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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 [A 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, demo , remove and replace 87 , 89 fill/spill & vapor buckets and diesel fill bucket, double wall OPW Edge <br /> buckets , testable 71SO - 41OCT OPW shut off valves . Place concrete , and retest spill buckets & OPI inspections . <br /> 4 . List of equipment to be used (Attach manufacturer' s specification sheets showing third-party approval) : <br /> i <br /> I i <br /> I <br /> Attached <br /> i <br />' I <br /> I <br /> I <br /> 1 <br /> EH230038 ( revised T26-2016) 3 <br />