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Dec 20 06 10: 56a Elit?*v Contractors Inc 20946 12 P. 1 <br /> UNIFI Eo PROGRAM CONSOLIDATED FORM TANKS <br /> II <br /> UNDERGROUND STORAGE TANKS - INSTALLATION <br /> CERTIFICATE OF COMPLIANCE <br /> (mepa9epertank) <br /> _ -- <br /> PN <br /> I.FACILITY IDENTIFICATION <br /> BUSINESS NAA`E(S Neaf Glfr'l NAME otOBA- n9 B�mus�*) Z-{/j/ �K' G��j�l Y/ <br /> TANK ID/ <br /> FpCAJIY E16 <br /> IL INSTALLATION <br /> (Check affthat appy) <br /> 9� The installer has been trained and certified by the tank and piping manufacturers. <br /> t The installation has been inspected and certified by a registered professional engineer having education and <br /> experience with underground storage tank installations. <br /> C- The installation has been inspected and approved by the Unified Program Agency- <br /> rT' As work listed on the manufacturers installation checkfst has been completed. <br /> G/ / The installer has been certified or licensed by the Contractors'State License Board. <br /> ci/ The underground storage tank.any primary piping,and secondary containment was installed according to <br /> applicable voluntary consensus standards and written manufacturers installation procedures. Description of <br /> work being cefed: <br /> C oow <br /> IIL TANK OWN <br /> ERIAGENTSIGNATURE <br /> io,nM1mB+.aoe,.se.roa.aww.w neuormA No.eaA:. <br /> T1HtF.Bi TN1N0 GENT MTE <br /> a s' 06 <br /> WWE OFT'A-N-N�GWNE�R/AGfNf(p�V /' /� mM GF TANK DYME mHT <br />