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} <br /> INSTRUCTIONS FOR CO LETINC FORM "C": TANK INSTALLATI4JN CERTIFICATION <br /> Y$ # <br /> !NST7'!7 1(�+ <br /> be in .*com ajance.with the federal and state technical <br /> law and-regulations., for tank and piping installation. <br /> 1. �s certification hail be completed by either the UST owner or representative. <br /> 3, _"- iicalio Rs re�.iuired for each tank system. This form shall he used to <br /> mE, required certification. <br /> 4. Please type or print clearly all rei queued Information for prinfin , please use a <br /> Pard ?"oiilftri'i'n dwtl",ur entf. <br /> 5. Submit the completed certification to the apron ria l (gal irnplementing Agency. <br /> 1. INSTALLATION: MARK ALL OF THE ITEIi S THAT THA17 TIME <br /> INSTALL.ATiON REQUIREMENTS ARE ME ,_ <br /> I1. OATH: THE TANK OWNER OR AGEtsT. SHALL. CERTIFY", BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br /> L ORREC'7. THE PERSON'S NAME SHOULD RE PRINTED UNDER THE <br /> SIGNATURE. <br />