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INSTRUCTIONS FOR COMPLETING FORM "C": TANK INSTALLATION 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 />2This certification shall te completed by either the UST owner or representative. <br />3, One certification is reqUired for each tank system. This form shall be used to <br />make the required cerfifleation. <br />4Please type or print clearly all requested information (for printing, please use a <br />hard paint writing instrument). <br />5Submit the cornpal eted certification to the appropriate Local Implementing Agency. <br />Ie INSTALLATION-, MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br />INSTALLATION REQUIREMENTS ARE MET, <br />11" OATH: THE -EANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br />SFE R-711"1CATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br />COrR'REC1", THE PERSON'S NAME SHOULD BE PRINTED UNDER THE <br />SiGNATUIRE. <br />