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ly-:.;t4.Y;"Si? T7 F ± rl';i PSCrC $'�Aii�3c.:�rTiru.355'FA1_. . <br /> -''71 � ,A'Fi 2UTHENTICITY OF THIS DOCUMENT YOU MU' RN OVER AND RUB THE PROMISSOR LOGO WITH FINGER.AUTh DOCUMENT WILL CHANGE COLOR FROM ORANGE TO YELLOV:� <br /> Y� � �r <br /> It_=_ UST Installation/Retrofitting <br /> t� <br /> ISYfx\.\TIOYAL <br /> CODE COCSCII.. <br /> Promissor ID: XX4141014428 <br /> Name: RANDY CHADWICK Date: 12/29/2004 <br /> Address: <br /> <br /> EXAMINATION RESULT: PASSt .. <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 800-275-6301 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 /> _ Cab ONr l-T H10a SV38V W3MVV0 HLIM1HOIl01 Ad VO W08J AlN3A3 GNV ATVSOtlHO HOlOO S30NVHO1VH10NnouoA9VB 03uoio0I1lnW V SVH 1N3Wn000 SIHi iO 3j� <br /> _-- <br />