Laserfiche WebLink
SAN1 A 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 /> Remove ( 3 ) OPW Pomeco III - L Overspill Containers , <br /> and replace with ( 3 ) new OPW Overspill Containers . <br /> Remove (3 ) existing Drop tubes <br /> Replacing with (3 ) new OPW Drop tubes . <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval) : <br /> (3 ) Overfill Drop Tubes OPW Part # 71 S0 -410 <br /> ( 3 ) Spill Containers OPW Part # P51 1 - DEVRBUCKET <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 /> 3of6 <br />