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UST =SYSTEIVI .RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets: of pians &- applications as originals 'wifl be retalned by EHD) <br /> 1 . Site map enclosed ? YESM NO F✓ <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 end 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 repaire . and/or replacements , If repairing a component, describe how this will be done. (If <br /> gAft piping , UDC's, or other LIST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-8 as necessary for a timely plan review), <br /> replace 87 drop tube with overfill prevention device <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing thir& arty approval ) : <br /> rL <br /> µ <br /> j1 <br /> y 4gV <br />