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,. f <br />0 0 77, ORIGINAL <br />UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained EEI1 E L <br />1. Site map enclosed? YES [ ] NO <br />JAN 2 7 7015 <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 SV V tt V NOW IAL <br />HEAI <br />Plan" is available on the jobsite as required by Title 8. CTN'1P �V FPARTME(1!T <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 />adding 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 />Replace 420 censor at T-1 with 344 micro sensor. <br />420 sensor COULD NOT be removed during annual testing. <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing third -party approval): <br />794380-344- SENSOR Micro _(Tvne'A' module required) <br />2 <br />