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INSTRUCTIONS FOR CO LE T ING FORM "C°: TANK INSTALLA N CERTIFICATION <br /> GENERAL INSTRUCTION'S <br /> 1. Each tank system must be in compliance with the federal and state technical <br /> standards, contained ir, law and regulations, for tank and piping installation. <br /> 2, This certification Shall be completed by either the UST owner or representative. <br /> . One certification is required for each tank 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 ertitication to the appropriate Local Implementing Agency. <br /> 1. INSTALLATION: MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT 'rHE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> 11. CATH: THE TANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br /> CORRECT. THE PERSON'S NAME SHOULD BE PRINTED UNDER THE <br /> SIGNATURE, <br />