Laserfiche WebLink
INSTRUCTIONS FOR COMPLETING FC'r NI "C"; TANK W TALLAT"I li CERTIFICATION <br />NERAL INSTRUCTIONS <br />Each tank system must Ite In compliance vlh the federal and state technical <br />standards, contained in lair and regulations, f r teak and piping installation. <br />. This certification shall be completed by ef1fier the UST owner or representative. <br />. One certification is required `;-jr each lkan .y s gym. This form shall be used to <br />make the r uir dr if Corti `�.'. <br />4. please type or print 1*, _v -AP� �� � � .:. <rti r� {for printing, please use <br />hard point writing instrumento. <br />5Submit the completed certification to the appropriate Local Implementing Agency. <br />L INSTALLATION: L OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br />INSTALLATION REQf T ARE MET. <br />If. OATH: THE TANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br />CERTIFICATION, THAT THE INFORMATION PROVl IS TRUE AND <br />CORRECT. THE ES 'S NAME SHOULD PRINTED UNDER THE <br />SIGNATURE, <br />