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12987455
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Last modified
7/30/2025 8:00:11 PM
Creation date
7/30/2025 4:16:53 PM
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Permits
Permit Address
13773 SILVER FALLS HWY SE
Permit City
Sublimity
Permit Number
555-17-002804-STR
Parcel Number
081W14 00600
Permit Type
Structural
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Alternate Material(s) and/or Method(s)
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INTERTEK TEST DATA SHEETS Page 3 of 3 <br /> Client/Ref#: Guardian Fall Protection Engineer: Chad Morey <br /> Job No,: G102085307 Tested By: Andrew Rulison Date: 4/24/15 <br /> Product: Roof Anchors Reviewed By:Chad Morey Date: 4/24/15 <br /> Model No.: 00500 Standard: ANSI/ASSE Z359.1-2007 <br /> Quote#/Customer#500593353 TRANSCRIBED TEST DATA <br /> 5.3 Instruction Requirements(General) • <br /> 5.3.1 Provided to the user printed in English and affixed PASS <br /> to the equipment <br /> Shall contain the following information: <br /> • instructions shall be provided to users <br /> • mfr's name,address, telephone# <br /> • mfr's part number, and model designation <br /> • intended use and purpose <br /> • proper method of use and limitations <br /> 5.3.2 • illustrations showing locations of markings PASS <br /> • reproduction of printed information <br /> • inspection procedures <br /> • anchorage requirements <br /> • criteria for discarding equipment <br /> • procedures for cleaning, etc. <br /> • reference to ANSI/ASSE Z359.1-2007 <br /> 5.3.3 Require that only the equipment manufacture to PASS <br /> make repairs <br /> 5.3.4 Require the user to remove equipment subjected to PASS <br /> a fall <br /> 5.3.5 Require the user to have a rescue plan PASS <br /> Warnings regarding: <br /> • altering the equipment <br /> • misusing the equipment <br /> 5.3.6 • using combinations of components PASS <br /> • exposing the equipment to chemicals <br /> • using around moving machinery <br /> • using near sharp edges _ <br />
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