COMPLIANCE INFO_2016 - Laserfiche WebLink

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1 � UST SYSTEM RETROFIT OR REPAIR uu 2016 (Submit minimum of 3 sets of plans&applications as originals will be retained AH 1. Site map enclosed? YES [] NO [] � � 2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for each person installing or testing any component that is repaired or replaced. Ensure a copy of the "Site Health and Safety Plan" is available on the jobsite as required by Title 8. 3. Detailed description of work to be completed. List components to be repaired or replaced and attach a diagram drawn to scale showing location of repairs and/or replacements. If repairing a component, describe how this will be done. (If adding piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application pages 4-8 as necessary for a timely plan review): Saw cut concrete perimeter of direct bury fills on Tanks 2 and 3. Break out concrete and haul off for proper disposal. Remove(2) existing Fill/Spill buckets from tanks 2 and 3 Replace Existing (2) Emco Wheaton with OPW model# 1 SC-31532D on Tanks 2 and 3 Replace existing Drop tubes on tanks 2 and 3 with OPW drop tubes model#71 SO-420C Schedule Pre-bury inspection Recieve approval for backfill and patch Srhed,la final inspgrtinn asrP�iired Replace (1) 3"x15" Hose Master Flex Connector in above ground piping manifold in Bio Shed. 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): *Diesel Tanks#2 and#3 have 15 gallon Emco Wheaton to be replaced with OPW model# 1 SC-31532D Diesel Tanks#2 and#3 drop tubes to be replaced with OPW model#71 SO-420C *Bio Shed 3"x15" Hose Master Flex Hose Install (1) Icon Split Penetration repair fitting model# IC-RFRIDIG3.5F in UDC 14-15 Install (1) Icon Split Reducer boot model#ISR3.5X2.4 in UDC 14-15 3