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Anchorage Connecto <br />Test Report <br />Test Report Number: <br />Job Number: <br />Product Type: <br />Product Model: <br />Dates of Manufacture: <br />Date(s) of Testing: <br />This test report covers these additional products: <br />)0654, 00659 <br />2018072600657 <br />Qualification 199 <br />Anchorage Connector <br />00657 CB-18 Roof Anchor <br />05/01 /18 <br />06/25/18 <br />CITY OF SANTA ANA <br />Planning and Building Agency <br />TIP <br />may, lS. <br />Approved <br />FOR k1 WI-5 8 �V C E <br />800-466-6385 <br />Date: <br />Tests Completed Test Date Pass Fail <br />Dynamic Strength 6/25 Pass <br />Please see attached test data for details <br />TEST EQUIPMENT <br />Equipment Model Serial <br />Authorized Signature: G <br />Name (printed): Eric Helgeson <br />Title (printed): Regulatory & Quality Compliance Director <br />Date: 08/17/2018 <br />Page 1 of 3 <br />