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JpIFIiC PROOIRAM CONSOLIGAT6C FORM <br /> a <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM - TANKS <br /> UPJI�ER.�RO�!Nn aT'�iLt: � ;�.dYKP - INIVAL LATION <br /> CERnFICATE OF ^Cllr"LLA-L"CE <br /> (ens pogo per rank) <br /> P.N H <br /> we4 ,., . . . <br /> S M M MAW Mom R 1`41 JTY*AAM MOM•eMM McMfM AN <br /> 41 <br /> A00� 14rlwrar�,si! <br /> k.INSTAL .ATION <br /> (G".**sw en opplr) <br /> row�l6.ri hvthe lank and eiainC M6r1UfaCturRfls. <br /> The tnstalla9on has been inspected and certlfi*d ty u rpgiL aced prvfess;onzl engineer having edumticr and <br /> experience with underground sterKe tank installatK�-+s <br /> The instaaJation .1V been inspected 0m app z ved by the Uriflgd Program <br /> p All wards bated on the,manufecturer's ijlstatltr;ian checklist her.beom�carnpl�!t�*d. <br /> Cly The installer has been celtifed ce lid-VS&C by the Contractors' Stade License Soard. <br /> Th©undo+ground storagr:tar k,any primary p;pin9, and j"ondary cc�ialiment wto <br /> as Insfi0ed ac 0(400 <br /> apo,joable voluntary conb9naut standzrds and written I-,anutadurer's 1ns:atiation p;ecedures. pc:acriptior of <br /> work being c;srtified: <br /> � I <br /> I <br /> li <br /> I <br /> i <br /> I <br /> III.TANK QWNER/AGENT SIGNATURE <br /> I awuh iMl N�fntyR,Won pltt,.Y�o hAwR is f7+e AnE i�AYAIA b M Met d r+1'too-'"°P <br /> �3�— i 1111 CNS DAMN i7Y.NEI�AO Nt <br /> NAMB Df TANK uVAL AGEN,2410 <br /> Fortnerry Sw+�Cg^arm C <br />