DNS FIR2022-0045+Flame_Retardant_Certification+4.28.2022_1.32.20_PM+2834432Certif irate of Shane llvaztance
v`STFR REGISTERED
APPLICATION ISSUED BY
Date treated or
CONCERN No. California Combining Corp manufactured
5607 S 'Santa Fe Ave
RE7P =F419.01 Los Angeles, CA 90058 USA 4/11/2017
This is to certify that the materials described on the reverse side hereof have been flame-
retardant treated (or are inherently nonflammable).
FOk—C rt Party Rentals ADDRESS-P4 Box 4t'669
CITY Indianapolis STATE IN 46241
Certification is hereby made that: (Check "a" or "b")
❑ (a) The articles described on the reverse side of this Certificate have been treated with a flame-retardant
chemical approved and registered by the State Fire Marshal and that the application of said
chemical was done in conformance with the laws of the State of California and the Rules and
Regulations of the State Fire Marshal.
Name of chemical used---------------------------------------------------------- -------- Chem. Reg. No .............................
(b) The articles described on the reverse side hereof are made from a flame -resistant fabric or material
registered and approved by the State Fire Marshal for such use.
Trade name of flame -resistant fabric or material used.. I.Am__TP_x..............Reg. No. F.4-1-9-.-0=1......
The Flame Retardant Process Used w1wilf ar wft, nat, Be Removed By Washing
Name of Applicator or Production Superintendent Title