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FL# FL10674•-R13 Wait�a�ea30
Application Tom. Revision
Code Version 2017
ApplicationStahss Approved
Comments
Arddved
Product Manu%ctuner Owens COMIN
AddreswVhonelErnaff One Owens Corning MA-W
Tondo,OH 43638
(740)404-782
, - grseg. .com
AUdwrized
SVssatxsre Greg Keeles'
C= '-Z)
Te+chnisml Representative Mel Sarmaunt
2,Owens Cornav P'(WY `
Toledo;OH 43699
(419}376-8360
com
-Qmtbty ASSW"dnOe Repretive
C�rY --Rswt1rss3
Subegory Stsingles
Compliance,Mood Evakkdion Report thorns a Florida Registered Architect or a Licensed Fiorida
Profinsional Eng'sseer
Evahm on Report-Hardcopy Received
FForida EINImw or Architect Narfle who developed Robert 3.M_Niers kmn
. the Eft Report
Florida Lscense PE 59166
! Qty ttsss�Entity L1L LLC
QTY Assurance Cartract Expiration Date OW16/2020
SiVeNdated John W Knezevich,PE
R!Vin C.heddist-hardcopy Reeved
Certificate-4f lndepe Cie FU0 74 R 1_3 CDI 20t 7 01 CQ; Nie --
Rek ended ward and Year(of Standard) ism
Starsefar�
ASTM 43161 2016
ASTM 03462 2010 -
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Note:The dra Nmp below pertm to minmwn,as4ested allKM mt regiwwnerft Refer to Owens Garza
pubfidW lotion,moans fbrttWW n*dmunrn requlr+ernents-
7. LUELUM
7.1 Labeft shall be en aaom4ance with the requirements the Accredited CMW AWmanae Agency nofed
herehL
7.2 Asphaft a*qoe wrappers shag kxficate compliance with one of the required classifications detiiged in FK
Jr.-Me Jf t.7.11 .64-
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As requited by the 9uit&g Uffaal or Audwrtiy Having AvIsdictkm in order to property evaluate the Instaftdon of
thus product.
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Contact the named QA entity for information on which plants produce proms covered by Florida Rule*4-3 GA
UL UC Q 2 J(631)546-2458,
END OF EVALUATKM REPORT-
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