Laserfiche WebLink
RECEIVED <br /> UST SYSTEM RETROFIT OR REPAIR OCT 0 8 2018 <br /> (Submit minimum of 3 sets of plans& applications as originals will be retained by EHD) <br /> 1. Site map enclosed? YES [A NO ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> 2. 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 /> 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 /> 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 /> Scope of Work: <br /> • Provide, install five drip pans <br /> •Saw cut, demo, remove and replace 91 fill/spill &vapor /senso <br /> concrete, and retest. Saw cut, demo, remove four 12"tan <br /> manways and replace with four 18" Manway, relocate jun <br /> allow access to wiring and install 3 new Veeder Root 409 Obtain UST Repair permit from San Joaquin County CU <br /> 4. - <br /> i <br /> Encore Deflector Plates &Veeder Root 409 tank annular sensor <br /> see attached Bravo cut sheet <br /> see attached Veeder Root 409 cut sheet <br /> 1 <br /> I <br /> EH230038(revised 7-26-2016) 3 <br />