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INSTRUCTIONS FOR COM*L-ETI'NG FORM "C'. TANK INSTALLAT CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> . Each tank system must be in compliancewith the federal and state technical <br /> standards, contained In low and regulations, for teak and piping installation. <br /> Z This certification shall be completed by dish r the UST owner or representative. <br /> One certification is required for each teak system. This form shall be used,t <br /> rake the required certification. <br /> . Please type or print clearly all requested 4rk,f rrn tion (for printing, please use <br /> hard point writing instrument). <br /> . Submit the completed certification to the rn ri te Local Implementing Agency. <br /> 1. INSTALLATION, MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> flm OATH: THE TANK,OWNER OR AGENT SMALL, CERTIFY, BY SIGNINGE <br /> CERTIFICATION, THAT THE INFORMATION PROVI IS TRUE AND <br /> CORRECT, THE PERS E SHOULD BE PRINTEDUNDER T'1 <br /> SIGNATURE. <br />