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AWS Certified Welder Application Please print in blue or black ink 550 N.W. Lejeune Road Miami, FL[removed]Tel: ([removed], Ext #: 273 Fax[removed]
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Document Date: 2009-04-15 08:54:28


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City

Miami / /

Company

L Limited / THICKNESS U Unlimited / Position Qualified 6G Thickness Range Unlimited FILLER METAL / Filler Metal / /

Currency

pence / USD / /

Facility

Accredited Test Facility / F Chemical Plant / /

/

Organization

U.S. Securities and Exchange Commission / AWS Certification Department / /

/

Position

AWS Certified Welder / Facility Test Supervisor / Signature Date CWI Certification Number Cert-CW-Certified Welder / Certified Welder / WB / AR HE Ar/CO2 CO2 Argon Helium Argon/Carbon Dioxide Carbon Dioxide Cert-CW-Certified Welder / Welder / ATF Supervisor / /

ProgrammingLanguage

FL / C / /

ProvinceOrState

Zip Code________ Province / Florida / /

Technology

API / /

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