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INSTRUCTIONS FOP, COMPLETING FORb1 "C": TANK INSTALLATION CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> 1. Each tank system must `',e ;n compliance v-lh the federal and state technical <br /> standards, contained in law and regulatiors, for tank and piping installation. <br /> 2. This certification shall be completed by Other the UST owner or representative, <br /> 3. One certification is required %or each tangy nys';6�M. This form shall be used to <br /> make the required certifination. <br /> 4. Please type or print All <br /> re.IqUev",�Iel' fnafion (for printing, please use a <br /> hard point writing instrument). <br /> 5. Submit the`6o?npleted ciertification to 116 appropfiate Local Implementing Agency. <br /> INSTALLATION: MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> OATH: 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 />