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LT US ru ,, Local Relationships.National Resources. USI JB Insulation 14255 SW Galbreath Drive Sherwood, OR 97140 Installed Insulation Certificate We certify that the insulation material listed here was installed at the address listed below: Other than loose fill only aluminum foil only loose fill& aluminum foil Initial Installed& Aluminum Foam No.of Coverage Minimum Settled Air Spaces Direction of Loose Fill Kraft Unfaced Foil Open/Closed BIBS® R-Value Thickness Pkgs Area(SF) Thickness No.(Thickness Heat Flow Attic El E ❑ ❑ n n 49 Ceilings ❑ n ❑ ❑ ❑ n Floors ❑ ❑ ❑ n ❑ Walls n © ❑ ❑ n ❑ 21 Basement ❑ n ❑ ❑ n ❑ Crawlspace ❑ E C ❑ ❑ ❑ 38 T Other ❑ ❑ ❑ ❑ n n z is Contractor Dylan Mallery Address or Lot Number: 7644 Sw Hansen Lane 6c— Q (Signature) City,ST Zip: Tigard,OR 97224 Title Operations Support Specialist Date Installed: TT.OPS.FRM.010