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55517888 Line 1 10:55:32 09-09-2013 <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of pians & applications as originals will be ruined by EHD) <br />1. Site map enclosed? YES { j Pio (�/ <br />2. Submit copies of 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 of 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 />l4ft piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br />pages 48 as necessary for a timely plan review): <br />Replace rnvro sensor .w.r . in sump. <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approvah: <br />ya5wixj Atao Sensor 794380-34iq <br />4/12 <br />