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UTHENTICITY OF THIS DOCUMENT YOU MUST T VER ANO RUB THE PROMISSOR LOGO WITH FINGER.AUTHEN CUMENT WILL CHANGE COLOR FROM ORANGE TO V ELLO'. <br /> t <br /> UST Installation/Retrofitting <br /> 4 i <br /> f' Promissor ID: XX4141014428 <br /> Name: <br /> RANDY CHADWICK ` Date: 12/29/2004 <br /> Address: <br /> <br /> <br /> ,. . <br /> lvi <br /> EXAMINATION RESULT: PASS <br /> Congratulation! You have passed the UST Installation/Retrofitting 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 /> Itis extremely Important that yQuftotify Promissor and ICC of any changes in name and/or address to avoid the <br /> + : posslplllty of your certificate not baing received. Please contact Promissor at 800-275-8301 and ICC at <br /> ' 877 783. 926 with changes t0�r'pari a and;address. There may be an additional fee if a certification is <br /> '+ re-issued'due to a misspelled name or incorrect address. <br /> 1 <br /> } <br /> 4 <br /> 0:1: <br /> it <br /> R <br /> g <br /> q. <br /> T <br /> h" <br /> 1 <br /> 1HOIN ONV ld3l H108 SV3HV N3HklVO H11M 1HOIl Ol)iUvO 4VOtid A'iN3A3 ONV A-ilvnavNO ti0100 S30NVHO 1VHl ONn02lON0v8 03210100 aim V SVH 1N3Wn000 SIH!d0 30Vd 3H1 <br />