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Et.�Q OF;,--. L1.CiHT WrM DARKE0 AREAS 60TH LEFT AND RtPH.T u <br /> . t. .. s.. <br /> : p <br /> `i <br /> ,Californl ,UST Service Technician <br /> 1: <br /> l ' <br /> .3r• I• <br /> ! gg <br /> 3 <br /> "F <br /> � <br /> �w 19.•. <br /> { <br /> t G draatob ICC00Q44114 <br /> !f �.!� I �t ',• E� 3 f t°. : iF t„..:. .. ,. ., Ij T d <br /> >� Name: <br /> JOHNNY SOU7_ADate: 4•/9/2013 a f ! <br /> �4 to Ads�r>ess ' \, <br /> <br /> <br /> <br /> 4 <br /> !' EXAMINATION RESULT: PASS <br /> , <br /> .yl��1 Y i r.t it4 s <br /> 51?� Go > tttl #iorts1 You tt�ve passed tfe above named examination. Your wallet card will be forwaCded to'. <br /> you by:ICCrith�n s�X weeks from the last day of the month in which you tested. This certificate::fs"current k <br /> for two years z <br /> `, koaa�rry r+�quesf a Viral[=pertjfiaate ftgtn ICC as well.Th[s certificate will be provided at no cost#o you,if <br /> t'rogUest it wit h{r►90 days-of yWr oxarn.Only one wall certificate per am passed will be provtdsd to <br /> ;you,;atrlo:ciar e ;FQ.r:inore infation on requesting a wall certificate,go tq www.iccsafe.orgrnspea or,. <br /> � ! ,._. <br /> itsfextrm�ely jpCjttant#hof you nb#iiy Pearson VUE and ICC of any changes in name and/or address to <br /> " avoad=fid possibifJt}rof yqur vuaile#cd and/or certificate not being received' Please,contact Pearson <br /> \3 <br /> V Ji�,£ax 800 27 ,$301;,and IAC at c rtexam�iccsafe.org with changes to your name and'Aodrdss(name ,5 <br /> cpn �s may,requite ;additi rii documentation},There may be an additional fes if a certification is ; <br /> E. <br /> Ca” quer tlUe fo:'a:misspelleii i 4`4'i incorrect address. ; <br /> shy s.•���::Fx.•x, l.,�,,��4�t:� <br /> x <br /> y <br /> : <br /> : <br /> .\.. - •; Lii. <br /> 3 <br /> }z ja <br /> tj'! Lt 4I <br /> � l, <br /> gw <br /> - <br /> � e 1 Ii. <br /> t L`£ <br /> =f'c' iia <br /> f4 <br /> - <br /> o., <br /> !' - � 'cel;:;:�!k•:.:-^.':� <br /> • ...: .. ..... .,,E .j. !i:! ;^f. ..... .. . . <br /> ..::-:,..�• . . -s: . �.7 is �:' <br /> G V H3Ao Mt q isnw fIoA'iN3NY1DOQ 51H1 io,1iimhmiifN Ait83, 9 <br /> iViO`ll3h'OY+3"J.Y11180;k`1F3'S `IO'�� xJNpF10•lllYVl'Iry3WfiD.fX75oI1N3Hitltl�'173xJNI�HIIMD73fU1N0.StlV3 7119(1 N — - <br /> k-� qt .ti "'�° S - sy^• 'i44�>�' ' 3:�• •�-'' -yy,�,,y \- �y� �' $ i- �a <br />