Audit Agency Insp-Eval Cklst Update 051707

WASHINGTON ASSOCIATION OF BUILDING OFFICIALS WELDER QUALIFYING AGENCY INSPECTION-EVALUATION CHECKLIST Updated July 2007 Inspection-Evaluation Information Date: __ ___ __ Initial __ _ Resurvey/audit Surveyor/Auditor Name(s): ____ ____ ____ _______________________ Qualifying Agency Information Name: _ ________________________________________ Address (mailing): ____________ ____ ______________ Address (physical): _______________________ Contact Information Name: __ _________________________________ Phone: ________________ Fax: ___________________ E-Mail Examiner(s) Information _ ____________ _________________ ___________ (Name) (CWI Certific ate No.) (Date Expires) ___________ ______________ _ ___________ (Name) (CWI Certificate No.) (Date ...