 sefs of <br /> plans&applications as originals will be retained by EHD) <br /> 1. Site <br /> t map enclosed? YES[] Nk <br /> f 2. Submit copies of ICC Service Technician and/or Installer's certificafe and all manufacturer Person installing or testiog any component that is repaired o rer trainin <br /> Plan`is available on the jobsife.as required by Titre 8. r replaced' Ensure a co g certificates for each <br /> copy of the"Site Health and Safety <br /> 3. Detailed description of work to be completed. List components.to be repaired <br /> e aired <br /> to scale showing location of repairs and/or replacements. If repairing a corn <br /> p or replaced and attach a diagram drawn <br /> addino piping. UDC's, or other UST equipment or perthnni . g compo replaced <br /> describe how this will be done. (if <br /> Pages 4-8 as necessary for a timely plan review). 'tank top upgrade, use the-UST Installation <br /> • Application . <br /> t <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showin <br /> g third-parkapproval). <br /> � CQ� • <br /> i <br />