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INSTRUCTIONS FOR COMPLETINGFOR "C", > INSTALLATION CERTIF C ,"ICN <br /> GENERAL INSTRUCTIONS <br /> t Each trek system rut be in compliance with the federal and to ,µt technical <br /> standards, contained in law and regulations, for teak and piping in t li tion. <br /> Z This certification shall be completedby either the LIST owner or representative. <br /> 5. One certification is required for each trek system, This form shall be used to <br /> make the required certification. <br /> a Please type or print clearly all requested information (for printing, please use <br /> hard point writing Instrument). <br /> 5. Submit the completed certification to the appropriate Local Implementing Agency. <br /> L INSTALLATION* MARK ALL. OF THE ITEMS THAT APPLY TO INDICATE " THE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> It. OATH: THE TANK OWNEROR AGENT'SHALL CERTIFY, BY SIGNING iS <br /> CERTIFICATION, THAT THE INFORMATION PROVIDEIS TRUE <br /> CORRECT. THE PERSON'S NAME SHOULD PRINTED UNDER tE <br /> SIGNATURE, <br />