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Home My WebLink AboutPROJECT INFORMATIONSt. Luci� County Cntertek 3012225 GENERAL REOUIREMENTS on lL DUE, SCOTTWLLE, KY42164 SER CONFORbfS STO UL SIR) i'D CERTIFIED TO ri U:C STD S646_ Al) VERTICALLHOOD,CLE_ARAiNCEEROVICOOKIIvTGSURFiCETOFRONTLONVER EDGE OFHOOD,M[N11 B.) AgNIv JUNIDESIGNAIRFLOWS.ARE_1SFOLLOIVS: CONFIGURATION SIDES RTS S DE SKIRTS 1 DECK OVEN, 340 SCFM 396 SCFM 2DECK,OVENS 5S5'SCFM 1021 SCFM 3 DECK OVENS. 799 SCFNI 1460 SCFM C.) IFOPTIOMALFRONTEYEBRORVPORTIONISINST_ LLED,THEbIINIMUm DESIGi I AIRFLOWTHROUGH THE EYEBROWIS 137 SCF11 D.) FOR USE SVITHCONVEYOR TYPE OVENS DESIGNATEDAS: HDDLEBY i% ARSH_ALPS670,PS640,PS636,PS570,PS555;PS540,PS536,PS360ORANY CONVEYOR OVEN OF EQUAL OR LESS POWER (BTUMR KR) E.) FOR USE INCOOKINGOEPIZZASONLY_ F.) REPLACEFILTERSONLY VaTHULCLASSIFIED BAFFLE TYPE GREASE FILTERS. G.). SUITABLEFORUSE WITHSPECFICCONVEYORTYPEOVENSDEVELOPING TEMPERATURES UPTO 550 DEG F. H.)_ NJININMIFRONT 'OVERHANG FROM THE COOKING SURFACE IS 2525' (IN-). THE AIINIMUMSIDE OVERHILNGFROMTHE COOKTNGSURFACE ISO" ON) AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s) Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing Report. This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be applied only at the location of the Party Authorized To Apply Mark. Applicant: Halton Company 101 Industrial Drive Address: Scottsville, KY 42164 Country: USA Contact: Mr. Jimmy Sandusky Phone: 270-237-5600 FAX: 270-237-5700 Email: jimmy.sandusky@halton.com Party Authorized To Apply Mark: Same as Manufacturer Report Issuing Office: PORTLAND, OR Control Number: 3012225 Authorized by: Manufacturer: Halton Company 101 Industrial Drive Address: Scottsville, KY 42164 Country: USA Contact: Mr. Greg Lyons Phone: 270-237-5600 FAX: 270-237-5700 Email: greg.lyons@halton.com Intertek £//[dAislsk0 This document supersedes all previous Authorizations to Mark for the noted Report Number. This Authorization to Mark is for the exclusive use of InterteWs Client and is provided pursuant to the Certification agreement between Intertek and its Client. InterteKs responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this Authorization to Mack Only the Client is authorized to permit copying or distribution of this Authorization to Marc and then only in its entirety. Use of Interteks Certification mark is restricted to the conditions laid out in the agreement and in this Authorization to Mark Any fuller use of the Intertek name for the sale or advertisement of the tested material, product or service must fast be approved in writing by Intertek. Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with the agreement, they are not for the purposes of production quality control and do not relieve the Client of their obligations in this rasped. Intertek Testing Services NA Inc. 545 East Algonquin Road, Arlington Heights, IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672 UL 710 Issued: 2012/09/13 Ed: 6 Rev: 2013/11/05 Exhaust Hoods for Commercial Cooking Equipment ULC S646 Issued: 2010/07/01 Ed:3 Standard for Exhaust Hoods and Related Controls for Commercial and Institutional Kitchens ATM for Report 101530594PRT-001A Page 1 of 2 ATM Issued: 23-Apr-2014 ED 16.3.15 (11Jan-13) Mandatory AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s) Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing Report. This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be applied only at the location of the Party Authorized To Apply Mark. Applicant: Halton Company Address: 101 Industrial Drive Scottsville, KY 42164 Manufacturer: Address: Country: USA Country: Contact: Mr. Jimmy Sandusky Contact: Phone: 270-237-5600 Phone: FAX: 270-237-5700 FAX: Email: jimmy.sandusky@halton.com Email: Party Authorized To Apply Mark: Same as Manufacturer Report Issuing Office: PORTLAND, OR Control Number: 3082866 Authorized by: ETA us Halton Indoor Climate Systems, Ltd. 1021 Brevik Place Mississauga, Ontario, L4W3R7 Canada German Cardenas 905-624-0301 905-624-5547 German.cardenas@halton.com alWAIVA10 This document supersedes all previous Authorizations to Mark for the noted Report Number. This Author'vadon to Mark is for the exclusive use of Intedek's Client and is provided pursuant to the Certification agreement between Intedek and its Client. Inle tek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this Authorization to Mark Only the Client is authorized to permit copying or distribution of this Authorization to Mark and then only in its entirety. Use of Intertek's Certification mark is restricted to the conditions laid out in the agreement and in this Authorization to Mark. Any fuller use of the Intertek name for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with the agreement, they are not for the purposes of production quality control and do not relieve the Client of their obligations in this respect Intertek Testing Services NA Inc. 545 East Algonquin Road, Arlington Heights, IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672 UL 710 Issued: 2012/09/13 Ed: 6 Rev: 2013/11/05 Exhaust Hoods for Commercial Cooking Equipment ULC S646 Issued: 2010/07/01 Ed:3 Standard for Exhaust Hoods and Related Controls for Commercial and Institutional Kitchens ATM for Report 101530594PRT-001A Page 2 of 2 ATM Issued: 23-Apr-2014 ED 16.3.15 (14a 13( Mandatory ® � Listing Constructional Data Report (CDR) 1.0 Reference'an&Address Re oit Number.101530594PRT-00in I Original Issued: 4-A r-2014 Revised: None J-. ' Standard(s)' UL 710 Issued: 2012/09/13 Ed: 6 Rev: 2013/11/05 Exhaust Hoods for Commercial Cooking Equipment ULC S646 Issued: 2010/07/01 Ed:3 Standard for Exhaust Hoods and Related Controls for Commercial and Institutional Kitchens Applicant Halton Company Manufacturer Halton Company ' Address - -Scottsville, 101 Industrial Drive KY 42164 Address 101 Industrial Drive Scottsville, KY 42164 Country USA CountrV USA Gontact' "' . Mr. Jimmy Sandusky Contact Mr. Greg Lyons Phone' 270-237-5600 Phone 270-237-5600 FAX,-. 270-237-5700 _ FAX_ 270-237-5700 Email . 'imm sandusk @haiton.com Email area.lvons@halton.com Manufacturer"2 Halton Indoor Climate Systems, Ltd. Address ` 1021 Brevik Place Mississauga, Ontario, L4W3R7 Count" r Canada Contact ,"• German Cardenas Phone 905-624-0301 FAX _.,` 905-624-5547 Email German.cardenas@halton.com Page 1 of 32 g'Na report is for Me ekelusive use of Intedek's Client ar l Is prwided.punuarl to Me'equa l betveen InteRek oral its Client Intertek'e responsibility and lidway are Indeed W Me terms, and wro ltiwn of toe uWeement intertek assumes no liability to any party, often Nan W the Client in aWurOance Win Me agaenowt for any loss, esPenee W damage occusioned by the use of Mb report Cry ins Client is euMw000l to permit copying or antrrbu ion of Nis repeal and Man only in its entirely. Any use of Me Intertek name or one of its rearks'for Me sale, W advertisement Of toe tested material, Madura ar senior Most first be .,panted in en, by letwelt_ Tha obse eradna end teal results in Me report are relevant Only to Me Semple tested. This report by Itself does net Imply Met Me reason, paddled, or mmlop tear has ever been under an Mledek eartifkallon program. Report No. 101530594PRT-001A Page 2 of 32 ; Issued: 4-Apr-2014 Revised: None F'roouctr=, " . -1 txnaust noou wanouc uam er Brand name NA The product covered by this report is an exhaust hood for use over restaurant -type heated Description, electronic or direct gas -fired specific conveyor pizza ovens only for cooking raw ingredient or pre-cooked pizza. Models MM1 Model, Similarity Models are similar in construction and differ only slightly depending on the oven model type and the use of side skirts that are fastened to the hood over hang. ,MMIModel Ratings z' MMSModel Ratings Wen Model :Model Number Wen Rating BTU@rAW pof0uen Decks. Suiface` MaxTemp'MinCFM VF) 'Exhaust (who 'Skirts) .Exhaust MinCFM (w/skirts) Weo ` Model .Model' Number WenAating, 'BTU@n;kW gofOven ' Decks Surface MaxTemp (°F) Exhaust MInCFM (w/o skirts) Exhaust 'MinCFM (w/skrts) PS570G-X PS570G-1 170,000BTU 1 550 396 340 PS360G4 P5360G•1 119000BTU 1 550 396. 340 P5570G-2 2 1021 585 P5360G•2 2 1021 585 PS570G-3 3 1460 799 1 PS360G-3 3 1460 799 PS640G-X P5640G-1 99,OOOBN 1 550 396 340 PS536G-X PS536G-1 75000BTU 1 550 396 340 PS6406-2 2 1021 585 PSS36G-2 2 1021 585 P5640G-3 3 1460 799 PS536G.3 3 1460 199 PS636E-X PS636E-1 19.8kW 1 510 396 340 P5536ES.X P5536ES-1 17.7kW 1 550 396 340 PS636E-2 2 1021 585 pS536E5-2 2 1021 565 P5OH1 3 1460 199 P5536F5.3 3 1460 799 P5640E-X PS640E-1 21.OkW 1 550 396 340 PS540E-% PS540E-1 21.0kW 1 550 396 340 PS640E-2 2 1021 585 P5540E-2 2 1021 585 PS640E3 3 1460 799 P5540E3 3 1460 799 PS555E-X PS555E-1 34.8kW 1 550 396 340 PS540G-X PSS40G•1 110000BTU 1 550 396. 340 PS555E-2 2 1021 585 PS540G•2 2 1021 585 PSSSSE3 3 1460 799 PS540G-3 3 1 1460 799 PS636G-X PS636G-1 75,OOOBTU 1 5,50 396 340 PS5556.X PS555G-1 150000BTU 1 550 396 340 PS636G-2 2 1021 585 PS555G.2 2 1021 585 P5636G-3 3 1460 799 PS555G-3 3 1460 799 P56706-X PS670G-1 175000BTU 1 550 396 340 PS640G-X P5640G•1 99000BTU 1 SSO 396 141 PS670G-2 2 1021 585 PS640G-2 2 3021 585 PS670G-3 3 160 799 P5640G-3 3 1460 799 ED 163.15 (IJan-13) MWdalory Report No. 101530594PRT-001A Page 3 of 32 Issued: 4-Apr-2014 Halton Company IRevised: None Photo 2 - External View (Side View) ED 16.3.15 (1-Jan-13) Mandatary Report No. 101530594PRT-001A Page 4 of 32 Issued: 4-Apr-2014 Halton Company Revised: None 3.0Product'Photographs. Photo 3 - Side profile and grease filter Photo 4 - Rear View ED 16.3.15 (Ww-13) Mudatory Report No. 101530594PRT-001 A - Page 5 of 32 Issued: 4-Apr-2014 Halton Company Revised: None 3.0 P-roduct,Photographs Photo 5 - Eyebrow (Optional) Ducting ED 16.3.15 (I-Jan-13) Mwdalary Report No. 101 530594PRT-001 A l Page 6 of 32 Halton Company Issued: 4-Apr-2014 Revised: None 4.0 Critic Components s o Item Name Manufacturer/ Type / modelZ Technical data and securement Marks) —of conformity no trademark2 means 3 304 or 430 Stainless Steel or Aluminumized steel, approximate Overall Hood dimensions: Length and width 1 1 Enclosure Halton Company Stainless Steel dependant upon the size of the NR oven. Minimum dimensions: 33.6 in L x 44.37 in W x 15 in D and 1.2 mm nominal thickness 304 or 430 Stainless steel or Brow Exhaust aluminized steel. Approximate 1 2 (Optional) Halton Company Stainless steel dimensions: 21 in D x 34.7 in W x NR 15 in L (min) x 1.2 mm nominal thickness Stainless steel UL Classified or Brow Exhaust ULC Listed grease filter; 1 3 Filter (Not Shown) Various Various approximate dimensions: 10in W x UL, ULC 20in L x 2in H; Size may vary with Brow Exhaust duct 1.2 mm nominal thickness, 304 or 2 4 Grease Cup Halton Company Stainless steel 430 SS, approximate dimensions: NR 5 in L x 2.5 in W x 2 in H 2 5 Pizza Oven Middleby Marshall Pizza Oven See Model Similarities table for cULus, cETLus, Appliance details cCSAus Stainless steel UL Classified or Trine Corporation Various ULC Listed grease filter; 3 6 Grease Filters approximate dimensions: 10in W x UL, ULC Various Various 20in L x 2in H; Size may vary with Exhaust duct 304 or 430 SS 1.2mm nominal 3 7 Baffle Filter Cover Halton Company Stanless Steel thickness. Approximate NR dimensions: 44 in min W x 20 in min L x 1.2 mm nominal thickness Baffle filter cover Southco Various Polished chrome, zinc alloy, lift 3 8 latch and turn, flush mounted, latch Various Various 1.2 mm thick (nominal) Stainless qNR 4 9 Duct Transition Halton Company Various Steel, Aluminized Steel, sizing varies based on local duct sizing and shape, no damper 1.2 mm thick (nominal) Stainless Steel, Aluminized Steel, sizing 4 10 Exhaust Halton Company Various varies based on length of Oven NR Connector employed, Connects front end and rear end exhaust hoods to central exhaust ED 16.3.15 (Wan-13) Mandatory Report No. 101 530594PRT-001 A �.i Page 7 of 32 Halton Company Issued:4-Apr-2014 Revised: None 4.0 Critical Compo0ents s Item Name Manufacturer/ Type / model2 Technical data and securement Mark(s) of conformity no. trademark2 means 3 � mounting bracket, Fastened in 5 11 Mounting Bracket Halton Company Various place, All thread support pole NR provided by others Brow Exhaust 304 or 430 SS. 1.2mm thick. Size 5 12 Ducting (Optional) Halton Company Stainless Steel contingent upon oven NR design/structure/ducting. Marking Label Painted steel plate with 3M 200 5 13 (not shown) Halton Company Painted Steel MP Recognized Adhesive (see cLIRus illustration 1 NOTES: 1) Not all item numbers are indicated (called out) in the photos, as their location is obvious. 2) "Various" means any type, from any manufacturer that complies with the "Technical data and securement means" and meets the "Mark(s) of conformity' can be used. 3) Indicates specific marks to be verified, which assures the agreed level of surveillance for the component. "NR" - indicates Unlisted and only visual examination is necessary. "See 5.0" indicates Unlisted components or assemblies to be evaluated periodically refer to section 5.0 for details. ED 16.3.15 (1-Jan-13) Mandatory Report No. 101530594PRT-001 A / Page 8 of 32 Issued: 4-Apr-2014 Halton Company Revised: None 5.0 Critical Unlisted CEC Components j No Unlisted CEC components are used in this report. ED 16.3.15 (1Jan-13) Mandatory Report No. 101530594PRT-001A /� Page 9 of 32 Halton Company Issued:4-Apr-2014 Revised: None 6.0 Critioal:Features Recognized Component - A component part, which has been previously evaluated by an accredited certification body with restrictions and must be evaluated as part of the basic product considering the restrictions as specified by the Conditions of Acceptability. Listed Component - A component part, which has been previously Listed or Certified by an accredited Certification Organization with no restrictions and is used in the intended application within its ratings. Unlisted Component - A part that has not been previously evaluated to the appropriate designated component standard. It may also be a Listed or Recognized component that is being used outside of its evaluated Listing or component recognition. Critical Features/Components - An essential part, material, subassembly, system, software, or accessory of a product that has a direct bearing on the product's conformance to applicable requirements of the product standard. Construction Details - For specific construction details, reference should be made to the photographs and descriptions. All dimensions are approximate unless specified as exact or within a tolerance. In addition to the specific construction details described in this Report, the following general requirements also apply. 1. Spacing - No electrical components 2. Mechanical Assembly - Components such as switches, fuseholders, connectors, wiring terminals and display lamps are mounted and prevented from shifting or rotating by the use of lockwashers, starwashers, or other mounting format that prevents turning of the component. 3. Corrosion Protection - All ferrous metal parts are protected against corrosion by painting, plating or the equivalent. 4. Accessibility of Live Parts - No electrical components. 5. Grounding - This product is not provided with a means of grounding as it is not required to be grounded since it does not employ electrical components. 6. Polarized Connection - Not cord connected nor are there any electrical components employed 7. Internal Wirin - No internal wiring as there are no electrical components employed. 8. Schematics - No schematics as there are no electrical components employed ED 16.3.15 (1Jm-13) Mandatory Report No. 101530594PRT-001A Page 10 of 32 Halton Company Issued:4-Apr-2014 Revised: None i6.o critical; Features - 9. Markings - The product is marked on a labeling system as described in item no. 13 of Section 4.0. See Illustration 1 for details The following markings in French are required: Exigences generales A.) Degagement vertical de la surface de cuisson MAX 47.5" (IN.). B.) Les debits d'air minimum sont les suivants a I'arrete frontale inferieure de la hotte Min 11.5" (IN.) CONFIGURATION Avec'oues laterales Sans'oues laterales four a 1 niveau 340 SUM 396 SUM four a 2 niveaux 585 SCFM 1021 SUM four a 3 niveaux 799 SUM 1460 SUM C.) Si un rideau frontal est installe le debit d'air minimum au travers de ce rideau doit etre de 137 SCFM D.) A n'utiliser qu'avec des fours a convoyeurs de type :MIDDLEBY MARSHAL PS670, PS 640, PS636, PS 570, PS555, PS540, PS536, PS360 OR ou tout autre four a convoyeur de puissance inferieure ou egale E.) Utiliser pour la caisson des pizzas uniquement F.) Ne remplacer les filtres que par des fiitres a choc certifies UL uniquement G.) Convient uniquement pour fours a convoyeur dont la temperature ne depasse pas 555F. H.) Debord minimum en face avant par rapport a la surface de cuisson : 25.25" (IN.). Debord lateral minimum par rapport a la surface de cuisson : 0" (IN.) and use of this product are ED 16.3.15 (1Jan13) Mwdamry Report No. 101 530594PRT-001 A Page 11 of 32 Issued: 4-Apr-2014 Halton Company Revised: None Illustration I - Marking Label Sample t F- Talton NA C I"VKit1 TRCLDi�Y`E.YLO 3tE IKrstsu CONTO$\zszOOL STD 710 CERTIFIEDTO MC STD 56:6 ANSUNSF 2 A,j cERrtcatxooDccE.w..a�cEFRoascoorr~:osuRsccETciFRarrLoasR EDGE. OFROOD, MN 11.3"(ri)ISAC473"¢:L). BJ-.MNM-MfDESIG`-AIRFLOWSARE AS FOLLOWS: CONTTGL-FA ON I WI Tx- SIDESMPTS WITH SIDE SKIRTS FDE L 40 - 965 f. . 2DECXQV 'S 393SCF51 10-1 Sc i DEcY.OVF.NS 799 SCYA4 1 1400 Sc" C) IPOPTIOa:AL FROt"iijEAR,OWMk2TI0_YISD:STALIED.TIdE]A�T]R.'.�i DESSG\ AI$FLDK`ZH$4Si0$T1.EEYEBROtt'IS 137 SCFai D.) FOR LEE WITH CONVEYOR17PE OPENS 1DES2 AS:aISDDLEBY �3ABksf?�t.N5d;Er.�S6sd. 3d.S�3;b,�535.€�3sb« 3b.PS3d�6ttA�.aP CO` TYGROVEN OFEQUAL GRLESS POWER CB-R RR,RW) E.) FOR USE MCOOKING Of ONLY- F.) REPLACE FILTERS ONLY WTTH USL, CLASSIVIEDSAY71.2 TYPEGREASE FILTERS. G) SL'ITABLEFORt:SEttTTHSPECFTCCO:.'4'EYOR. OVE\SDEYEL .-G. TEMMIZATURESBIPTO550 DEG F. H)a IuazPRavcot•ERxa�GeRnalTa=wcaG;atiasvRFACEIszs+3^(may. -23�. ..-azslDS Gt=sRl:AvotaoaaTlfscooia:�a sL-RFACEsso^tom ED 16.3.15 (IJan-13) Mandatory Report No. 101530594PRT-001A Page 12 of 32 ' ` Issued: 4-Apr-2014 Halton Company Revised: None 7.0Illustrations i Illustration 2 - MM1 Assembly Drawing MMI HOOD FEM FRONT 1e m1 Y7N U7.7 9=0 ED 16.3.15 (Wm-13) Mandatory Report No. 101530594PRT-001 A Page 19 of 32 Issued: 4-Apr-2014 Halton Company Revised: None Illustration 9 - PS670G-X Series /1/,A Middleby MWA Marshall° CONIFEYDRS OFEXCELLEHCE PS670 Series Direct Gas Fired Conveyor Oven "PVIER DIDEVUM etwa O3Y 1 Gmmocm _ i I ID BOMCAUCumoCna Ulry I ��t sV NM naY M F� I OFl _. 11� PSG70.1 Single Oven "th 19^ (483mm) leg extensions cs VIM r C PSG70-2 Double Oven vrith IS- (381mm)leg extensions c 6�JL Itv[ REAR VIEws ED 16.3.15 (Wm-13) Mwdatory Report No. 101 530594PRT-001 A Page 27 of 32 Halton Company Issued: 4-Apr-2014 Revised: None OATestSummary 1<valuaboh Period, 3/26/14 to 4/4/14 Pro'eet Nor G101530594 Sam IerRec. Date _. 31-Mar-2014 Gto ijionjPrototVpe I Sample ID. MM1 Test Location... _ " ' 101 Industrial Dr., Scottsville, KY 42164, USA Test,Procedure - 'Testing at Manufacturers Premises (TMP) - Level 1 Determination of the result includes consideration of measurement uncertainty from the test equipment and methods. The product was tested as indicated below with results in conformance to the relevant test criteria. The following tests were performgd: Test name• _ _ UL,710 Clause 'ULC S646 Clause ' Verdict Low Air Flow Limit 30 6.2 Compliant Normal Temperature Test 34 6.4 Compliant Cooking Smoke and Flare Up Test 36 6.6 Compliant 8.1 Signatures' A representative sample of the product covered by this report has been evaluated and found to comply with the applicable requirements of the standards indicated in Section 1.0. Completed by: Paul Thomas Reviewed b : Jason De La Cruz Title: t' Project Engineer Title: En in ed eam ader '~ Signature Signature., ED 16.3.15 (1-Jan-13) Mandatory Report No. 101530594PRT-001A Page 28 of 32 Halton Company Issued: 4-Apr-2014 Revised: None 90 Correlation Page For Multiple Listings The following products, which are identical to those identified in this report except for model number and Listee name, are authorized to bear the ETL label under provisions of the Intertek Multiple Listing Program. BASIC LISTEE, Halton Company Address 101 Industrial Drive Scottsville, KY 42164 CountryCouritry USA Product _ Exhaust Hood without damper :'MULTIPLE LISTEE 1 None Address Country Brand Name ASSOCIATED MANUFACTURER Address_ County MULTIPLE LISTEE 1 MODELS BASIC LISTEE MODELS MULTIPLE,LISTEE 2 None Address Count'. Brand'Name ASSOCIATED ;MANUFACTURER Address Count MULTIPLE LISTEE 2 MODELS' " BASIC LISTEE MODELS MULTIPLELISTEE,3 None Address .. Country, Brand' Name - ASSOCIATED .MANUFACTURER Address :Count; `, •: MULTIPLE LISTEE 3 MODELS — BASIC' LISTEE MODELS ED 16.3.15 (IJan-13) Mandatory Report No. 101530594PRT-001 A j "; Page 29 of 32 Issued: 4-Apr-2014 Hatton Company Revised: None 1 ot0_General Information The Applicant and Manufacturer have agreed to produce, test and label ETL Listed products in accordance with the requirements of this Report. The Manufacturer has also agreed to notify Intertek and to request authorization prior to using alternate parts, components or materials. COMPONENTS Components used shall be those itemized in this Intertek report covering the product, including any amendments LISTING MARK The ETL Listing mark applied to the products shall either be separable in form, such as labels purchased from Intertek, or on a product nameplate or other media only as specifically authorized by Intertek. Use of the mark is subject to the control of Intertek. The mark must include the following four items: 1) applicable country identifiers "US" and/or "C" or "US", "C" and "EU" 2) the word "Listed" or "Classified" or "Recognized Component" (whichever is appropriate) 3) a control number issue by Intertek 4) a product descriptor that identifies the standards used for certification. Example: For US standards, the words, "Conforms to" shall appear with the standard number along with the word, "Standard" or "Std." Example: "Conforms to ANSI/UL Std. XX." For Canadian standards, the words "Certified to CAN/CSA Standard CXX No. XX." shall be used, or abbreviated, "Cert. to CAN/CSA Std. CXX No. XX." Can be used together when both standards are used. Note: A facsimile must be submitted to Intertek, Attn: Follow-up Services for approval prior to use. The facsimile need not have a control number. A control number will be issued after signed Certification Agreements have been received by the Follow-up Services office, approval of the facsimile of your proposed Listing Mark, satisfactory completion of the Listing Report, and scheduling of a factory assessment in your facility. MANUFACTURING AND PRODUCTION TESTS Manufacturing and Production Tests shall be performed as required in this Report. FOLLOW-UP SERVICE Periodic unannounced audits of the manufacturing facility (and any locations authorized to apply the mark) shall be scheduled by Intertek. An audit report shall be issued after each visit. Special attention will be given to the following: 1. Conformance of the manufactured product to the descriptions in this Report. 2. Conformance of the use of the ETL mark with the requirements of this Report and the Certification Agreement. 3. Manufacturing changes. 4. Performance of specified Manufacturing and Production Tests. In the event that the Intertek representative identifies non-conformance(s) to any provision of this Report, the Applicant shall take one or more of the following actions: 1. Correct the non-conformance. 2. Remove the ETL Mark from non -conforming product. 3. Contact the issuing product safety evaluation center for instructions. ED 16.3.15 (1Jam13) MmdaWry Report No. 101530594PRT-001A Page 30 of 32 Issued: 4-Apr-2014 Halton Company Revised: None 40.tivaCuatlon of Unlisted Components Because Unlisted Components are uncontrolled, and they do not fall under a third party follow up program, Intertek may require these components to be tested and/or evaluated at least once annually, more often for certain components, as part of the independent certification process. The Unlisted Components in Section 5.0 require testing and/or evaluation as indicated. Note to Intertek Follow Up Inspector: The Component Evaluation Center, CEC, will notify you in writing when these components must be selected and sent to the CEC for re-evaluation Ship the samples to: Intertek Testing Services NA Inc. ETL Component Evaluation Center 45000 Helm Street, Suite 150 Plymouth Twp., MI 48170 USA Attn: Component Evaluation Center Sample Disposition: Due to the destructive nature of the testing, all samples will be discarded at the conclusion of testing unless, the manufacturer specifically requests the return of the samples. The request for return must accompany the initial component shipment. ED 15.3.15 (1Jan-13) Mandatory Report No. 101530594PRT-001 A Page 31 of 32 Halton Company 1 Issued:4-Apr-2014 Revised: None 11.0 Manufacturing and Production Tests The manufacturer agrees to conduct the following Manufacturing and Production Tests as specified: Required Tests None Required ED 16.3.15 (1Jam13) Mudatary Report No. 101530594PRT-001 A Page 32 of 32 Halton Company Issued:4-Apr-2014 Revised: None 12.0 Revlslon Summary The followin changes are in compliance with the declaration of Section 8.1: Dater Pro' # Site ID Reviewer Project. Handler/ Section item Description of Change None ED 16.3.15 (1Jam13) Mandatory