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INSTRUCTIONS FOR COMPLETING F ORM "C", TANK INSTALLATION CF TIFI ATI <br /> GENERAL INSTRUCTIONS <br /> 11 n, sQ ern rn-q t be In compliance with the federal and state technical <br /> F ess <br /> contained ed n €ate- and regulations, for teak and pipinginstallation. <br /> 2. This certification shall L a completed t either the UST owner or representative. <br /> r�rtll � hsystem. Thl f rr ll t0n r <br /> mak(,,, the, re�ouir d c rt,I`Ic tl r. <br /> P ,,n typo or print clearly all requested information ( car printing, please use <br /> ird point writing in trUrnent). <br /> he completed cerfification to the pprcaprlt Local Implementing Agency. <br /> l., l�". .s`?`' . .,--tt.$,N: t,,t ARAl.L OFTHE ITEMS THAT APPLY TO INDICATE THAT THE <br /> !NS-i-ALi-,;vl`l0N REOUIREPAENTS ARE MET, <br /> ll, OATH: THE `TAT C:WNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> C,ERI,Tjf,-lkCATi0N, THAT .fi H INFORMATION PRO IDE IS TRUE AND <br /> (; RREC ,. THE p I l 'S NAME SHOULD PRINTED UNDER THE <br />