Shop Approval And Inspector Certifications

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Shop Approval
And
Inspector Certifications
Date:_____________
Name of Shop:_______________________________________
Address:____________________________________________
___________________________________________________
___________________________________________________
Phone #:_____________________________
Name of Owner:___________________________________________
Please also fill out attached Certifications for all Inspectors and return with this form.
_____________________________________
Signature of Owner/Supervisor
______________________________________________________________________________
For Office Use Only
Approved by:______________________________________________
Shop Manager/Supervisor
Date:______________________________

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