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illAr" <br />{ <br />UST SYSTEM RETROFIT OR: REPAIR <br />(Submit minimum of 3 sets of plans& applications as originals wIIVbe retained by EHD). <br />1: Site map enclosed? :YES [ J N <br />2. Submit copies of IGC Service;TechnPlan and/or installer,.s.cert[Agbte,:and all manufacturer traI ing,certtficates.:.-oreach. <br />person installing or testing any component that Is repaired or replaced. Ensure a copy of the "Site Health and Safety <br />Plan". is..availableon 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 />pdding 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 />747 <br />4. List of equipment to be used (Attach manufacturers specification sheets showing third -party approval): <br />_.. <br />rcb� 1q.4300 <br />