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UST SYSTEM RETROFIT OR REPAIR - <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />I. Site map enclosed? - YES <br />[l NO <br />2. Submit copies of ICC Service Technician and/or installer's certificate and all manufacturer training certificates for each <br />i person installing or testiog 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 <br />to scale showing location of repairs and/or replacements. If repairing a component, describe how this will e done- (►f <br />adding piping, UDC's, or other UST equipment, orperfOnTling tank top upgrade, use the UST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />4. <br />• •. .•• • <br />Unlo� iGnw <br />