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�., r"� �. ':'4t ^y} '.:yt h > '• it+I v�� FS 2„':,.SYS 7.,^.T.y�'1 +.:,SL3:�.^F1�'l^vd•1512`�r,RS13S9a'43'"'Y1Z�,L '_ <br /> O ohTICITY OF THIS DOCUMENT YOU MU$ pVEH ANO HUU IMF 7HOMI$SGII LUDO WIT FIN En RUTH ` OCUMENT.WILL CHANGE COLOR FnOM OnANGE TO Yu"'C <br /> ✓+x15�> <br /> + <br /> L"x';::" t <br /> UST Installation/Retrofitting <br /> un:us.mux l,. <br /> (IMECOUNCIL. <br /> d4 * <br /> Promissor10: XX4141015471 <br /> Name: MIKE JONES Date: 01/28/2005 <br /> Address: <br /> <br /> <br /> EXAMINATION RESULT:.PASS <br /> Congralulationsl You have passed the UST In5tallalion/Retrofilting examination. Your wallet card and certificate <br /> will be forwarded to you by ICC within six weeks from the last day of the month In which you tested: This certificate <br /> Is current for two years. <br /> It is extremely Important that you notify Promissor and)CC of any changes In name and/or address to avoid the <br /> possibility of your certificate not being received. Please contact Promissor at 800-275-8301 and ICC at <br /> 877.783.3926 with changes to your name and address. There may bean additional fee If a certification is <br /> re-Issued due to a•misspelled name or Incorrect address. <br /> i <br /> 2 llt4;«MIf.,, <br /> - 1�`Aa ONV Lail 106$V3tlV tl3 NOVO H11M 1H911 01 NOVO WOei A1N3A3 ONV Alivnov8o e0100 S39NVH01VH1 ON000ONOV6 0360100 111nW V SVH 1N3 Wn000 51H1 l0 3DVJ ', Iui <br />