HomeMy WebLinkAbout2017-08-16 Cross Connection Control Device Performance Test Reports - Interstate Testing 2017.08.18 04:19 PM :nterstate Testing 7637555365 PAGE. 3/ 20
Cross Connection Control Device Performance Test
Interstate Testing
2140 141st Ave.NW.
Andover Mn.86304
Phone(783)7448148
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I HEREBY CERTIFY�( ra THEf TEST RESULTS a ARE TRUE AND THE TEST WAS CONDUCTED BY ME PERSONALLY.
I)Teeter Herne(print) o%, 1/.4 l[e h Registration No.v 6C 3-23$ ra of Day
Tester Signettge Phone No.76,3 Date 8114//7
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2017 . 08 . 18 04 : 19 PM Interstate Testing 7637555365 PAGE. 2/ 20
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Cross Connection Control Device Performance Test
interstate Testing
2140 141st Ave. NW.
Andover Mn. 583434
Phone(763)7444148
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1 HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS OoNp AE.PERSONALLY.
Teeter Norrie(print) D a, ri ill 1 I /'e i Registration No.06C.3-23 4'Tutsi of Day
Taster Signature (9o•�-1 frt-1E—el., Phone No.76,3 _ Data )c 17
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2017 . 08 . 18 04 : 20 PM Interstate Testing 7637555365 PAGE. 4/ 20
Cross Connection Control [alto Performance Test
interstate Testing
2140 141st Ave. NW.
Andover Mn. 66504
Phone(763) 7444149
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I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTEt 1.ME PERSONALLY.
Tester Nemo(print) 7)o r? ri /11 , 1)-e.h Registration No.0(ei'3-A3 3'F arae of Day
Tester Signature C_,27-%^-k. -4—e.L Phone No.7 6_3 Date eti1 t'
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