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(Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br />1. Site map enclosed? YES [ ] NO [] <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 />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 />Saw cut concrete perimeter of direct bury fills on Tanks 2 and 3. <br />Break out concrete and haul off for proper disposal. <br />Remove (2) existing Fill/Spill buckets from tanks 2 and 3 <br />Replace Existing (2) Emco Wheaton with Franklin Fueling spill buckets on Tanks 2 and 3 <br />Schedule Pre -bury inspection <br />r <br />Recieve approval for backfill and patch <br />Schedule final inspection as required. <br />Replace (1) 3"x15" Hose Master Flex Connector in above ground pi�g manifold in Bio Shed. <br />4. List of equipment to be used (Attach manufacturer's sp6cification sheets showing third -party approval): <br />Emco Whe6ton to be replaced with <br />*Bio Shed <br />Install (1) Icon Split Penetration repair fitting model# IC-RFRIDIG3.5F <br />Install (1) Icon Split Reducer boot model#JSR3.5X2.4 <br />AUG <br />%6 <br />3 <br />