|
INSTRUCTIONS FOR lNSTAL1,.,,,`kT'0N (2,0RTIFICATION
<br /> ,I. Each, lank iay c trnpii,!,,k ice with the federal d state technical
<br /> ,r lam t., t for tank and p* pi,q
<br /> installation-
<br /> TI-ii", m ".,::.ts °,,. 'either`fline UST owner or representative.
<br /> n }k r i, r for a i tank system. This i form seall be used to
<br /> rnake the,,,, sy �.... ;,-en,,Ji 'tib?."``,
<br /> Pleas �'kr�,. or p,i!it ,clearly afl, requested information (for printing, please use
<br /> a,",,<
<br /> 5, Submift fl"ie to file- appropriate Local Implementing Agency.
<br /> INSTALLATION: INK rI ALL D 'THE
<br /> � tfS T APPLY TO 1NDICATE THAT rH
<br /> ,NS"', � fiARE MET.
<br /> e,w,.., a W.^y'2'{ C+,w`o..,.'oA.Fa ..n...Ek'4$.,,Y
<br /> 4a. OATH" THE T.ANI,x. R i,,..,h AGEzzs;.:, "Al-1- CERTIFY, BY SIGNING THE
<br /> teaa s F%��"''""VI FBI D PRINTEDI UNDER'��,,.��', A N'�.."`e
<br /> P..#3w�..,.r S,3 '� * xt.,,, 4£ O14e= a�F,ae 4`k
<br />
|