Application for Radon Measurement Certification - …

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Application for Radon Measurement Certification INSTRUCTIONS: Send completed Application and supporting documents to: NRSB, 14 Hayes Street, Elmsford, NY 10523. If you have any questions please contact NRSB at 866-329-3474. Certification is subject to review and approval by the NRSB. Name * ________________________________________ ______________________________. Address: ________________________________________ ______________________________. City, State, Zip: ________________________________________ ______________________________. Mailing Address (if different) ________________________________________ ______________________________. Contact Person: ________________________________________ ______________________________. Telephone: ___________________________________ Fax: ________________________________________ ____. E-mail:_________________________________ ______ Website: ________________________________________ _.

Application for Radon Measurement Certification V1210 Page 3 of 3 Use of Certification and Logo The applicant will not make claims about certification in a manner inconsistent with the scope of the certification issued.

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