listing report intertek testing services na inc.

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LISTING REPORT
INTERTEK TESTING SERVICES NA INC.
1809 10th Street, Suite 400
Plano, TX 75074
Job No. 3116703
and 3124658
Issued: 06/21/07
Revised: 11/27/12
Page 1 of 28
REPORT NO. 3116703DAL-001
INSPECTION, TESTS AND EVALUATION
OF A
WEIGHT CONTROLLER
RENDERED TO
HARDY PROCESS SOLUTIONS
SAN DIEGO, CA
GENERAL: This Report gives the results of the inspection, tests and evaluation of a Weight Controller product line
with the Standards listed below. This investigation was authorized by Purchase Order No.16198, dated 02/07/07,
updated 05/23/07. The investigation was begun on 05/17/07 and completed on 06/21/07. Prototype samples in good
condition were provided by the client on 05/11/07 and tested at Intertek’s Richardson, TX facility.
CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment for Use in Class I,
Division 2 Hazardous Locations;
ANSI/ISA-12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and
Class III, Divisions 1 and 2 Hazardous (Classified) Locations
Applicant: Hardy Process Solutions
9440 Carroll Park Drive, Suite 150
San Diego, CA 92121-5201, USA
Contact: Primary: - Debra Lawson
(debra.lawson@hardysolutions.com)
Phone:
Fax:
Alternate: -Lito Guiriba
(Lito.Guiriba@hardysolutions.com)
(858) 278-2900
(858) 278-9700
Manufacturer: Hardy Process Solutions
9440 Carroll Park Drive, Suite 150
San Diego, CA 92121-5201, USA
Contact:
Primary: -Debra Lawson
(debra.lawson@hardysolutions.com)
Phone
Fax:
Alternate: -Lito Guiriba
(Lito.Guiriba@hardysolutions.com)
(858) 278-2900
(858) 278-9700
This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek'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 report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use
of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The
observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever
been under an Intertek certification program.
Official Report Template
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 2
Report Composition:
Cover
Revisions
Main Report
Illustrations
Markings
Components Requiring Yearly
Testing
Numbering
1
2-2a, 2b
3, 3a – 19h
20 – 25
26
27 – 28
Total Number of Pages
39
Issued: 06/21/07
Revised: 09/13/12
REVISION SUMMARY - The following changes have been made to this Report:
Date/
Proj # Off ID
06-18-2012/
G100756655
DAL
Project Handler/
Reviewer
Chaitanya Katekar
Page
Item
Cover
27
Revised date, Changed from “RENDERED TO HARDY
INSTRUMENTS” to “RENEDERED TO HARDY
PROCESS SOLUTIONS”.
Updated Applicant’s and Manufacturer’s name,
address, contact and Fax number
In the header of each page: Revised date and Changed
“Hardy Instruments” to “Hardy Process Solutions”
Updated Revision summary
Added Test Performance No. 2
Replaced previous signatures on files, Added
Conclusion No. 2
Replaced “Blockmaster Electronics” with “Phoenix
Contact”
Replaced “type CIF” by “type MSTB”
Changed current rating from “15A” to “12A”
Added alternate Connectors
Changed current rating from “15A” to “12A”
Added alternate Connectors
Changed AC Power Supply PWA number from “05350545-01” to “0535-0545-01-0”
Changed Main Controller PWA number from “05350540-01” to “0535-0540-01-0”
Changed current rating from “15A” to “12A”
Added alternate Connectors
Changed current rating from “15A” to “12A”
Added alternate Connectors
Corrected battery’s nominal capacity rating from
“0.48mAh” to “48mAh”
Added alternate battery
Replaced “DIP Switch USB” by “DIP Switch S2”
Replaced “Dip switch for USB connection” by “Dip
switch for unit configuration”
Updated CEC address.
Chaitanya Katekar/
Cover
Revised date
Jeremy Maxwell
2
Revised date,
Revised table with report page numbers
Added revision summary dated 09-13-2012
Michael Spector
2-28
2
4
5
13
5,6,7,
8
13
9
17
17
17
6
7
9
10
09-13-2012/
G100756655
DAL
Description of Change
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 2a
2a, 2b
3
New: 09/13/12
New page for revision summary
Revised date.
Under “Models”: Added following new option cards.
-AWS1 or Blank = Analog Weigh Scale Input (05350542-01-0)
-AWS2 = Analog Interface Module (0535-0561-01-0)
-DWS4 = 4000 Series Digital Weigh Scale Input (17050190-0)
-DWS2 = 2000 series Digital Weight Scale input card
(1705-0191-0)
-PB = Profibus interface (Assy: 0535-0548-01-0)
-RIO = Remote I/O (Assy: 0535-0549-01-0)
-CN = ControlNet I/O (Assy: 0535-0551-01-0)
-DIO = Digital Input / Output card (Assy: 0535-0547-010)
3a
4
5
16
17
1
17
18
9
19
19
11
19
19
19
13
14
19
19a19h
20-24
15
New page added due to addition of new option cards.
Updated Model similarity section to explain similarity
between HI4050 and HI4050CW
Under Electrical ratings: For DC model, deleted
50/60Hz
Revised date
Added Test Performance No. 3
Revised date
Replaced previous signatures on file.
Added Conclusion No. 3
Revised date
Replaced old photos with new photos
Corrected Typos in specifications of switching power
supply
Added alternate battery by Rayovac
Revised date
Replaced old photos with new photos
Revised date
Changed DeviceNet PWA part number from 05350543-01 to 0535-0543-01-0, Changed DIO PWA part
number from “0535-0547-01” to “0535-0547-01-0”
Replaced “Blockmaster Electronics” with “Phoenix
Contact”
Replaced “type CIF” by “type MSTB”
Changed current rating from “15A” to “12A”
Added alternate Connectors
Changed p/n from ISO721D to ISO721D/ISO721DR
Changed p/n from H11L1s to H11L1s/H11L1SM
Changed Weigh Scale PWA part number from Weigh
Scale PWA: 0535-0542-01 to 0535-0542-01-0
Changed Analog Output PWA part number from 05350546-01 to 0535-0546-01-0
Replaced “Blockmaster Electronics” with “Phoenix
Contact”
Replaced “type CIF” by “type MSTB”
Changed current rating from “15A” to “12A”
Added alternate Connectors
New pages for new option card options
Revised date.
Replaced previous Illustrations with new Illustrations
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 2b
26
Revised date
Replaced previous labels with new labels
Changed catalogue number from 0535-0544 to 05340544-01-0
Changed catalogue number from 0535-0541 to 05350541-01-0
Changed catalogue number from 0535-0545 to 05350545-01-0
Changed catalogue number from 0535-0540 to 05350540-01-0
Changed catalogue number from 0535-0543 to 05350543-01-0
Changed catalogue number from 0535-0547 to 05350547-01-0
Changed catalogue number from 0535-0542 to 05350542-01-0
Changed catalogue number from 0535-0546 to 05350546-01-0
28
G100756655
DAL
11-15-12
Chaitanya Katekar/
Cover
Revised Date
Ryan Parks
2b
3a
Revised Date, Added revision summary dated 11-15-12
Revised Date,
Deleted reference of “Group E” from gas groups.
Revised date.
Corrected typo. The Part number for the ESD PWA
should be 0534-0544-01-0 not 0534-0533-01-0.
Revised Date
Replaced previous Illustration with new. Previous
Illustration had reference of “Group E”
Revised Date
Replaced previous marking with new. Previous marking
had reference of “Group E”
15
20-21
26
G100756655
DAL
11-27-12
Issued: 09/13/12
Revision: 11/27/12
4
Chaitanya Katekar
Cover
Revised Date
Jeremy Maxwell
3a
Revised Date
Added “Class III, Division 1 and Division 2” in
hazardous location area classification
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 3
Issued: 06/21/07
Revised: 09/13/12
PRODUCT DESCRIPTION
PRODUCT COVERED
Weighing Module
Models:
HI 4050, HI 4050CW – xx - xx - xx – xx – xx ...
I
II III IV V VI
Suffix xx may be any alphanumeric character representing the following nomenclature.
I:
Series Designations
HI 4050 and HI 4050CW
II
Mounting Style
-DR = Din Rail Mount (No Display)
-PM = Panel Mount (Display included)
III
Power Supply
-DC = DC input only, temperature range
-AC = AC power card installed, temperature range
(Assy: 0535-0545-01-0)
IV:
Ethernet Option Software 1
No/Blank = Not installed
-EIP = EIP installed
V:
Ethernet Software Option 2
No/Blank = Not installed
-MD = ModBus TCP/IP software installed
VI:
Application Software Option
No/Blank = Not installed
-ROC = Rate Of Change installed
VII: Weight Interface Options
-AWS1 or Blank = Analog Weigh Scale Input (0535-0542-01-0)
-AWS2 = Analog Interface Module (0535-0561-01-0)
-DWS4 = 4000 Series Digital Weigh Scale Input (1705-0190-0)
-DWS2 = 2000 series Digital Weight Scale input card (1705-0191-0)
VIII: Network Options (Bottom right slot as you look at the back panel)
-N2 = No Network Option
-DN = Devicenet card (Assy: 0535-0543-01-0)
-4ANA = 4-channel Analog Output (Assy: 0535-0546-01-0)
-PB = Profibus interface (Assy: 0535-0548-01-0)
-RIO = Remote I/O (Assy: 0535-0549-01-0)
-CN = ControlNet I/O (Assy: 0535-0551-01-0)
IX:
X:
Aux Options (Top left slot as you look at the back panel)
-N3 = No Aux option
-4ANB = 4-channel Analog Output (Assy: 0535-0546-01-0)
-DIO = Digital Input / Output card (Assy: 0535-0547-01-0)
Weight & Measurement Software Options
None/Blank = Not enabled
-NTEP = National Type Evaluation Program
-CWM = Canadian Weights and Measure
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 3a
Issued: 09/13/12
Revised: 11/27/12
For Use In: Class I, Division 2, Groups A – D and Class II, Division 2, Groups F – G, Class III, Division 1 and Division
2 Hazardous Locations
Operating Temperature Code: T4A
Ambient Temperature Range: -10°C to +50°C
PRODUCT DESCRIPTION
The device is a weighing module intended to be panel mounted in an enclosure with wiring per local codes. When
panel mounted (PM option) in a NEMA 4X enclosure, the device maintains NEMA 4X protection suitable for indoor
or outdoor use. The DIN rail option (DR) must be installed in an acceptable enclosure. The device has multiple
terminal plugs for connection of normally non-arcing field wiring, to be disconnected in an area deemed nonhazardous or while the circuit is not energized.
MODEL SIMILARITY
The HI 4050 series of Weight Controllers are all similar in construction, consisting of the same main controller
board and weigh module, with optional I/O boards and communication boards. The devices vary based on the
power source type, mounting/display options, communication board, and I/O board configuration. The panel
mount version (PM) has a display/keypad while the DIN rail version (DR) does not. Model HI 4050CW is identical
to model HI 4050 except it incorporates –DSW4 and -DSW2 digital weigh scale input card.
ELECTRICAL RATINGS
Product
HI 4050-AC
HI 4050-DC
Voltage
100/240 VAC
12/24 VDC
Current/Power
0.5A
10W
Frequency
50/60 Hz
NA
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 4
Issued: 06/21/07
Revised: 09/13/12
TEST PERFORMANCE NO. 1
A representative sample of the products were tested in accordance with CSA C22.2 No. 213 – M1987 (Reaffirmed
2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1
and 2 Hazardous (Classified) Locations.
The following tests were performed:
Test
Connector Separating Force
Non-incendive Circuits
Temperature Test
CSA C22.2 No.213
ANSI/ISA-12.12.01
4.2.2
6.4
6.2
8.2
7
10
The following tests were also performed to verify that the enclosure meets NEMA 4X protection when panel
mounted per UL 50 and CSA C22.2 No.94-M91.
Test
Icing Test
Hosedown
Gasket Test
Corrosion
CSA C22.2 No.94
ANSI/UL 50
6.7
6.8.2
6.2.5
6.12.2
34
35
43
39
Results of the tests indicate the specimens conform to applicable test criteria.
TEST PERFORMANCE NO. 2
A representative sample of the products were tested in accordance with CSA C22.2 No. 213 – M1987 (Reaffirmed
2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1
and 2 Hazardous (Classified) Locations.
The following tests were performed:
Test
Connector Separating Force
CSA C22.2 No.213
ANSI/ISA-12.12.01
4.2.2
8.2
Results of the tests indicate the specimens conform to applicable test criteria.
TEST PERFORMANCE NO. 3
A representative sample of the products were tested in accordance with CSA C22.2 No. 213 – M1987 (Reaffirmed
2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1
and 2 Hazardous (Classified) Locations.
The following tests were performed:
Test
Connector Separating Force
Temperature Test
CSA C22.2 No.213
ANSI/ISA-12.12.01
4.2.2
6.2
8.2
10
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 5
Issued: 06/21/07
Revised: 03/19/12
CONCLUSION
A representative sample of the products covered by this report have been evaluated and found to comply with the
applicable requirements of CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment
for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA-12.12.01-2007, Nonincendive Electrical
Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations.
Report prepared by:
Report reviewed by:
Signature on File.
Signature on File
Ryan Parks
Compliance Investigator
Jeremy Neagle
Hazardous Location Team Leader
CONCLUSION No. 2
A representative sample of the products covered by this report have been evaluated and found to comply with the
applicable requirements of CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment
for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA-12.12.01-2007, Nonincendive Electrical
Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations
Report prepared by:
Report reviewed by:
Signature on File
Signature on File
Chaitanya Katekar
Compliance Investigator
Michael Spector
Staff Engineer
CONCLUSION No. 3
A representative sample of the products covered by this report have been evaluated and found to comply with the
applicable requirements of CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment
for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA-12.12.01-2007, Nonincendive Electrical
Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations
Report prepared by:
Report reviewed by:
Chaitanya Katekar
Compliance Investigator
Jeremy Maxwell
Compliance Investigator
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 6
Issued: 06/21/07
Revised: 06/18/12
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
and/or revisions.
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.
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 shall be scheduled by Intertek. An audit report shall be
issued after each visit. Special attention will be given to the following:
1.
2.
3.
4.
Conformance of the manufactured product to the descriptions in this Report.
Conformance of the use of the ETL mark with the requirements of this Report and the Certification
Agreement.
Manufacturing changes.
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.
2.
3.
Correct the non-conformance.
Remove the ETL Mark from non-conforming product.
Contact the issuing product safety evaluation center for instructions.
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 7
Issued: 06/21/07
Revised: 06/18/12
GENERAL REQUIREMENTS AND DEFINITIONS
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 Component – 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 following 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 - In primary circuits, minimum spacing are maintained through air and over surfaces of insulating
material between current-carrying parts of opposite polarity and between current-carrying parts and deadmetal parts. The spacing requirements are evaluated per ordinary locations requirements.
2. Mechanical Assembly - Components such as switches, fuseholders, connectors, wiring terminals and display
lamps are reliably mounted and prevented from shifting or rotating by lockwashers, starwashers, or the
mounting format.
3. Corrosion Protection - All ferrous metal parts are suitably protected against corrosion by painting, plating or the
equivalent.
4. Grounding - All exposed dead-metal parts and all dead-metal parts within the enclosure that are exposed to
contact during any servicing operation and that are likely to become energized are reliably connected to the
grounding lead of the power supply cord.
5. Internal Wiring – Internal wiring is routed away from sharp parts. Recognized separable (quick disconnect)
connectors of the positive detent type. Closed loop connectors, or other types specifically described in the text
of this report are also acceptable as internal wiring terminals. All wiring is minimum 28 AWG, with a minimum
rating of 24V, 80°C, VW-1.
6. Accessibility of Live Parts - All uninsulated live parts in primary circuitry are housed within a metal enclosure
constructed with no openings other than those specifically described in the constructions details.
7. Markings - The product is marked on a component labeling system as follows: manufacturer's name, model
number, serial number, electrical ratings, and hazardous locations suitability. Refer to MARKING NO. 1.
8. Cautionary Markings – Cautionary markings are provided in English and French. Refer to MARKING NO. 1.
9. Installation, Operating and Safety Instructions - Instructions for installation and use of this product are provided
by the manufacturer. Refer to Illustration No. 1 for details.
10. Ordinary Locations – The device is Listed for use in ordinary locations in addition to the locations described in
this report per the Safety Requirements for Electrical Equipment for Measurement, Control, and Laboratory
Use – Part 1: General Requirements (ANSI/UL 61010-1-2005, 2nd Ed., 07/12/2004, Rev. 07/22/2005; and
CAN/CSA 22.2 No. 61010-1-04, 2nd Ed., 07/01/2004).
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 8
Issued: 06/21/07
Revised: 06/18/12
MANUFACTURING AND PRODUCTION TESTS
The manufacturer agrees to conduct the following Manufacturing and Production Tests as specified:
Required Tests
Dielectric Voltage Withstand Test
Grounding Continuity Test
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 9
Issued: 06/21/07
Revised: 06/18/12
DIELECTRIC VOLTAGE WITHSTAND TEST
Method
One hundred percent of production of the products covered by this Report shall be subjected to a routine production
line dielectric withstand test.
The test shall be conducted on products, which are fully assembled. Prior to applying the test potential, all switches,
contractors, relays, etc., should be closed so that all primary circuits are energized by the test potential. If all primary
circuits cannot be tested at one time, then separate applications of the test potential shall be made.
The test voltage specified below shall be applied between primary circuits and accessible dead-metal parts. The test
voltage may be gradually increased to the specified value but must be maintained at the specified value for one second
or one minute as required.
Test Equipment
The test equipment shall incorporate a transformer with an essentially sinusoidal output, a means to indicate the
applied test potential, and an audible and/or visual indicator of dielectric breakdown.
The test equipment shall incorporate a voltmeter in the output circuit to indicate directly the applied test potential if the
rated output of the test equipment is less than 500VA.
If the rated output of the test equipment is 500VA or more, the applied test potential may be indicated by either: 1 a voltmeter in the primary circuit; 2 - a selector switch marked to indicate the test potential; or 3 - a marking in a
readily visible location to indicate the test potential for test equipment having a single test potential output. In
cases 2 and 3, the test equipment shall include a lamp or other visual means to indicate that the test potential is
present at the test equipment output. All test equipment shall be maintained in current calibration.
Products Requiring Dielectric Voltage Withstand Test
PRODUCT
All products configured for AC operation
Test Voltage
1390 VAC
or
1970 VDC
Test Time
2 sec.
2 sec.
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 10
Issued: 06/21/07
Revised: 06/18/12
GROUNDING CONTINUITY TEST
Method
Each product listed below shall be subjected to a test to determine that there is continuity between accessible
dead-metal parts of the product and the grounding pin or blade of the attachment plug.
If all accessible dead metal is connected, only a single test need be performed. A visual or audible device
(ohmmeter, buzzer, etc.) may be used to indicate grounding continuity.
Products Requiring Grounding Continuity Test
All products configured for AC operation
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 11
Issued: 06/21/07
Revised: 06/18/12
CORRELATION PAGE FOR MULTIPLE LISTINGS
MULTIPLE LISTING
The following products which are identical to those identified in the index except for model number and participant
name are authorized to bear the ETL label under provisions of the Intertek Multiple Listing Program
MULTIPLE LISTEE
None
BASIC LISTEE
MANUFACTURER
PRODUCT
MULTIPLE LISTEE
MODEL NO.
BASIC LISTEE
MODEL NO.
BASIC LISTEE
ORDER NO.
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 12
HI 4050 Weight Controller series
Issued: 06/21/07
PHOTO NO. 1
5
1
6
9
3
8
10
2
4
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 13
HI 4050 Weight Controller series
Issued: 06/21/07
Revised: 06/18/12
PHOTO NO. 1
General - PHOTO NO. 1 shows the external view of the HI 4050-PM-AC-EIP-DN-N3
1. Enclosure – Aluminum, 2.5mm thick, with top and bottom panel plates secured by 4 screws each. Contains
Main Controller and all PWAs secured to bottom connector access panel with screws. Top is secured to
Display Bezel by knurled thumb screws, which secure bezel to panel when mounted. Screws are accessible
on inside of enclosure only when mounted. See Illustration No. 2
2. Display Bezel – Recognized Component material, thermoplastic, Bayer type FR110, 94V-0, 1.6mm thick. The
display bezel has an O-Ring gasket in the recessed in an outer groove to provide NEMA 4X protection when
panel-mounted in a NEMA 4X enclosure.
3. AC Connector Plug – Recognized Component, Ria Connect, type 31351113, rated 300V, 15A. Non-arcing,
secured by screws to faceplate; accessible/removable by tool only.
4. O-Ring Gasket – Made from Recognized Component material, Buna Nitrile, 162mm diameter, 3mm thick, ORings West, type N70-M3X162. O-Ring is recessed in bezel groove to provide NEMA 4X protection when
panel-mounted in a NEMA 4X enclosure.
5. DIO Plug, Weigh Scale Plug – Recognized Component, Phoenix Contact or equiv., type MSTB, 9 pos., rated
300V, 12A. Non-arcing, requires >15N separation force.
Alternate - Recognized Component, Sauro or equiv., type CIF, 9 pos., rated 300V, 15A. Non-arcing, requires
>15N separation force
6. Main Controller, 24VDC Plug – Recognized Component, Phoenix Contact or equiv., type MSTB, 3 pos., rated
300V, 12A. Non-arcing, requires >15N separation force.
Alternate - Recognized Component, Sauro or equiv., type CIF, 3 pos., rated 300V, 15A. Non-arcing, requires
>15N separation force
7. AO Plug (not shown) - Recognized Component, Phoenix Contact or equiv., type MSTB, 8 pos., rated 300V,
12A. Non-arcing, requires >15N separation force.
Alternate - Recognized Component, Sauro or equiv., type CIF, 8 pos., rated 300V, 15A. Non-arcing, requires
>15N separation force.
8. Remote Display Plug - Recognized Component, Phoenix Contact or equiv., type MSTB, 6 pos., rated 300V,
12A. Non-arcing, requires >15N separation force.
Alternate - Recognized Component, Sauro or equiv., type CIF, 6 pos., rated 300V, 15A. Non-arcing, requires
>15N separation force
9. Printer/Score-Board Plug - Recognized Component, Phoenix Contact or equiv., type MSTB 2.5, 7 pos., rated
300V, 12A. Non-arcing, requires >15N separation force.
Alternate - Recognized Component, Sauro or equiv., type CIF, 7 pos., rated 300V, 15A. Non-arcing, requires
>15N separation force.
10. DeviceNet Plug - Recognized Component, Phoenix Contact or equiv., type MSTB 2.5, 5 pos., rated 300V,
12A. Non-arcing, requires >15N separation force.
Alternate - Recognized Component, Sauro or equiv., type CIF, 5 pos., rated 300V, 15A. Non-arcing, requires
>15N separation force.
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 14
Issued: 06/21/07
Revised: 06/18/12
HI 4050 Weight Controller series
PHOTO NO. 2
2
4
5
1
3
6
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 15
HI 4050 Weight Controller series
Issued: 06/21/07
Revised: 11/15/12
PHOTO NO. 2
General - PHOTO NO. 2 shows the internal components of the display
1.
Flex Circuit Cable, J2 – Unlisted Component, non-arcing. Connects Display PWA to Keypad. Nonarcing, requires >15N separation force.
2.
Ribbon Cable, J7 – Unlisted Component, non-arcing. Connects Display PWA to Main Controller
PWA. Non-arcing, requires >3X mass of the cable for separation force. Boards are secured by
screws and produce no additional strain on cable.
3.
LCD Display Interface – Unlisted Component, non-arcing. No sparking components or connectors.
4.
ESD PWA (0534-0544-01-0) – Recognized Component PWB material, 94V-0. No sparking
components or connectors.
5.
Display PWA (0535-0541-01-0) – Recognized Component PWB material, 94V-0. Ribbon connector is
non-arcing. Other connectors are not connected. No other sparking parts.
6.
Membrane Button IC – Unlisted Component, used in non-incendive circuit.
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 16
HI 4050 Weight Controller series
3
Issued: 06/21/07
Revised: 09/13/12
PHOTO NO. 3
10
2
8
4
9
7
1
5
6
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 17
HI 4050 Weight Controller series
Issued: 06/21/07
Revised: 06/18/12
PHOTO NO. 3
General - PHOTO NO. 3 shows the internal PWAs
AC Power Supply PWA: 0535-0545-01-0 (Optional Board)
1.
Switching Power Supply – Recognized Component, Cincon Electronics Co. Ltd., p/n CFM1005S.
Rated 85-264 VAC, 50/60 Hz, 420mA max load current; max.,output voltage24VDC Non-arcing; no
sparking parts except for output trim POT which is accessible by tool only.
2.
Y-Caps – Recognized Component, Vishay, p/n WYO 4n7m, rated 250VAC, non-incendive.
3.
Bridge Cap – Recognized Component, Vishay, p/n F1772 AC275V SH, rated 250VAC, 0.47uF, nonincendive.
4.
AC Input Connector, J1 – Unlisted Component, non-arcing, soldered to PCB; plug is screwed down
and has tool access only. Connects Display PWA to Keypad.
5.
Header, Power Supply to Main Controller – Unlisted Component, non-arcing. Connects Power Supply
to Main Controller PWA. Boards are secured together by screws and have no possibility of breaking
contact except by removal with tool.
Main Controller PWA: 0535-0540-01-0
6.
J1 – Recognized Component, Phoenix Contact or equiv., type MSTB 2.5, 3 pos., rated 300V, 12A.
Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force.
Alternate - Recognized Component, Sauro or equiv., type CIM, 3 pos., rated 300V, 15A. Non-arcing;
headers are soldered to PCB; mating plugs requires >15N separation force.
7.
J2 – Recognized Component, Phoenix Contact or equiv., type MSTB 2.5, 7 pos., rated 300V, 12A.
Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force.
Alternate - Recognized Component, Sauro or equiv., type CIM, 7 pos., rated 300V, 15A. Non-arcing;
headers are soldered to PCB; mating plugs requires >15N separation force
8.
J4 – J11, Headers – Unlisted Components, non-arcing. Connects Main Controller PWA to other
cards. Boards are secured together by screws and have no possibility of breaking contact except by
removal with tool.
9.
Battery, BT1 – Recognized Component, Panasonic, p/n BR1225, rated 3V, 48mAh, non-arcing; board
accessible by tool only.
Alternate - Recognized Component, Panasonic, p/n BR1220, rated 3V, 35mAh, non-arcing; board
accessible by tool only
Alternate - Recognized Component, Rayovac, p/n BR1225, rated 3V, 50mAh, non-arcing; board
accessible by tool only (OEM- Panasonic)
10.
Dip Switch, S2 – Unlisted Components, non-arcing, non-accessible. Dip switch for unit configuration,
board accessible by tool only.
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 18
HI 4050 Weight Controller series
Issued: 06/21/07
Revised: 09/13/12
PHOTO NO. 4
General - PHOTO NO. 4 show the DeviceNet, DIO, Weigh Scale, and Analog Ouput PWAs.
15
16
11
13
12
14
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 19
Issued: 06/21/07
Revised: 09/13/12
HI 4050 Weight Controller series
General -
PHOTO NO. 4
PHOTO NO. 4 shows the DeviceNet, DIO, Weigh Scale, and Analog Ouput PWAs.
DeviceNet PWA: 0535-0543-01-0 (Optional Board) and DIO PWA: 0535-0547-01-0 (Optional Board)
11.
J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 5 pos. (DeviceNet), 9 pos.
(DIO), rated 300V, 12A. Non-arcing; headers are soldered to PCB; mating plugs require >15N
separation force.
Alternate - Recognized Component, Sauro or equiv., type CIM, 5 pos. (DeviceNet), 9 pos. (DIO), rated
300V, 15A. Non-arcing; headers are soldered to PCB; mating plugs requires >15N separation force
12.
J11 (DeviceNet), J2 (DIO), Header – Unlisted Components, non-arcing. Connect to Main Controller
PWA. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force.
13.
Optos, U1, U4 (DeviceNet Only) – Recognized Component, Texas Instruments, p/n
ISO721D/ISO721DR, rated 560V working, 4kV iso.
14.
Opto U5 (DeviceNet) and U2, U3, U4 (DIO) – Recognized Component, Fairchild Semiconductor, p/n
H11L1s/H11L1SM, 7.5kV iso.
Weigh Scale PWA: 0535-0542-01-0 and Analog Output PWA: 0535-0546-01-0 (Optional Board)
15.
J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 9 pos. (Weigh Scale), 8 pos.
(Analog Output), rated 300V, 12A. Non-arcing; headers are soldered to PCB; mating plugs require
>15N separation force.
Alternate - Recognized Component, Sauro or equiv., type CIM, 9 pos. (Weigh Scale), 8 pos. (Analog
Output), rated 300V, 15A. Non-arcing; headers are soldered to PCB; mating plugs require >15N
separation force
16.
J2, Header – Unlisted Component, non-arcing. Connects to Main Controller PWA. Boards are
secured together by screws and have no possibility of breaking contact except by removal with tool.
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 19a
New: 09/13/12
HI 4050 Weight Controller series
PHOTO NO. 5
General -PHOTO NO. 5 shows the 2000 Series Digital Weigh Scale Input Card and 4000 Series Digital Weigh
Scale Input Card
2
4
1
3
7
5
6
8
2000 Series Digital Weigh Scale Input Card
2
4
1
7
5
6
4000 Series Digital Weigh Scale Input Card
8
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 19b
HI 4050 Weight Controller series
New: 09/13/12
PHOTO NO. 5
General -PHOTO NO. 5 shows the 2000 Series Digital Weigh Scale Input Card and 4000 Series Digital Weigh
Scale Input Card
1. J6- BNC connector, Recognized component, Tyco electronics, Soldered to PCB, requiring >15 N
force, Used to connect digital load cell as input, Temp. Range: -65ºC to +85ºC
2. U1-Microcontroller- Manufacturer- STMicroelectronics, p/n STM32F101x C/D/E high-density access
line microcontrollers, 36 MHz maximum frequency, ARM-based 32-bit MCU, Temp. Range: -40ºC to
+85ºC, Operating voltage 2V to 3.6V
3. U5- Logic Integration chip-Manufacturer-XILINX, p/n- XC9500 series
4. IC6, IC7, IC2, IC1, IC10- Low voltage octal buffer/line driver, Manufacturer- Fairchild semiconductor,
p/n-74LCX541, Temp. Range: -40ºC to +85ºC
Alternate- Octal buffer/line driver Manufacturer- Texas Instruments, p/n- SN54HC541, SN74HC541,
Temp. Range: -40ºC to +85ºC
5. C12- Electrolytic Capacitor-Manufacturer-Nichicon, p/n PM series, Temp. Range: – 55°C to +105°C ,
RoHS compliant
6.
L3- Inductor, Manufacturer-Sumida, P/N- RCH-895 series, Temp. Range: – 40°C to +100°C , RoHS
compliant
7. IC8-Static RAM, Manufacturer- Cypress Semiconductor Corporation, p/n-CY7C1399BN, Temp.
Range:–40 °C to 85 °C. 3.3V, 180mW (max)
8. C10-Capacitor-Manufacturer-Panasonic, Radial Lead type, Series M, type A, Max Temp: 85ºC, RoHs
Compliant
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 19c
New: 09/13/12
HI 4050 Weight Controller series
PHOTO NO. 6
General -PHOTO NO. 6 shows the Analog Weigh Scale Input Card (New A to D Chip) and ControlNet IO Interface
Option Card
1
3
2
Analog Weigh Scale Input Card (New A to D Chip)
6
4
5
ControlNet IO Interface Option Card
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
HI 4050 Weight Controller series
Page 19d
New: 09/13/12
PHOTO NO. 6
General -PHOTO NO. 6 shows the Analog Weigh Scale Input Card (New A to D Chip) and ControlNet IO Interface
Option Card
1. J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 9 pos rated 300V, 12A. Non-arcing;
headers are soldered to PCB; mating plugs require >15N separation force
Alternate - Recognized Component, Sauro or equiv., type CIM, 9 pos. rated 300V, 15A. Non-arcing;
headers are soldered to PCB; mating plugs requires >15N separation force
2.
L2-L8 – Suppression component, part number 2743037447, RoHS compliant, max current rating 5 Amp.,
Max Rdc 1.2 m Ω
3. New A to D chip (U1) - Part number AD7190, Manufacturer-Analog devices, Temp. Range -40ºC to +105
ºC. Current – 6mA, Max Junction Temp. 150 ºC
4. Assembly Cover – Recognized component (UL file number: E122538), Manufacturer – Polykemi, UL-94 at
1.6mm HB
5. Elbow Socket- Manufacture-Tyco electronics, Drawing number: 1634513, Rev. C, requires>15N
separation force, Contact resistance 3 m Ω,
6. DC-DC Convertor- Manufacturer-Power mate technology Co. Ltd, Output current limit 2.5Amp, Temp.
Range -40ºC to +85 ºC, RoHS compliant
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 19e
New: 09/13/12
HI 4050 Weight Controller series
PHOTO NO. 7
General -PHOTO NO. 7 shows the Digital IO Option Card and ProfiBus Interface Option Card
2
1
3
4
5
Digital IO Option Card
7
6
8
9
ProfiBus Interface Option Card
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 19f
HI 4050 Weight Controller series
New: 09/13/12
PHOTO NO. 7
General -PHOTO NO. 7 show the Digital IO Option Card and ProfiBus Interface Option Card
1. J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 9 pos rated 300V, 12A. Non-arcing;
headers are soldered to PCB; mating plugs require >15N separation force
Alternate - Recognized Component, Sauro or equiv., type CIM, 9 pos. rated 300V, 15A. Non-arcing;
headers are soldered to PCB; mating plugs requires >15N separation force
2. Q7, Q12, Q10, Q14- NPN Transistors, Manufacturer- Fairchild Semiconductor, p/n- MJD47/50, Junction
Temperature: 150º , base current: 0.6A
Alternate - NPN Transistors, Manufacturer- On Semiconductor, p/n- MJD47/NJVMJD47T4G/ MJD50,,
Junction Temperature: 150º , base current: 0.6A
Alternate - NPN Transistors, Manufacturer- STMicroelectronics, p/n- MJD4, Junction Temperature: 150º,
base current: 0.6A
3. U1- Microcontroller, Manufacturer- Microchip, p/n PIC16F87/88, Temp. range: -40°C to +125° C,
Operating voltage 2.0V to 5.5V
4. F1, F2, F3, F4- Fuses, Recognized Component, Manufacturer-Bourns, Temp range: -40 °C to +85 °C p/nMF-SM Series, Not subject to overlaod during normal operation
Alternate- Recognized Component, Manufacturer- Little fuse, Max Temp: 85 °C p/n- 2016L Series, Not
subject to overlaod during normal operation
5.
U2, U3, U4-Optocoupler- Manufacturer- Fairchild Semiconductor p/n- H11L1M, H11L2M, H11L3M, Temp
range: -40 °C to +85 °C
6. J1-Connector/ Receptacle, Manufacturer- ITT, p/n ZEDEL9SBA/ZEDE9SBA, Mechanically secured to
board, requiring > 15N force, Number of contact positions-9
Alternate – Manufacturer- TE, p/n 5745781/ 5747844,Mechanically secured to board, requiring > 15N
force, Number of contact positions-9
7. U9- Profibus controller, Manufacturer- Siemens, p/n- SPC3, Version 1.6, Max supply voltage 6V, Max
input current 10 mA, Temp range: -40 °C to +85 °C
8. U15- Clock oscillator, Manufacturer- ECS Inc. International, p/n- ECS-8FMX (5V) Frequency-48Mhz Temp
range: -40 °C to +85 °C
9. T1- Power Transformer, Manufacturer- Coilcraft, p/n- DA2303-AL, Primary voltage 5V, Temp range: –40°C
to +125°C
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 19g
New: 09/13/12
HI 4050 Weight Controller series
PHOTO NO. 8
General -PHOTO NO. 8 show the Remote IO Interface Option Card
4
3
2
1
5
6
Remote IO Interface Option Card
7
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 19h
HI 4050 Weight Controller series
New: 09/13/12
PHOTO NO. 8
General -PHOTO NO. 8 show the Remote IO Interface Option Card
1. J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 5 pos rated 300V, 12A. Non-arcing;
headers are soldered to PCB; mating plugs require >15N separation force
Alternate - Recognized Component, Sauro or equiv., type CIM, 5 pos. rated 300V, 15A. Non-arcing;
headers are soldered to PCB; mating plugs requires >15N separation force
2. U5- Main communication chip, Manufacturer- Allen bradley, Drawing number-94317700-A04, Rev B,
Dated 11/02/05, Temp range 0ºC to 85 ºC
3. Transistor (U4)- 8 bit bidirectional voltage level transistor, Manufacturer-Texas Instruments, Temp. Range
-40ºC to +85 ºC, Conti. Output current-50mA
4. Capacitor (C14)- Interference Suppression Film Capacitor, Manufcaturer- Vishay, P/n-F1772-2 310 V-X2,
MKT Radial Potted Type, 0.047µF, Recognized component (UL and CSA), Max temp : 110 °C
Alternate - Interference Suppression Film Capacitor, Manufcaturer- Vishay, P/n- MKP336 2 X2, MKT
Radial Potted Type, 0.047µF, Recognized component (UL and CSA), Max temp - 110 °C
5. T1-Transformer-Manufacturer- Allen Bradley, Drawing number 97624200, Rev D01, Dated 05-13-96
6. DIP Switch (S1) - Unlisted Components, CTS Corp, non-arcing, non-accessible. Dip switch for unit
configuration, board accessible by tool only
Alternate - Unlisted Components, Tyco electronics, non-arcing, non-accessible. Dip switch for unit
configuration, board accessible by tool only
7. Diodes (D1 and D2) – Unlisted component, Manufacturer- Onsemiconductor,MRA4005T, Temp. Range 55ºC to +150 ºC
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
HI 4050 Weight Controller series
Page 20
Issued: 06/21/07
Revised: 11/15/12
ILLUSTRATION NO. 1
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
HI 4050 Weight Controller series
Page 21
Issued: 06/21/07
Revised: 11/15/12
ILLUSTRATION NO. 1
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
HI 4050 Weight Controller series
Page 22
Issued: 06/21/07
Revised: 09/13/12
ILLUSTRATION NO. 1
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
HI 4050 Weight Controller series
Page 23
Issued: 06/21/07
Revised: 09/13/12
ILLUSTRATION NO. 1
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
HI 4050 Weight Controller series
Page 24
Issued: 06/21/07
Revised: 09/13/12
ILLUSTRATION NO. 1
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
HI 4050 Weight Controller series
Page 25
Issued: 06/21/07
Revised: 06/18/12
ILLUSTRATION NO. 2
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 26
HI 4050 Weight Controller series
Issued: 06/21/07
Revised: 11/15/12
MARKING NO. 1
Label for AC units
Label for DC Units
ED 16.3.13 (4/27/07)
Report No. 3116703DAL-001
Hardy Process Solutions
Page 27
Issued: 06/21/07
Revised: 06/18/12
HI 4050 Weight Controller series
Evaluation 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 the table below 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
Component Evaluation Center
13200 Levan Road
Livonia, MI 48150
USA
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.
The Unlisted Components covered by this report are shown in the following Table:
ED 16.3.13 (4/27/07)
Required Action***
Visual – verify thickness, material per Illustration No.2
Quarterly
1
No
Visual – verify thickness and material
Annual
1
Yes
Partial – Spectral Analysis Test
Quarterly
1
No
Visual – verify board part number
Quarterly
1
No
Visual – verify board part number
Quarterly
1
No
Visual – verify board part number
Quarterly
1
No
Visual – verify board part number
Quarterly
1
No
Visual – verify board part number
Quarterly
1
No
Visual – verify board part number
Quarterly
1
No
Visual – verify board part number
Quarterly
1
No
Visual – verify board part number
Qty
Quarterly
Page 28
1
Send to CEC
(YES or NO)
No
Frequency*
Report No.3116703DAL-001
Hardy Process Solutions
Photo Item Component
Manufacturer Catalog No.
No. No. Description
1
1
Enclosure
Display
1
2
Bezel
O-Rings
N701
4
O-Ring
West
M3X162
0534-05442
4
ESD PWA
Hardy
01-0
Display
0535-05412
5
Hardy
PWA
01-0
AC Power
0535-05453
1-5
Supply
Hardy
01-0
PWA
Main
0535-05403
6–10 Controller
Hardy
01-0
PWA
11- DeviceNet
0535-05434
Hardy
14
PWA
01-0
110535-05474
DIO PWA
Hardy
14
01-0
15Weigh
0535-05424
Hardy
16 Scale PWA
01-0
15Analog
0535-05464
Hardy
16 Output PWA
01-0
* Quarterly, semi-annual, annual.
** note: Indicate any samples not available and provide the anticipated date that the component will be available.
*** Required Action (select one of the three):
Visual
Partial
Full Evaluation
Note:
Issued: 06/21/07
Revised: 09/13/12
Visual means the quarterly verification of the description of the unlisted component in the report is sufficient for Certification.
ED 16.3.13 (4/27/0
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