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INSTRUCTIONS FOR COLETING FORM "C": TANK INSTALLAIN CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> 1. Each tank systeM,.must be;in compiianqe with the,tederal and state technical <br /> standards: contained < lava and-regulations, for tank and piping installation. <br /> 2. This certification that[ be completed by either the UST owner or representative. <br /> 3. One certification is required for each tank system. This form shall be used to <br /> make the required certification. <br /> 4. Please t,�p drtpriht clearly a Ii requested information (for printing, please use a <br /> hard point writing;ipstrument). <br /> S. Submit the completed certification to the appropriate Local Implementing Agency. <br /> 1. INSTALLATION: NJIARK ALL OF THE: ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> If. OATH: THE TANK OWNER OR AGENT SMALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br /> CORRECT. THE PERSON'S NAE SHOULD RE PRINTED CINDER THE <br /> SIGNATURE. <br /> i <br /> r <br /> I <br />�I <br />