Laserfiche WebLink
UocUJign tnvelope IU : It eZU4G3-4LVH-4040-HUZb- Ubbkj U4Cl- bU / J <br /> is ; rs +nianu � � rrt .� l hr� , � h r r ) rs « ii , re, nt <br /> UST SYSTEM RETROFITREPAIR <br /> ( Submit minimum of 3 sets of plans & applications as originals will be retained by EHD) <br /> 1 . Site map enclosed? YES H NO ( ] <br /> 2 . Submit copies of IDC Service Technician and/or Installer' s certificate and all manufacturer training <br /> certificates for each person installing or testing any component that is repaired or replaced . Ensure a copy of <br /> the " Site Health and Safety 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 <br /> diagram drawn to scale showing location of repairs and/or replacements , If repairing a component , describe <br /> how this will be done . ( If gddin piping , UDC ' s , or other UST equipment , or performing tank top upgrade , <br /> use the UST Installation Application pages 4-8 as necessary for a timely plan review) : <br /> See Installation Notes on Sheet T- '1 of attached plans for detailed description of work to be completed , <br /> 4 . List of equipment to be used (Attach manufacturers specification sheets showing third®party approval ) ; <br /> See Sheet T -2 for Equipment Listing . Manufacturer specification sheet packet also included with submittal . <br /> .5 . Decontamination Procedures : <br /> a . Will piping be decontaminated prior to removal? YES NO [ ] <br /> b . Identify contractor performing decontamination : <br /> Narne Adams SefyIG; OI PhonN: <br /> Address 4.. [E . Alcan ra Bly r.. n city r «arced t Zip 902/18 <br /> 3of8 <br />