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UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> 1. Site map enclosed? YES[4 NO [] <br /> 2. Submit copies of ICC Service Technician andlor 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" ioavailable onthe joboiteau required bvTitle 8. <br /> 3. Detailed description ofwork bobecompleted. List components hoberepaired orreplaced and attach adiagram drawn <br /> hoscale showing location ofrepairs and/or replacements. |frepairing acomponent, describe how this will bedone. (|f <br /> adding piping. UC}C'o. or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-8asnecessary for atimely plan reviexv : <br /> Replace the Diesel spill container and Diesel D0I,I,D' Spill Container <br /> failed during MSC testing on 6-8-09 . MLLD was replaced during <br /> MSC testing on 6-8-09 ' IlepIaoe{l the Keyboard Group LED 0329328-002 . <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> OPVV Direct Bury Spill Container. Mechanical I^izze I,ea}c Detector - VMI <br /> LED 0329328-002 \/eeder-Root Keyboard. <br /> 2 <br />