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INSTRUCTIONS FOR COMPLETING FORM "C": TANK INSTALLATION CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> 1anh, tank system must be in compliance with the federal and state technical <br /> standards, contained in law and regulations, for tank and piping installation. <br /> 2. This certification shall I:a completed by either the UST owner or representative. <br /> 3, One certification is rent it for each r tank system. This for shall be used to <br /> make the required cert!'Jeation, <br /> 4. Please type or print clearly all requested information (for printing, please use a <br /> hard point writing instrument). <br /> fi, Sullnlil the complet#,sd certification to the appropriate Local Implementing Agency. <br /> L 1!,JSTALL,A,,T1ON: P,11ARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> li, OATH: THE TANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> CEr--ITIFICA TION, THATT'HE INFORMATION PROVIDED IS TRUE AND <br /> COST,VPIECT, THE PERSON'S NAME SHOULD BE PRINTED UNDER THE <br /> SIGNATURE. <br />