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Dec 03 07 08: 37a Elite Tv Contractors Inc 2094616342 p. 2 <br /> V <br /> UNIFIED PROGRAM CONSOLIDATeo FORM TANKS <br /> UNDERGROUND STORAGE TANKS-INSTALLATION <br /> CERTIFICATE OF COMPLIANCE <br /> (one page per tank) <br /> L FACILITY IDE"FlCATION <br /> BUSINESS NAME(Sn"U FACILITY NAME of DBA-OokV OWND"AQ <br /> AODRE48(for vas orty) <br /> 1�Al J. -+ d-":1:` <br /> 7-Off <br /> it.INSTALLATION <br /> (Chock all that apply) <br /> 112 The installer has been trained and certified by the tank and piping manufacturers. <br /> 0 The installation has been inspected and certified by a registered professional engineer having education and <br /> experience with underground storage tank installations. <br /> The installation has been inspected and approved by the Unified Program Agency. <br /> All work listed on the manufacturer's installation checklist has been completed. <br /> The installer has been certified or licensed by the Contractors'State License Board. <br /> The underground storage tank.any primary piping.and secondary containment was Installed according to <br /> applicable voluntary consensus standards and written manufacturer's installation procedures. Description of <br /> work being certified: <br /> 1� c <br /> C <br /> 0,1 t <br /> 60,,Urt <br /> III.TAW OVYWENAGENT SIGNATU RE <br /> SJWWi(r7 TAW OWN <br /> NAME OF 1AWQWNI5WAGENfIW0 <br /> L L 0- <br /> CUPAFORMS(4194) Fortmarly SWRC8 Form C, <br />