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INSTRUCTIONS FOR COIMPLETING FORM "C": TANK iNSTALLATION CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> 1. Each tank system must -09 in compliance with the federal and state technical <br /> s <br /> standards, contained in law and regulatiors, for tank and piping installation, <br /> 2. This certificRVI"on shall be completed by 0her the UST owner or representative. <br /> 3. One certification is required .fear each tank system. This form shall be used to <br /> make therequired certification. <br /> 4. Please type or print clearly all requested ';�Jormation (for printing, please use a <br /> hard point writing instrum��-at). <br /> 5. Submit the completed certification to the appropriate Local Implementing Agency. <br /> I. INSTALLATION: MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> if. 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 />