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0 0 <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />Site map enclosed? YES [ NO [ ] <br />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 Safety <br />Plan" is available on the jobsite as required by Title 8. <br />,,s. 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 />2_ C c'� 4 o 4—g -v -A p'rZ- C Qtr\, �Ly <br />`{ <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />V- , r-:) -kb Vr. G _ Vv1 s <br />,e-- . o -Sz— C ova A ---I .,--�--- <br />