[별지 제7호 서식]

CERTIFICATE

FOR

PERFORMANCE INSPECTION

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․ Name of Machine ․ Capacity ․ Model or Type ․ Number of Certificate ․ Date of Issue ․ Manufacturer ․ Address	: : : : : : :

This is to certify that the above machine has passed the performance inspection for safety by the Industrial Safety and Health Law of the Republic of Korea.

(Signature)

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Director of Local Area Office

Korea Industrial Safety Corporation

321-29111일	210×297(㎜)

’97. 11. 5. 승인(제정)	보통용지150g/㎡