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TRE FACE OF TINS.DCCVMENT HIS A MULTI COLOR CD HACRGROUNO TMATC"A9GE9 COLOR CRANIALLY AND FYLy rROM DA <br /> Caiifomia UST Service Technician -' <br /> CIL <br /> Candidate ID: XX4341049822 <br /> STiECISMOWSo <br /> Date: 6/28/2011' I <br /> 4y1y�t��• :. '. �: � i <br /> ++y 830 FRONTAGERO Birth Date' 3/18/1968 <br /> I <br /> NIPOMO CA 93444 <br /> EXAMINATION RESULT: PASS <br /> Congratulations! You have p ,:the;a4oye named examination. Your wallet card will be forwardeif to <br /> you by ICC within six weeks from the last day of the month in which you tested. This certificate is current <br /> for t�•,years. <br /> You may request a wall certific'ate.fKofrr ICC as well.Throughout p <br /> y eq LlghCUt 2011,this certificate will be rowd8'd%tat. <br /> rIq'..4E 4 y0U, if you request It within;9q ys of your exam.Only one wall demi}bete per exam,possed- <br /> �VJlkpa prolrided to you at no chaige. For more information on requesting a wall certificate, go to <br /> tiYr7�e orglnspector. <br /> is ztremely important tha(,ypu.-noljr Parson VUE and lCC of any than in nameand/or adtiato <br /> .;f�Q](�jFassibllily of your wallet card and/or certificate not tieing"recee�se contact Pearson <br /> 275-8301 and ICC at certexam®iccsafe.ora with changes,to r e.and address name <br /> ux , . 9. YSaJ�?tArt1 <br /> o}ietigeg may require additional documentation).There may be an addttiona!�ee rf a certification is <br /> re-issuecfi'due to a misspelled name,or:ineorrect address. <br /> tIj�R44 JJ <br /> • 4 <br /> Tv c <br /> MOTl3A 01.3DMtlH0 WOtli tlO lOO 3ONVHJ IIIM 1H3YN1�O0]I1N3N1'RV tl�9fMYKDX4IDP��dr12 f10Ybtl3tl 3N1 S(ltl pNb tl]AO NURL LSMV ROA VhIAA OO%HL JO A_LIJUI]Hl_ \I":- <br />