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INSTRUCTIONS;FOR COMPLETING FCS NI ,'C": TANK INSTALLATION CERT"IF " I <br /> GENERAL INSTRUCTIONS <br /> 1. Each teak system must �., in pl°a rr the federal and state technical <br /> standards, contained in law and regulations, for teak and piping installation. <br /> 2. This certification shall be completed by Other the UST owner or representative. <br /> 3. One certification is required ter° each tan -gyllern. This form shall be used t <br /> make the required ortifir tion. <br /> m Please type or print requente °z�i tion (tor printing, please use <br /> hard point writing in trrs lxw). <br /> . Submit the completed ce-ilifiCation to the appropriate Local Implementing Agency. <br /> Ia INSTALLATION: MARK AL F THE ITEMS THAT T" PPL TO INDICATE TT THE <br /> INSTALLATION REQUI T" ARE MET. <br /> Ile OATH: THE T SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br /> CORRECT, THE HI ULA BE PRINTED UNDER THE <br /> SIGNATURE. <br />