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UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 33 sets of plans & applications as originals will be retained by EHD) <br />1.. Site map enclosed? YES.T/q� NO [ <br />" 2.. Submit copies of ICC Service Technician and/or Installers certificate and all manufacturer training cerPificates 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 o/escribe <br />d: attach a diagram drawn <br />to. scale showing location of repairs and/or.replacements. If repairing, a. componhow this will be done. (Ifadding piping,<UDCs, or other UST equipment, or performing tank top upgradT Installation Application <br />pages 4-8`as necessary for a timely plan "review): <br />ltl r;cl-)� nrbyoclt <br />� dere <br />c <br />t aom <br />lk <br />ICA <br />dCV <br />