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0 <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />k, !Site map enclosed? YES [ ] NO [ ] <br />Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for <br />each person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health <br />and Safety Plan" is available on the jobsite 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 <br />drawn to scale showing location of repairs and/or replacements. If repairing a component, describe how this will <br />be done. (If adding piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST <br />Installation Application pages 4-8 as necessary for a timely plan review): <br />�i ��L�. oa.._ \�� `r-E��L �•.\C.�t_ G,ty.SOCL � C' e O �C� <br />_ -�� \ 1 s.�.nno � ir,ydws�c..-4. c.a\l•� �E�s-r. <br />e�-- <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />3 <br />