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Dec 30 04 11:03a 40 0 P•3 <br />" w <br />LaserGrade <br />COMPUTER TESTING <br />Computer Test Report <br />International Code Council <br />Computer Exam Report <br />DATE: 12/21/2004 <br />EXAM TITLE: <br />CA Underground Storage Tank System Operator - UC (CUO) <br />NAME: MADSEN, CAROL JEAN <br />EXAMINATION RESULT: PASS <br />LOCATOR: MAK00270 <br />Congratulations! You have passed the <br />CA Underground Storage Tank System Operator - UC (CUO) <br />Your ICC certificate and wallet card will be mailed to you <br />within six weeks after the end of the month in which you passed <br />the exam. <br />Your name as it appears above on this notice will be printed on your <br />certificate and wallet card. It is very important thatyou notify <br />LaserGrade and ICC of any changes in your name and/or address. <br />ICC requires a change of address in writing. Please fax your change <br />of address to ICC at (562) 692-2845 or mail it to: <br />ICC Certification Services <br />5360 Workman Mill Road <br />DO NofiJ6'6tTf1SDRLOMT <br />Sincerely, <br />LaserGrade <br />Applicant Locator: MAKO0270 <br />LaserGrade Computer Testing Testing provided by: LAS94504 <br />P 0 Box 87245 Wollard Aviation dba. Ahart Aviation S <br />Vancouver, WA 98687-7245 186 Airway Blvd. <br />800-211-2754 or 360-896-9111 Livermore, CA 94550 <br />www.lasergrade.com 925-449-2142 <br />