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VSA PYST R TRQFIT OR:',kEPABR. <br />(Submit minimom of 3 sets of pians' ca ons as originals will 'be' retained byEHD): <br />1: Site map enclosed,? y E811 NO'( j <br />2 $ubmot copies of_I I_ ty Servi N --ecnniciart d/ortnstal(er'a ceritiieate_and-ail manuf cxurer.tralnbg gertfigat s r qh.__. . <br />_.,_t <br />person installing o testing ahy col it that isrepalred or:replaced: Ensure a copy of the` "Site Health and Safety <br />Plan". is available.on the)"bte'.as.required!by' itle 8.' <br />3. Detailed descriptio? of workito be complete . List components to be repaired pr replaced and, attach a diagram drawn <br />to scale shbwing Idcation Of a! andldr replacements. If repairing a component, describe how this will be. done:(If -. <br />Adding piping, UD 's, or other UST equipnient, or perfarniing tank top Upgrade, use the UST Installation Application <br />pages 4-8 as nece sary for a tlrmely plan re iew): <br />' I <br />' III I I <br />Iit j. <br />I <br />LI <br />PP <br />• { - .. <br />I <br />.n <br />i � I <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing hird-party approval): <br />