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s 'T <br /> INSTRUCTIONS FOR COLETING FORM "C": TANK INSTALLAMN CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> 1. Each tank system must be in compliancy with the federal and state technical <br /> standards, contained in law and-regulations, for tank,and piping installation. <br /> 2. This certification shall be completed by either the UST owner or representative. <br /> 1 One certification is required for each tangy: system. This form shall be used to <br /> make the required certification. <br /> 4. Please type or print clearly all requested information (for prititing, please use a <br /> hard point writing instrument). <br /> 5. Submit the completed certification to the appropriate Local Implementing Agency. <br /> 1. INSTALLATION: MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS .ARE INET. <br /> 11. 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 NAME SHOULD BE PRINTED UNDER THE <br /> SIGNATURE. <br /> 1 ' <br />