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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 [ ] 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 /> REMOVE EXISTING UST SPILL BUCKET / DROP TUBE AND VENT BALL FLOAT CAGE <br /> INSTALL NEW 5- GALLON OPW SPILL BUCKET <br /> INSTALL NEW OVERFILL PROTECTION VALVE <br /> INSTALL 12 " CNI MANHOLE COVER <br /> 4 . List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval ) : <br /> OPW- 71 SO410C OVERFILL VALVE <br /> OPW OP- 1 C -2100C- DEVR ( 5 GAL . ) SPILL BUCKET PART AND ASSOCIATED PARTS <br /> CNI - 18 " SQ MANHOLE , PART #CN - SP1818 - 12 <br /> CNI - 12 OD 9 ID STEEL RING MANHOLE , PART #CN - S1209 <br /> 3 <br />