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Nov 1�9 09 03z2Gp Elite IV Contactors _ 12094616342 p. l <br /> 75� <br /> C � RLY <br /> UST SYSTEM'RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will be retain <br /> 4. Site map enclosed? YES[] ' NO[] -SAN JrJACaUN COUNTY <br /> V1*J€'JT 6 AL <br /> .2. Submit copies.of ICC Service Technician and/or Installer's certificate and all manufact es for each <br /> person.installing or testing'any companent'that is.repaired or replaced. Ensure a copy of the "Site Stealth and Safety <br /> Plan"is available on the]obsite 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 andlor:replacements. If repairing a component,describe how.this Will'be-done..(if <br /> addin .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 /> r , <br /> 4. List of-eq'uipfinent to be used(Attach manufacturer's specification sheets.showing third party approval): <br /> 2..: <br />