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KIST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of3sets of plans&applications maoriginals will be retained byEHD) <br /> 1Site map enclosed? fESF—1 NO CD <br /> %. Submit copies of)CC Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person installing nycomponent that iwrepaired nrreplaced. Enmure000pyofthe" - and Safety <br /> � <br /> Plan"iuavailable onthe joba|taaomquinadby7l0n8. Health — <br /> 3. Detailed descriptiof work to be completed, List components to be repaired or replaced andattach a diagram drawn <br /> o scale showing location of repairs and/or'ep=^="e".ts. " /e,aimvwuppmppnent, 000nnoenowonmvwobwgona. (if <br /> ad�nopiping, UDC's. ovother UST equipment, nr performing tank top upgrade, use the LIST Installation Application <br /> pages 4-Ooanecessary for atimely plan naview): <br /> replaced sensor ontank#2fill sump _ <br /> ` <br /> 4. List ofequipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> VR-2O8 <br /> " <br />