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Oct 05 07 08: 48a Elitp Iv Contractors Inc 209461F342 p. 3 <br /> l TANKS <br /> �S <br /> UNDERGROUND STORAGE TANKS -INSTALLATION <br /> CERTIFICATE OF COMPLIANCE <br /> page p-tank) ' <br /> A9. <br /> L FACR TfY IDENTIFICATION <br /> 80SUL'SS HANE FACaM XPLUE a DaA-D-v F--Aq <br /> AIx]f2fS5(FPr l'adl.ne a„� <br /> FAC1UTV m, <br /> i <br /> i <br /> i <br /> a WSTAU AMN i <br /> (c t)e(*ail bw appy) l <br /> /E The Inst Bier has been trained and certified by the tank and piping manufadurers. <br /> The instafiation has been inspected and certified by a registered professional engineer having education and <br /> e)perience WM underground storage tank irons. <br /> The instaltation has been inspected and approved by ft Urthed Program Age n y_ <br /> A!woA listed on the manufachm&s.iron checklist has been completed- <br /> The <br /> ompletedThe isomer has been cel6tied or icensed by ttne Contractors State License Boarm <br /> /!7 The underground storage tank,any pamary ppng,and secendary Containment was iasta led according to <br /> appficabie voluntary consensus standards and written marxAxtc s installation procedures Description of <br /> work being certified: <br /> i <br /> E:t 20 <br /> � G7 <br /> E PEIRUM16 ALr <br /> rT/SF l N� i <br /> R✓ICFs N <br /> .11L TANK OWNERIAGENT MNATURE <br /> r7ffi A-i,-vab�pwbd G-ei--M b4Dol of <br /> MOME OF TAM OWNFRIAGSIT - -. .7771E OFTAW n <br /> L <br />