HomeMy WebLinkAbout2018-08-16 Cross Connection Control Device Performance Test Reports - Interstate Testing Ang.20.2012 10:56 AM Interstate Testing 7637555355 #0250 P 17/18
Cross Connection Control Device Performance Test
Interstate Testing
2140 141st Ave.NW.
Andover Mn.66304
Phone(763)744-8149
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COMMENTS
I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTED BY ME PERSONALLY.
Tester Name(print) 7)0 ii el / -i i Lk p• Registration No. '6C 3-23'3'Ernie of Day
Tester Signature 0va1 /2-1,. ..____- 4 Phone No.7(v 3 Date ei1G41
Ang.20.2018 10:57 AM Interstate Testing 7537555355 #0250 P 1S/1S
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• COMMENTS
I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS C ONDUCTE By ME PERSONALLY.
Tecate r Name(print) a'D a•1 •-t i 2 i 2 f- RegIsiration No.0 6 C3-23 ' Time of Day
Teter Signature (2:7N-'1•% "--.-- Phone No_7&3 Date ' J 1 (. / ` `P
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