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INISTRUCTIONS FOR COMPLETING FORM "C": TANK INSTALLATION CERTIFICATION <br />GENERAL INSTRUCTIONS <br />10 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 to completed by either the UST owner or representative. <br />1 One certification is reqUired for each tank system. This form shall be used to <br />make the required certification. <br />4. Please type or print cl . e arly I al 1 1 ru act ad inf a r;r afln for pr'In ting", please use a <br />hard pptnt writing instrument). <br />s, Subrnil ib e completed certification to the appropriate Local Implementing Agency. <br />I. INS11"ALILATION- INARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br />INSTALLATION REQUIREMENTS ARE MET. <br />IL OATH: THE "I'ANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br />eft RTIFIC,'ATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br />CORRECT, THE PERSON'S NAME SHOULD BE PRINTED UNDER THE <br />SIGNA-IFURE. <br />