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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 14 <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 /> Repair/Replace underground piping between turbine sump and dispenser 3/4 and 3 satellite . <br /> 4 . List of equipment to be used (Attach manufacturer's specification sheets showing thlyd-party approval) : <br /> OPW Fiexworks Piping and Fittings <br /> Dependinggn availability C15A Piping with SBC2150 Bolt on Coupling and BGP - 2150 Gasket <br /> kit or the C20A piping with SBC - 2200 Bolt on Coupling and BGP - 2200 Gas et ut <br /> EH230038 (revised 12-11 -15) 3 <br />