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FL f FL1654-R26
A:pp-:Ii ca tton Type Revision
Code Verslon 2017
Application Status Approved
Comments
Archived
Product Manufacturer POLYLAS USA
11
AddresslPhone/Emall 1111 W. Newport Center Drive
Dee rfle ld Beach, F L 3 34 4 2
(954) 23-3-1330 Ext 242
melpertpolygaass,com
Authorized Signature Mauny Alpert
r'rta I peF'k& p oI yg lass. co m
Technical Representative TECH REP
Addrcss/Phone/Emall I I I I West Newport Center Drive
Dtarfjeld Beach., FL 3.3442
(866) 802-8017
uspolyg Iasstech-nIca lRoly9lass -, cc
Quality Assurance Representative QA REP
Address/ Plhome/ ErnaiI 11 l 1 West Newport Center Drive
Deerfield Bcachr FL 33442
(688) 410-1375
us polyg las!itechnic.alpolVglas&.ci�irrs
Category Roo f Lng
SubcategorV Modified Bitumen Roof System
Compliance Method Eva I u at lo n Re port from a Florida Registered Archi tecft or a Ldcensed Florid a
Prafessianal Engineer
Eva Iuation R eport - Hardcopy Rec-eIved
Florida
Engin"r or Architect Norne who deve-loped the Robert Nieminen
Eva luatfon Report
Fla rIda Ucens e
Q ua I li -ski ranre E n U ty
Q u a Uy Assn ra nCe Contract Ex piratio n Date
Va I idated By
CertifGcate of Independence
Referenced Standard and Year (of Standard)
PF- 59166
UL LLC
11/07/2022
3oha'W., ICriezerrlcri, PE
�Validat io n C hec k I i st - Mardcopy Received
Standard
D4897
ASTM
ATM
D6 162
ASTM
D61 63
ATM
06164
ASTM
D6222
ATM
D6509
FM 4470
FM 4474
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Equlvalence of Product Standards
Certi fled By
Sect lons frorn tie Code
Product Approva I Merhod
Da te Su b rn Itted
Date ValWated
Date Pend lng FBC Approval
Onte Approved
Summary of Products
FL 0
Method 1 Option D
Model, dumber or Nonse
PoIygIass SM and DPP Modlfied
BItumen Roof Systern5
Limits of Use
Approved for use In HV14Zy No
Approve d fir um oYt*Ide H VHZ: Yet
Impact Resistant: NSA
Design Pressure: +N/A/-i--622.5
Other: 1.) The design pressure In this applltatEon relates to
one particutar assembly over concrete dick. Refer to the ER
Appendix for other systems and deck types. 2.) Refer to ER,
Section 5 for other Llmfts of Use.
L- --
Descriptioin
P —
SSS and APP modified bitumen roof systernS
I n sta I la ti on in F#rvttlona
R.2 6-L Wff
Verifled By:
Cireated by
EVIDIUStWn
R 2 6&
Created
Haekl i Part
J34-,j%L4L!�]Mij1j19--1 rT&TT.r.'jj77d ft(j- T1 VI
Robert Wernlrlerl PE=59166
Independent Third Party.: Yes
Reports
by Independent Third Party Yes
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