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0 9 <br /> INSTRUCTIONS FOR COMPLETING FORM "C': TANK INSTALLATION CERTIFICATION <br /> GENERAL INSTRUCT IONS <br /> 1. Each to system must ',-,-"ie �n compliance v-! the federal and state technical <br /> standards, contained in law and regulations, -1for tank and piping installation. <br /> 2. This certification shall be completed by e.'Nier the IST® owner or representative. <br /> 3. One certification is required for each tare' Yyfrle;rn, This form shall be used to <br /> make the required certfficatk,)n,, <br /> 4Please type or print requeFt'^.i (for printing, please use a <br /> hard point writing 1nstrurr4nn,,, <br /> 5. Submit the completed certifim-ation to the appropriate Local Implementing Agency. <br /> L INSTALLATION: MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> 11. OATH: THE TANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED ISTRUE AND <br /> CORRECT, THE PERSON'S NAME SHOULD BE PRINTED UNDER THE <br /> SIGNATURE. <br />