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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 M' NO [ ] <br /> 2 . Submit copies of ICC Service Technician and/or Installers 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 /> REPLACE AND INSTALL NEW FIBRELITE MANWAY FRAMES , MANLIDS , FILL AND VAPOR LIDS , <br /> SKIRTS AND TOP HAT ASSEMBLIES , REMOVE AND REPLACE FILL AND VAPOR BUCKETS WITH <br /> ASSOCIATED SWIVEL , FACE SEAL ADAPTORS , CAPS AND NIPPLES . INSTALL NEW OPW <br /> 71SO 410C OVERFILL VALVES WITH NEW DROP TUBES AND OPW-6111 - 1400 TANK BOTTOM PROTECTORS . <br /> 4 . List of equipment to be used (Attach manufacturer's specification sheets showing third- party approval ) : <br /> FIBRELITE LIDS AND MANWAYS WITH SKIRTS <br /> OPW TANK BOTTOM PROTECTORS <br /> OPW FILL AND VAPOR SPILL BUCKETS P71 1 - EVRDWP71 1 EVRPL <br /> OPW OVERFILL VALVES 71 SO410C <br /> JACK SCREW SETS 61 JSK44CP <br /> 3 <br />