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0 0 <br /> INSTRUCTIONS FOR COMPLETING FORM "C": TANK INSTALLATION CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> -1. F-,rh--P a a 8 <br /> tank system must be in compliance with the federal and state technical <br /> stondards, contained in law and regulations, for tank and piping installation. <br /> 2. This certification shall t e completed by either the UST owner or representative. <br /> 31 Oroi certification is reqs fired for each tank system. This form shall be used to <br /> make the required certiiication. <br /> 4. Please type or print clearly all requested information (for printing, please use a <br /> hxd point wrifing instrument). <br /> 5, SUbniit the comoleted certification to the appropriate Local Implementing Agency. <br /> L INSTALLAT'ON. NIAPK Ai-L OFFTHE- ITEMS THAT APPLY TO INDICATE THAT THE <br /> I <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> IL OATH. THE TANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIRCATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br /> CORRECT, THE PERSON'S NAME SHOULD BE PRINTED UNDER THE <br /> SIGNATURE. <br />