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UNITED ASSOCIATION LOCAL 501

NDE LEVEL II VISUAL INSPECTION CERTIFICATION PROGRAM

CONTINUITY INQUIRY

IT IS THE SOLE RESPONSIBILITY OF THE MEMBER TO HAVE THIS FORM COMPLETED BY THE EMPLOYING CONTRACTOR AND RETURNED TO THE U.A. LOCAL 501 EDUCATION DEPARTMENT VIA FAX  (630) 978-9240 OR DROP-OFF (NOT MAILED) ON OR BEFORE THE CERTIFICATION EXPIRATION DATE.

 

CONTRACTOR____________________________________________________

PHONE NUMBER__________________________________________________

INSPECTOR'S NAME_______________________________________________

UA#_______________________________________________________________

INSPECTOR I.D. NUMBER_________________________________________

 

DATE ____________________________________________________________

 

SIGNATURE______________________________________________________

CONTRACTOR REPRESENTATIVE