Laserfiche WebLink
ED <br /> UST SYSTEM RETROFIT OR REPAIR AUG 0 6 21 <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained b <br /> 1, Site map enclosed? YnF-j NO E 1, L LT <br /> 2. Submit copies or 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 or 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 Installatibn Application <br /> pages 4-8 as necessary for a timely plan review): <br /> replace direct bury bucket on 87 tank;excavation required <br /> 4. List of equipment to be used(Attach manufacturer's spec cation sheets showing third-party approval): <br /> Phil-tite Defender 705-550 Series(705-555101-CI-GKT) <br /> 2 <br />