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UMPQUA Testing Service, LLC <br /> uTs Ph Box 41- 66-5 0] Fax: <br /> Division 6-Myrtle Creek,OR 97457 <br /> Phone: 54]-863-5201 Fax: 541-863-6199 <br /> [ E-Mail: UTSAurcmail.net http://UmpquaTesting.com <br /> �+ CCB No. 1.88384 <br /> Failure was determined when the panel moved lateral two inches, the panel was no longer <br /> holding the load, or that no more load could be added to the testing station in a safe manner. <br /> Each test was started at approx. 2500 lbs. to eliminate the lateral movement of approx. 7/8". The <br /> load was then added at approx.2001bs. until no more weight could be added. <br /> 41/ <br /> Inspector Name// Loft.) �'�/Jf l/�/}-U7 NumberAC/ /r)VZ?/ <br /> Signature <br /> Date �- A{- ,(_j <br /> Form 146 11/16/10 • <br />