Laserfiche WebLink
SANt J O A Q U I N Environmental Health Department <br /> COUNTY <br /> 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 <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 adding 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 /> Replace drop tube on the 87E , 91 and Diesel tanks . Overfill prevention valve will be set <br /> at 95 % Install new fiberlite FL100 lids on the turbine and FL90 - MP16 on hte fills and <br /> FL- OF8 on thr diesel . 40 <br /> rV <br /> 4�0009PP <br /> 4 . List of equipment to be used (Attach manufacturer' s specification sheets showing �par� approval ) : <br /> OPW- SO-410 - EVR Quantity 3 <br /> Fiberlite FL90 Grey- MP16 Quantity 3 <br /> Fiberlite FL100 Gray Quantity 4 <br /> Fiberlite FL90 - 01F8 Quanity 1 <br /> 5 . Decontamination Procedures : <br /> a . Will piping be decontaminated prior to removal ? YES [ ] NO [ ] <br /> b . Identify contractor performing decontamination : <br /> Name Phone ( ) <br /> Address City Zip <br /> 3 of 6 <br />