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Document Title: Doc No: FIRM B1-43 <br /> Impact Performance Rev No: 4 Page: 1 Of: 1 <br /> �t4 YrS T 0f. Certification <br /> -- Authorization Report <br /> Required By: PRO 61-03 <br /> CAR & Product ID Number: 138 - 534 <br /> Issue Date: 6/16/2014 <br /> Revision Date: 2/28/2018 <br /> Expiration Date: 4/29/2021 <br /> Company Code: 138 <br /> This Certification Authorization Report (CAR) is issued by Keystone Certifications, Inc. (KCI) after full validation review• <br /> and is based on a standardized evaluation of the product conducted by an independent accredited laboratory in <br /> accordance with the specified referenced standard Ac4ral !•.:nestra;!cn product performance may vary based on many <br /> `actors, includ!na installation, conoi;!on of 'ne ::alkra)f ;u_rtra!e _:rij u,e aye of lne D cALjc;t and rnstaitahon <br /> 'his rFpr)r! nrf!r.atp?, 'h� rrJ !.li.; is :*_pnip fGr jw, aDp:!ca;!on :if k,',(S!cne Cer-i`ica;!on FrQgr2T certification labels. <br /> Licensee shoulates in aff!xrna ce'tfication !3Je!5 'o 'ha: ','�C':ie irc• ticls are tit the ti�� lf1�n <br /> and c)�:,rr:en!:-,- fcr c.u.d., iCalon au' vr!za]-r -%n , :.rccuc's t)c:A,r,,q ,-X.n d C 'l{ FihCn :.rbCl 17:01 tx• <br /> .;rr t yr t7c l,C'r,if laid r'le: ',,S rep--, .a'i ut_ rr.r,`u;.] ,i! :,om <br /> Licensee Information: Product Information: <br /> f11... T. <br /> Referenced Standard: ! Product Rating: <br /> ASTM E1886-0_`J%E 1996-051:09 Miss,le Level D. ."dind Zone 4. DP=---65. 72x76 <br /> Qualifying Test Information: <br /> Test Report No: NCTL-210-3954/55-01 <br /> Test Report Expiration: 4/29/2021 <br /> Authorized signature: Keystone Certifications, Inc. <br /> 145 Limekiln! Rd., Suite 100B <br /> 20 8'02'28 New Cumberland. Pennsylvania 17070 i <br /> i 1� ! r Phone: 717-932-8500 <br /> -� 07:50:33 -05 00 Fax: 717-932-8501 <br />