Laserfiche WebLink
0210412015 09:33 <br />(209) 465-4988 <br />so <br />Henderson Maintenance Cc <br />C <br />Page 1/1 <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by.EHD) FEB 0 4 2015 <br />"d <br />1. Site map enclosed? YES NO PR ENVIRONMENTAI <br />2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training bei " �ca' 1T <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 />3. 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 />gggiM piping, UDC's, or other LIST equipment, or performing tank top upgrade, use the UST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />A= - Hammer <br />3250 W Hammer Ln <br />Stogggon, PA 96209 <br />Due to Air Quality software uggrade requirement, the ATG MUST be ooldstarted. <br />SIR 0070949 to include COLDSTART. <br />ORP2 <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />2 <br />