Report 6130 SLJ/it()ab s I
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SM & COA;!N coAHNGs Installed Insulation Certificate
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Please retain for your records
Product(s): ICC-ES Number
SWD Quickshield 1/2# Polyurethane Foam x CCRR-1051
SES 1/2# Polyurethane Foam ESR-3375
SES 2# Polyurethane Foam ESR-374
Demelic Heatlok HFO ESR-4073
Thickness Total
(in) R-value
Roof deck 10 38
2x6 exterior walls 5.5 21
Floor 8 30
Other
Other
Other
Other
Jobsite Address: 6720 SW Alfred St, Tigard, OR 97223
Date of Installation: 10/21/2019
Insulation Contractor: Spray -On Foam & Coatings Inc
Insulation Contractor Contact: (360) 573-3131
Name of Installer: Nels Tikka & Jon Tikka