An A Stucki Company 2300 Euclid Avenue Chicago Heights, IL 60411

Phone: 708-755-0438 Fax: 708-755-0056

CERTIFICATE OF COMPLIANCE
We certify that the material referenced hereon has been manufactured and inspected in conformance
to ASTM-125-LR and meets the provided customer specifications and/or other related special contract
documents as noted.

Customer:

Customer P.O. #:

Quantity:

Alco Part #:

Alco Batch #:

Alco Heat #

SPECIAL REQUIREMENTS:
 Material Certifications attached

Documentation supporting this certification is available at this facility and may be reviewed upon
request.

Name & Title: Date:

QUALITY CONTROL
APPROVED
DATE 03/08/22 BY:
Insert Company Name

AL-BF-QUL-0012 Uncontrolled if Printed 07/09/2014