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10 INSTRUCTIONS tea_ STS CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> t. Each tank system must be in compliance with the federal and state technical <br /> standards, nt i n iaw andregulations, for tank and piping installation. <br /> This certification shall be cr p1 t d by 0,,her the LIST owner or representative, <br /> 3. One certification is required for each teak system. This form shall be used t <br /> make the required certification. <br /> .. Please type or print clearly all requested, } ;formation (for printing, please use <br /> hard point writing instrument). <br /> 5. Submit the completed certification to the appropriate Local=Implementing Agency. <br /> 1. INSTALLATION: MARK ALL OF THE. ITEMS THAT APPLY'T INDICATE TI T 1 <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> If. `~I: THE TANS OWNER OR ADEN` SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDEC IS TRUE AND <br /> CORRECT. THE PERSON'S NAME SHOULD PRINTED UNDER THE <br /> SIGNATURE. <br />