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[null,null,null,null,null,null,null,null,"COMPANY CODE",null,null,null,null,"A660"]
[]
[]
[]
[null,null,null,"LIST OF PERSONNEL \nORGANIZATIONAL STRUCTURE"]
[]
[]
["Registered Company Name: "]
[]
["Mailing Address for Accounts & Correspondence:"]
[null,null,null,null,"Street"]
[]
[null,null,null,null,"City or Town",null,null,null,"Province/State",null,"Country",null,null,"Postal/Zip Code"]
["Telephone No.:",null,null,null,null,null,null,null,null,"Fax No.:"]
["Name & Title of Senior Officer:",null,null,null,null,null,null,null,null,"Email:"]
[null,null,null,null," "]
["INDICATE NAME OF COMPANY / PLANT / DIVISION WHICH IS TO BE CERTIFIED:"]
[]
["Co./Plant/Div. Name to \nwhich certification applies:   "]
[]
[]
["Address:"]
[null,null,"Street",null,null,null,null,"City or Town",null,"Province/State",null,"Country",null,"Postal/Zip Code"]
[]
["Telephone No.:",null,null,null,null,null,null,null,null,"Fax No.:"]
[]
[]
["1)","General Manager"]
[null,null,null,null,null,null,"(Name, Official Title & Email)"]
["2)","Manager of Plant"]
[null,null,null,null,null,null,"(Name, Official Title & Email)"]
["3)","Professional Engineer(s)"]
[null,"(Responsible for DESIGN & ENGINEERING in accordance with the Standard)",null,null,null,null,"(Name of Company / Engineer)"]
[]
[null,null,null,null,null,null,"(Complete Address)"]
["4)","Quality Control Officer"]
[null,null,null,null,null,null,"(Name, Title & Email)"]
["5)","Certification Contact Person"]
[null,null,null,null,null,null,"(Name, Title & Email)"]
[]
["As a Senior Officer of this Company I hereby designate the above listed personnel as Responsible under Clause 5 of CSA Standard A660 with respect to the duties outlined above, and ensure that they have been granted such authority as will enable them to properly and freely discharge their responsibilities under the above Standard."]
[]
[]
["It is understood that the loss or change of any of the above Personnel must be reported to CWB Registration, in writing, within 30 days.  A new and fully completed List of Personnel form is required."]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,"DATE"]
["Signature of Senior Officer",null,null,null,null,null,null,"Title",null,null,null,null,"MONTH / DAY / YEAR"]
[]
["CWB Registration, 8260 Park Hill Drive, Milton, ON  L9T 5V7\nTel: 1-800-844-6790  |  Outside Canada/U.S.: 905-542-1312  |  Fax: 905-542-1318 \nweb: www.cwbgroup.org / email: info@cwbgroup.org\n\n"]
["A660 List of Personnel - 2018-11"]