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UiHE.'7i CITY Of THIS DOCUMENT YOU MU RN OVER AND RUB THE PHOMISSOR LOGO WITH FINGER.AUT DOCUMENT Will CHANGE COLOR PROM ORANGE i0 YEII�.: <br /> UST Installation/Retrofitting <br /> Promissor ID: XX4141014045 <br /> Name: MARK HENDERSON Date: 12/20/2004 <br /> Address: <br /> <br /> <br /> EXAMINATION RESULT: PASS' <br /> Congratulations! 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 /> It is extremely important that you notify Promissor and ICC 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 be an additional fee if a certification is <br /> re-issued due to a misspelled name or incorrect address. <br /> t <br /> r <br /> 1 <br /> -1 n.OS Sv3av tl3Ntiv0 HllM 1HDIl Ol NtlVO WOUA AlN3A3 ONV AllVrtO{RiO Ut)100 S30NVHO lVHl ONnouoniv8 03UO10O il1nv4 v SVH 1N3Wn000 SiHl d0 30vi 3H1 + <br /> a: �r <br />