ࡱ> mqla 4!bjbjڥڥ R\R\66666JJJ8D$Jp "NE6"66&_R660N<Ru0#*##6($#> : Please refer to the QCS Stockfree Fee Schedule for a full description of all applicable fees as well as the refund policy. Completion of this form indicates that you have read, understood, and agree to be bound by the current fee schedule. If you have questions about the fee schedule please contact the QCS office for clarification. Additional charges apply for services performed after the certificate is issued. Name of Operation:  FORMTEXT      _____________________________________________ QCS#  FORMTEXT      _______ Contact Information for Bookkeeping/ Accounts Payable:  FORMTEXT       ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Certification Fees 1st Time Applicant Fee.............................................................................$25....................... $ FORMTEXT      _______ (First time applicants only.) Application Fee.......................................................................................$100........................$ FORMTEXT      _______ (All Applicants) Inspection Fee............... !"y{|m V d f 򺬺t[M?MhPCJOJQJ^JaJhhCJOJQJ^JaJ0jhCJOJQJU\]aJmHnHu+jhCJOJQJU\]aJhCJOJQJ\]aJ%jhCJOJQJU\]aJhh @ B y ³„vh³R„Cvhh*CJOJQJaJh2-N5>*CJOJQJaJhQp5>*CJOJQJaJh>*@OJQJ^Jhh>*@OJQJ^Jhh@CJaJhh@CJ aJ 2jh5@B* CJ UaJ mHnHphHuhshmkhFjhFU$!&!(!*!,!.!0!2!4!gdg$!&!(!*!,!.!2!4!hCJOJQJ^JaJhFhmkhQp hghQp21h:p/ =!"T#$%h FLUBu2_6IvX1MJFIFC      C  " }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?3@h5G M#MF쨽Y艔W4:9.QQ([?l*xWg~ h3g9|E8!O)q]'$/dՆ#^> k3oz.?^6׭M_;=kZ%} KXc';aw(8 T>Qo2: ih\_y0 +p#=Ȑ!5Aߝe|Uljz^F 6.G<@_#K> e`SϨc/߱|#ό=dY4;F+>ƎXoTSҤd+~1_Ygyoox Cr?S_]]auunwHvQSbz):(((x3M,is E7qnȢ:\j+E'>4uK@Q(unݏJuӁ@ EPEPEPEPEPEPEPJk{?eڧMဒvȗԓOji]))lsoۯm@4\ u?-??d7GIa FWT,u<Uuֿk|rk"e)d+uj:r+g/g|=S3~|m1q@mlɤa{z1J1f(aFxf1QΛZlo'k]K#]ŐkV20$>ƾjl~_"WfM,K\' *x5$~+ʿk/ÿ«Ya4v3cS{L*]୅աzjIssa4 O>oOiǥgp7Nʓ~ xuz&~I|46e:tyi_RB,I$Iiu?_SE }SoԈmo`7!}_V^IZu譢G_+ |DN4%Zz.Nhz6>%h^ EլlYe+9> ~~$E L^ck1#>7Y$XkѾHW>?koټECi#|?elx\A&v#~to>~'Jc?73rjSڳH}I\Wi>0d+;۸R}|e\,цd Ԏ*sJTWCZyƮ}uyM4Q*RMx)_48?~S_JlQEQEQEQEQEGrvŞr 1{O XϨlGu*= ;|ǽ}owtx|[HeX exS^G fM^39Nv/9V\Ǜh>oiAo v۠(]v ¿:5kv:$n.ndbF|WMξ34vbќ,+R]jvv:Ox ~)xo?tʬv!qN:d=+pwI\E6 !Osm x[nxCt5 {R#t}LNWɯZ tW:#n?U[U, ^JT~&byN?,#?p;8KX}5܌w*U_VeN>cKE>\j'G3́WBc􌾳 yNcC&g­$׳(,q_^]NJMB֊Owt;{Xڷ3|Pj}ʷEd}kN4cNshM~m|3~֋h&%љ|WiΤ (^CŞ7f[;n!@?uxG5sי }IVI UxHgb0>^:<_(K o!QPekO{PF6'eqko7סJ3Ĭ5Ut 8 Zi5[WWFfeR1~-כFJ8{ғI[oo3b ֹzlq|%č&|h]8Ikٴ}=k@iGs |~d&u,GT|}Ozlwt c+J}m0xڮxG:ċ-|;G-KA#+)4i;A}z{Fx_Sڽk@5+U50ɋOUU$B?ID:Qֲh_weK_kZo[PCK[U**sҾklV-6z4.vevBxuVZU5-ƶt$z_Uy]!wđ^ Blut8W?Ĥ]QБ\|fu^h꺦׫fr 2xXt׵5?">#|>վxQj/*>p"[~):l+5,P?(^OB€8$|q_-_F_tM.kh<*:=~y WV}Q/$|n }-3_># na HRPk]jd2le]~zc?MS5ZMi{YI%ozێkP2{_/979NX _.RTHF2G{s kZPc8tp4BcUzqQ]eQ@Q@Q@Q@e|q|-gg!S>R G4|3Yʱ–* G򯉿i/_ tIkYiUBS_s.V2^آ^?zj"O uUi5YQvyϭ(8P,d~Ab}_B߅ vaPO\Db6‡{W־𕗅4{{ xllq"?ߩ9<(/ BE_xRrM}+r֝~SmYiqN+96y퍺5hW?;=[ x5 I"x܃׷_&O__]_'灼s? ټus=s_1Tw͉?P'oֱı\}#;u`W':ŬjY=}~Xi13QTQZ駖Ǜ PCি iY麤:#cIJ0nq v)hd! [monkydh(VC澼??g Z|m+Zj2>5nN@#eַlz4 ֑GB#<T -9e% .q_M-['𕮓Eomnz׎~_RφfhZnt==:8\4L_[Q;7-E r(\((((( }@}|+(!O|^J௟ 5kE wy2-}+}kj YՏKŞ濵/xKT\ Y?M;OWO7#Mbmsiv?pñh ed,ǒk =NGL<hᩪT [[TW,v (ru7k x[ƙqE7'RkZQ?# ڪ8 [ S?mu`8_qW>~J_Ak^T"C+kJd/F9⦐ͻ}/a!־sࣚ>5 jGc]Ng+/1O6|N4 j7|W?/T;OkUko|FPA9_^ԍLݟM􅢊+cF&pGO̩{Rk*I6W?:~-r|PGόtsj {V䟮\ε6]Igſtn5m |.@YcRHܬ? oNfj[O+g}j[6ZXx7)R}R}i#_^ƛoֺ^["xk4$|h鳩ťu"-1 cxuspƬp?*b|,YaD˄tX.bA>ƾ8nw^S?\_a~؟E?gYi ?ue\U:o?TU9ԕ=ȬX)9k&GG Kh :&kGE\uQ]QEQEQEQE|-%֟4guȫ6`Iހ?m>*|4Ie"kCxO2Gr*?Oǯ&_+\rc(߃ /K爾>$ԟgO-bo0~([ im?n9ɦп5F|C_?ureݏl]Fj;C,|g;~+88a ӭ%snQMneRV/s/_w/M3?~|?syfEſ*Wix^yNi=ܷ-[CYQfGVVRCnӆz{f=ڶqIՎ՘ُ^ x~M FpT>fU^TŸI;[_֣(Km?f 6} :33·tM95 i۴M}VmH'&'o/.5 BÊƤ&[Oӌ;!xx8?.X}N~|R!5{Mqo5ѲػxIGzC2b焮pmkSkGmx3|?񕎱nXzGk;W=?O-u->fIg=ͅ8?N|&߯|MΓsf- c+_ @YwFOu7{ E-zm*}ԫ3^5ǜyrO= x_Im%+[N~y8Qw19=? vS쏓pK'?U)-yUW\'<6Ůd[qtv_$jw1|uǨ+h+$$N^|g%h:ԑFZ-Ž=]X״{+n|Rk`pµ|^[vdAnY.#29< }Ԝ Tͪ=,?{OXM|vkpk|iq}0Ek?|`(̬}^8-_~'Mx^V.V xNQ̓՘0+Ifk4z-in{''¼Z/Yikzƭ.|e¥#AI}Njٕ5S՞Q'~-)<;mw/%r`2_}QIhdPA䱬0a+[_CFtkqշ'>jQ>4w_:R6M~Vu` 7K{vMےZ єݚWk_k:[۝2QuO A?)]l+/67"78p3&'J}է*U(]; 8(^q`ӯ _TK=vGQ WSIb/ll6\Lƿ_~\pQEEPEPEPEP&]>){h?۱,Ku# 1=k-V/<%{i- 8u`E]9Y?{>|mh/O4 O9hoFSk/G׼K~TG⻍B::vE` r ~x:OĿ Q m ?v4Fc<+Ej[`|A^78C7kXv>c^:,XuY ,_4m7T_.:Q֊3_SnꦩYQu#qպeR坚`ՎNwn-Ob+uHQvj@@nk > q{Z%EGPh)ۆzj I"+F EiPM}gjk0v&hQ< Z{f}whَ=": uo(fu׶f;t4z"o~>33k 5}tkE_O;U}]OğElhaf V+Eo\ׯn[X8oR+1f~FeUK1\7fɤfQQ-Uoa+Ѿ~ĉdx#a@l%t Ӕ<6²)ʰ4}KHco@.>I>rĚvqm^̩HdG+0Lz~5&hBv\߇5ל?+_?~ iWŬx&}<;>ԥW,+ӏ 6uS~M kZ kMc-պ{QflAcXni1-d{+$q>"?P:H+XgGZ j(on?wv(anz M \44^AV~ךCk&N=ט~߶ύ>N[ H2uYW*~(}kGP2[1Ҿ7>X4amv^z:hܟ3ع#6;7y%K!`vsF}M4,9a)wn?~CZso~Y NhxoHmgUvFP>^sþ5cXfY$!R(ES_L%xvKmdOս8[[QSi nN?Fَjp:s+/AOOE* ;X tWЍ=(EEY EWqAEPEPEPEP"0S@ ?o4 zk PZ3؃_?O$WĩO f&$ YO~rk\aX~:w|DKXR:\cUZ%u~G~̿?j h.wvǸ+UVAXVe-Yl+J8 |N#7VG *2Ķ6~RWk_5]B{[m>e8>ULDibzΌԒ_sg \uJj1Ul~b2c_hbĚ<3wu>̜^(Do-=z}sJz=.EyK~?B '/aO\_|:9Nv?C/MS4*Uܑ6xMVsk֚^f繺Ecܚ;]ǂo&Uuv[AZe~&~^$xVۥ~SCN<5HS b⫇kX_iBTW?o/čR-dc]\&v)w+^Sfֱ#w-xGþ(D9 z~eA+̲<9[MKr|HPq] èOO?zHr\,*s˰&+MW3TQ{xb ][Pp~knt_xV8#%q@#"xc@y?_QxmaioqR?S:|?S<_|O1__#m_PbDf~iW^O[)v,V)Ն0+|mg8Vݤ6Ui濦#&^OG:%_M ̶l-B^yxWrK,÷~SBRjM!X~25S0}tG܌m_ҽ)2psG4ЃbJﴸȧ?!7|Ms,=0y5l7~ N:K]2<c2|6%UٴӶ?,f}F)i㜀moQ^:2)c𲾖^KfI.~_+7o_"]CO* H?u^/Twn ǁU Z{E2)p~񯠣X)r2#䟆IuX31W>x[ᅪã6vF2eETJ[(xXYT 1_HV˯xJlMtUڷ+c}zTrv= L$SJq>-ΗYYYJc k#]77/JW=>_xzlIjUQ-_9Mcyo-ͣG^:S9|JnO k~^k<- ڏ cvߔUBj+::m&׵wZ=ŜB^h1+NP#\7_&o[Bcoz߀񵬖\y,@\"gRQ*4SSSŠ(( CM^Y"v|CsU6h:s}?;VtƆ|#"20~Y a*RGڑMm_PbDf#Gr=S=q8'~~̣,\k"㋯uo#~&z?^W#Yűh~#}bcUvvje:YG^i\?X؏Wcxx o_1n*9G5 knƪA^VccDtxu-><@8"W>>7>X5+_li޾)|/+ 񆑬j&%i۳06y#j|'xA++Tծm?{>i+9q$Aǥ\h'g|pagk&Y[擦Avq$+77ý':n'/Zex&ώ!"o9%N s {O|'{Z[:B\F tQ*0QrocJyz:PN6z,mAŮt(?ߨUT@?NyQ[3^& #s_#xiM*#ZX2XU_Y/c/Ttءh464/OVMIYh(WֳkWZ!WTvxz ؋}C\_y ރswosXۿM+MlV[K:w636IB7Êg%~ĺho|?0d0'Z#ʡd ӞfV-q-Pޣ?r9UV8_?_OVn6XD|{sp|M{ۉ>%+}{T]-;9h{7?ڗxZacg˜8~GtMuT"ɷV_;迷߉_>"#kW_m ,DSԢވΆ2ӏ&~1uuo nuA#T?9Ix77iY QWw4zfkF  udf@8_j*SQvGf_u.h ( (W) fEO* n7zE@QEҖX?־_cKI_zA׏ZsE)V+pAj'tcZjǖGƁFd`ђ0޻ xc>J,>YrZx`p+ýJl㴙K.<'9YVw3s`:W? >FCN,ت? >'KI$MRһIDzl:{+#((Qu%D)<𭿃t8t4QZWF(a_6C8ds>P{hѬȧ D`;kSZ<.LZ))#|Y:q2)5(I_[|)Q/RkT 16Hv2y8`px?xo:&HtϰV@IW{NNږmٳ.(9\5֢Ub#m+}#Kw?fញxI4/IXwn~?ho6[4r+ pvrOцQoՃ4'T4 K^æ:JƤN5F52o94>!S qOkZHTQN2$~?ck$~OTN2d+޾/blebLHjI=7<Ѿ'xfZe7ZQ,3IV2ofOMߡ@/@C7P[Go 6V1p=kWҟ #Ǟ[%dOJ 4~U/t7Ouus (Pufc>XGln-l#Y`&!sO7D1iӛN;zvg2~ֿʼnKhK֗[c0IhK_|ج~yYo:#^rk +N*UGGU2zsm=U t [qhеllB0A睼k5CH_}s>lYux,o/m y&1?(kF+ j\M[?;`{7zlj+x宵/|FNy%/Gj /ŞjћKl3Ǧ+-fR>j](Or3SAB2z;}#?Y'il6ZFiy,q{/ _vMBel/\AK5> ~y`~T{y,)s;~g2?k ñel<pfmU2M;ww0~>,zoůx_GfֺvFJ{W6qtUcZVs.PM&QEQEQEQEQEQEQEy+7#ޢM697,1zS@ɢ((((((Jc%wϵ|S3D?Ý.ãx&Ş<񦭦NB{7srΣiFy5-l2z^se#9#}C[ҵ#f9nGO\d9kҔ]'?lbpi^Lj?0S^Jo8JA )p C/Qk|z.xZѬEIQ纆9cY 6HQ>h/FNH992 9L Ȕب]뫻=׻}-9wxsǚƥ6k,֚$̒2$<e@5x_ֵV(Mm.V RNE9~h0jx|fڋ2Nw <nς[v:u't`pVJO>K]ni=Oߴ_"LқICKh,żeuhrѕsgak zK"QTKpwЖn:(3ZSwoT`W^{PƋ{OˏOդc2Cxg1p0r>#?|ZӾ%5-ZYiWF pcc :F:W^,54=LeݼIzV,߳m](ֵe|<`ElZb5#ʒi/I{bvHKyխ[4Zr'Boòd R,-OXԼ >o=XmX[6.NU02ce@nR,4cQSڜmo/흠_㝿Z;,sy͍Byk   xSOCn/ MGSs%7olU 8QIN5#i)t'zԾף:{VnXH-My1TmlsP7uG:.SkhK*feU`va wXfI&y؉/`h/ / HOe&Ox=iu]Ud9nacԁ?19 Mɋ[6<H< y~li$1̓d1ʌB`2HX|Ysѯ}?*Z: Es7Ja28tпe]kWN]CėsGmm[=z+{K{mC*hKlxuG\J[LFp s\8]n_{p QEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQES[pEPGߡQE )Gޢ`(M/Eh#wzDQ@ N(((vDText54vDText54vDText54tDText1tDText1tDText1tDText1vDText54vDText54vDText54s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH J@J  Heading 1$$@&a$>*OJQJ^JDA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List 4@4 Header  !4 @4 Footer  !HH z Balloon TextCJOJQJ^JaJN!N zBalloon Text CharCJOJQJ^JaJL1L Heading 1 Char>*CJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] . f y \$!4! b$!4! O[aBNT?KQyFFFFFFFFFFt ,R$Bu2_6IvX1MTU4.@ (    rA?. "Picture 3oSToST#" ?0(  B S  ?:< @ij3!"  \\aa;;!!"  \\aa;;!DCdV-q3 D B| !T,p%V/|JDK2-NOSeSvWpXhc`Kk*"zJ.o( Kmk@@OO8@8 8@88UnknownG*Ax Times New Roman5Symbol3. *Cx ArialA. Arial Narrow5. .[`)TahomaA$BCambria Math"qhB(Ɠggbf  !243qHP ?s"j*!xx  FOGKrista WanserOh+'0p   , 8 DPX`h FOG Normal.dotmKrista Wanser4Microsoft Office Word@G@:2H^@<@-՜.+,0 hp|  FOG   Title  !"#$%&'()*+,-./0123456789:;<=>?@ACDEFGHIKLMNOPQRSTUVWXYZ[]^_`abcefghijknopsuvwxyz{|}~Root Entry F` bPrData B1TableJ#WordDocument SummaryInformation(\DocumentSummaryInformation8dMsoDataStore` bP` bP01HFESRHE0W2Q==2 ` bP` bPItem  PropertiesBDWDE42B5JC1==2 ` bP` bPItem  t6PropertiesCompObjr DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm ds:schemaRefs> ds:itemID="{942E90E3-FEE2-44EF-A14C-D29456EA8F29}" xmlns:ds="http://schemas.openxmlformats.org/officeDocument/2006/customXml"/>ds:schemaRefs> This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision.   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q>