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I VTHEUTiCiTY OF THIS DOCUMENT YOU MUST?'17N OVER AND RUB THE PROMISSOR LOGO WITH FINGER.AUTHEK" 00GUMENT WILL CHANGE COLOR FROM ORANGE TO YELLc)',1 <br /> fILI, UST Installation/Retrofitting <br /> COW',COUNCIL. <br /> - ItiTF.&V.4I10�i1L <br /> 1 <br /> Promissor ID: XX4141013771 <br /> Name: ERIC MOLGAARD Date: 12/27/2004 <br /> Address: <br /> EXAMINATION RESULT:.pAS' <br /> Congratulationst 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 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 /> 877.783-3928 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 /> z <br /> X <br /> R 4 <br /> t <br /> t C« <br /> S <br /> 4 <br /> i <br /> "a <br /> e <br /> z"tY <br /> l <br /> t <br /> .r.�,......- 31 ni08 s73tfV t il)IUVG H1IM'1H9I1 O1 A8VO WOtii A1N3A3(INV A11VnOVdO U0'10D S30NVH5.1VH1 ONnOtiONOU803Uoio0 iilnW V-'svH LN3Wn3 <br /> < 0V3 3ri1 <br /> ..±6.. IHl i0 <br />