Laserfiche WebLink
INSTRUCTIONS FOR COMPLETING FORM "C": TANK =NSTALLATION CERTIFICATION <br /> GENERAL 'INSTRUCTIONS <br /> 1. Each 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 be completed by eu�her the UST owner or representative. <br /> 3. One certification is requiretl for each tank system. This form shall be used to <br /> make the required I certification.' <br /> 4. Please type or print clearly all requester Jormatlon (for printing, please use a <br /> hard point writing instrurnent). <br /> 5. Submit the completed certification to the appropriate Local Implementing Agency, <br /> 1. INSTALLATION: MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MET, <br /> IL 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 />