Laserfiche WebLink
UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals Will be retained by EHD) <br /> 1. Site map enclosed? YES[—] NO[Z] <br /> 2. Submit copies of ICC Service Technician andfor 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 of the 0SIte 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 /> &dW_nq 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 /> replaced VR-208 sensor in#1 (87)fill sump <br /> replaced stainless steel sleeve on tank#2(87)spill container <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> VR-208 sensor <br /> Franklin Fueling 85010 sleeve <br /> 2 <br />