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0 <br /> INSTRUCTIONS FOR 'COMPLETING FORM "C": TANK !NSTALLAT*CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> 11 Each tank system must in compllam-,, with the federal and state technical <br /> standrirds. contained in Saar and regulatic ts, for tank and piping installation. <br /> 2c This certification shall hl;. �,ompleted by her the LIST owner or representative. <br /> One certification is re t, J for each ta system, This form shall be used to <br /> make the required cerci tion. <br /> 4, Please = s or print cle- : all requeste formation (for printing, please use a <br /> hard point writing instr3 4). <br /> 5Submit the completed certification to the appropriate Local it Agency. <br /> INSTALLATICWMA�"ZV ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> i_' OA-TH- THE TANK OV,,NER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> F,R! TI THAT THE INFORMATION PROVIDED IS TRUE AND <br /> PERSON'S NAME SHOULD BE PRINTED UNDER THE <br /> SIGNATURE. <br />