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UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of pians: & applications as originals will be retained by. EHD) <br /> 1 . Site map enclosed? YESr7 NOM <br /> 2 . Submit copies of ICC Service Technician . and/or Installer's certificate and all manufacturer training certificates ' fof 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 /> add n piping, UDC's , or other UST equipment, or performing tank top upgrade , use the UST installation Applloatiot <br /> pages 4-8 as necessary for a timely plan review): <br /> replace direct bury fill bucket on { tank; excavation required <br /> 4. List of equipment to be used (Attach manufacturer's speciffcatlon sheets showing third=party approval) ; <br /> i <br /> 2 <br /> i <br />