AUTHORIZED INSTRUCTOR |
. . . . . . . . . . . . . . . . . . . . Powder Actuated Tools Date . . . . . . . . . . . . . (make) |
Card No. . . . . . . . . . . . . . . . Social Security No. . . . . . . . . . . . . . . . . . . . |
This certifies that . . . . (name of instructor) has received the prescribed training in the operation and maintenance of powder actuated tools manufactured by . . . . and (name of manufacturer) is qualified to train and certify operators of . . . . . . powder actuated tools. (make) |
Model(s) . . . . |
Authorized by . . . . |
I have received instruction by the manufacturer's authorized representative in the training of operators of the above tools and agree to conform to all rules and regulations governing the instruction of tool operators. |
Date of Birth . . . . | |
. . . . (signature) |
Figure G-1 Sample of Authorized Instructor's Card |
[Statutory Authority: RCW
49.17.010,
49.17.040,
49.17.050,
49.17.060. WSR 16-09-085, § 296-155-36319, filed 4/19/16, effective 5/20/16. Statutory Authority: Chapter
49.17 RCW. WSR 94-15-096 (Order 94-07), § 296-155-36319, filed 7/20/94, effective 9/20/94. Statutory Authority: RCW
49.17.040 and
49.17.050. WSR 86-03-074 (Order 86-14), § 296-155-36319, filed 1/21/86.]