Laserfiche WebLink
ST SYSTEM RETROFIT QR REP <br />(Submit minimum of 3 gets of plans *& applications as originals will'be retained by EHD), <br />1. Site map enclosed? YES [j No.r] <br />certifil <br />2. Submit copies of ICC Service Technician and/or. Installets certifficate and all manufacturer training cafes for'each <br />per -son installing or testing any -component that isrepairedor 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 - 'gra <br />. of work.to.becompteted. List components to. be repaired or replaced. and attach a dia M 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 LIST equipment, or performing tank top upgrade, use the UST Installation. Application <br />- pages 4-8 as necessary for a timely plan review): <br />MMMU11111 Nicoll 11MR1111 <br />MU'J§T4.01�% Mr <br />11 � <br />BIN, "11 EMMA Is-, <br />4 List of equipment to be used (Attach manufattPreis specification sheeits.showing third -party approval): <br />opit) 5-0 Al C.) <br />-A Ahl"t <br />Wan <br />