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TO VERIFY AUT-HHEENTICITY OF THIS DOCUMENT YOU MUS' <br />■®10 <br />OVER AND RUB THE PEARSON VUE LOGO WITH FINGER AUTHE !OCUMENT WILL CHANGE COLOR FROM ORANGE TO YELLOW <br />Emma California UST System Operator <br />I NTERN,ATIONAL <br />CODE COUNCIL <br />Candidate ID: XX4341052010 <br />Name: MARK FAIRBANKS <br />Address: 6235 MICHEL RD <br />MOUNTAIN RANCH CA 95246 <br />Date: 9/29/2011 <br />Birth Date: 8/29/1956 <br />EXAMINATION RESULT: PASS <br />Congratulations! You have passed the above named examination. Your wallet card will be forwarded to <br />you by ICC within six weeks from the last day of the month in which you tested. This certificate is current <br />for two years. <br />You may request a wall certificate from ICC as well. Throughout 2011, this certificate will be provided at <br />no cost to you. if you request it within 90 days of your exam. Only one wall certificate per exam passed <br />will be provided to you at no charge. For more information on requesting a wall certificate, go to <br />www.iccsafe.org/inspector. <br />It is extremely important that you notify Pearson VUE and ICC of any changes in name and/or address to <br />avoid the possibility of your wallet card and/or certificate not being received. Please contact Pearson <br />VUE at 800-275-8301 and ICC at certexam @iccsafe.org with changes to your name and address (name <br />changes may require additional documentation). There may be an additional fee if a certification is <br />re -issued due to a misspelled name or incorrect address. <br />i <br />i <br />I� aft <br />1iH018 ONV1331 HiCS SV38V B3NUVO H11M iH911 Oi NdVO WOdzl A1N3A3 ONV ki-ivnavu9 ,doioo s30 <br />3"(1000 SIHi 30 <br />