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UST SYSTEM RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals will be retained by y EHD) <br />J 1. Site map enclosed? - YES <br />[] NO [I <br />2. Submit copies of ICC Service Technician and/or Installer's certificate and all manufacturer training certificates for i 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 Titie 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. <br />addino piping, UDC's, or other UST equipment, or performing (if tank top upgrade, use the -UST InstaI afion Application . <br />pages 4-8 as necessary for a timely plan review): <br />4. List of equipment to be used (Attach manufacturer's specification sheets showing .third-par(y approval): <br />3 <br />