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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 NOM <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 B . <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 tim(�e� l�y plan review): �/ <br /> r- -- <br /> 10 <br /> a UP 6061, <br /> e) atILA U <br /> 4 . List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval) : <br /> bliku—W1 <br /> 2 <br />