Laserfiche WebLink
SANJ 0 QU I Environmental Health Department <br /> T Y <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 [X] 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 /> Flex connector replacements. No Excavation. <br /> 03/20/25 Replaced (4) leaking flex connectors located in Bio Shed Transition Sump (1-2), (5) leaking <br /> flex connectors in the N. Diesel Transition Sump (1-8) and (5) leaking flex connectors in the S. Diesel <br /> Transition Sump (1-10). <br /> 4. List of equipment to be used (Attach manufacturer's specification sheets showing third-party approval): <br /> Franklin Fueling Flex Connectors (1 4):FF30X1 8EZFXEZM <br /> mination Procedures: <br /> a. Will piping be—ie urinated prior to removal? YES [] NO [] <br /> b. Identify contractor perform ing-decont ination: <br /> Name one (_) <br /> Address City <br /> 3 of 6 <br />