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1 FORM "C": TANK INSTALLARON CERTIFICATION <br /> GENERAL lNSTRUC-i!UNS <br /> 1. Each tank system must be i, ----i'ance with the federal and state technical <br /> standards, contained in law aw, °Iatlons, for tank and piping Installation. <br /> 2. This certification shall be comr eithl-1- ",;c UST owner or representative. <br /> 3. One certification is required for each iank system. This form shall be used to <br /> make the required certification. <br /> 4. Please type or print clearly all requested information (for printing, please use a <br /> hard point writing instrument). <br /> 5. Submit the completed certification to �e appropriate Local Implementing Agency. <br /> 1. INSTALLATION: MARK ALL OF THE ITEMS �N'j,CATE THAT THE <br /> INSTALLATION REQUIRE,,, �-: <br /> IL OATH: THE -)WNEP GER'' , BY SIGNING 011L <br /> CER:-:- F PROVIDED IS TRUE AIK, <br /> 33HOULD BE PRINTED U'NDER <br /> SiG� <br />