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ICS P.O. Bor 2047 . YYest Covln!' CA 9t193'2047 <br />Pbotc (626) 9264236 <br />ic6ilsPccfl oo@Yshoo.coltr <br />Hours <br />REGULAR 1.5 x 2X <br />Y 'o--g-- <br />lrL.g.: <br />---Errnica: <br />O Fdi{orc.r r{-O coocra" <br />- <br />O urcorry <br />- <br />Cl Prrrlrro Po.t T.n <br />- <br />O Hr+roottrg <br />-_f*,*nrs,-r o Otb. <br />Dcrcrlpdon ot Work lnt?.ct d <br />Co L€rt.jU a_c Z " T-tlQ'€* O€D l?ocl s '711 3 t ,-t 3b}J <br />5€r -t??o*rcc_ €s a {c Ft t' oL c ,q- rr--lCoD l- <br />t=e t-L Lr n c' 3 Lr n6.s .B a-l ^Et Lr ncs A- r3 w.rr{ b" c r.+o€D tue 5 tr.r cr a, o z z- Lc>5D-l <br />C.o t-r olr z>al-t S Tt+LLA-f ro.-r or= Ft l4\^/t t<- f o -r s <br />t:6r> Ai- s-'"oc- at 6y-rstttt S x ./.t gZo a r< <br />A'rL c€ A3 c tii.. J)€rr- lD -5D-t Lo C-Fr€ O oP L€tEt- Lr n€ \ <br />fs 4<r< t{2-, Lrc."i 3 L I nes |t-G, Lr'"e I Lr n€5 k'G <br />C6)Co tE , |a5 T&r-r-!+ i-lo.r ; 3l+' rtrqE*D€:o 1aaJ5 gr r rl-l B" <br />(-,r^ B AD \Af rr11 5tr"r ,b*J6T aP(,F = - c €3B r-l 7z- t6 €'.t" a<- <br />€c d?r'c.r-s Z,4 5 S I lo c-*-r sz b &oo ??<c<vt't-Lt ac I (a rrc€.J <br />-D ttE Z Lr n€3 Ei- b <br />Mix Us€d Spedm€ns <br />Certiftcation of ComPliance <br />I doclars t,nder ponstty ot podury lhal al ot the above shtements <br />ara lruo, and that ol own p€rsonal knolYledgp lhal tho wofi <br />during tha period covered by thls teport has b66n Pedormed <br />and installed ln every mal€rlal respect in compllance with tha <br />approved plans, spscllications and all applicable codes <br />All lnspecllon basad on a mlnlmum o, 4 hours end over 4 <br />hours - I hou minimum, ln addillon, any lnspeedon €rilendirE <br />pasl noon will bo an 8 hour minimun. lt lnspador ls callsd to <br />a prol€cl and no worft perlormed, I 2 hour minlmum will be <br />applied. <br />lnsp€ctor Name lll/(r.r+^eL.4. bTF <br />-P a-{Approved / Authorized by: <br />lnspeclor (Prolect Sup6&lerdent) <br />(lNp.clion Contuiing Servbe!) <br />Page: I z <br />'tr7. co-rn I z<.t I I -Ly s s <br />Fct G € L mh-N ljutt</t a a *?Bi'EqSgEg'^"r-'rrra.r Ja6168/ra <br />\a.2 9-es r tl *a s-n -J e o LAq4 5ro u <br />RECI,JIBEIIENIST Llclt ol o'r leb lll,rt r; on p.rrdt rrmb.r p.r dt aL ldrntity .llnolt by ryF.itd SPEOFIC loc.loo. <br />N,ol}cooplilnt norl( murt bo Eoc{ic.0y k E ltd. Co.rirunlcrtbn (RFlSktr,rlc.)'roldng ra'rioqt noi.corPlhr{ llfiE musl b. llatod. <br />Eecod convrGsloo! and colrllxr ca0m! Ot poled d.8lF..r. hddn! .nd pefiln onntin! .ulhority olficlah. <br />Oosign PSI Cubic Yerdg <br />lnspector I U 'tt J Iec-Submitted <br />Scanned with CamScanner <br />Iusppcrrox CoxsurrrNc SERvIcrs <br />Sentat Soc,thcm Calilonb <br />INSPECNON BEPORT <br />ffin <br />o