Report No. 100014113DAL-001 JPL Industries, Inc. Issued: 27-Sep-2010 Revised: 15-Apr-2013 Page 5 of 15 4.0 Critical Components Photo # Item Name no.1 Manufacturer/ trademark2 Type / model 1, 2 1 PWB Various Various 1 2 MOVs (For 4803P model) Various MDE SS550MOV 2 3 MOVs (For 240C and 240-3P models) Various MDE SS320MOV 1, 2 4 Terminal Blocks Various Various 2 Technical data and securement means Flame rating: 94V-0, Opertaing Temp: 130 deg C Thermally Protected MOV, Type 4, MCOV 550VAC, In 20kA, SCCR 100kA, VPR 1500V Thermally Protected MOV, Type 4, MCOV 320VAC, In 20kA, SCCR 100kA, VPR 1200V Flame rating: 94V-0, Operating Temp: 90 deg C, 4 way mount 5mm hole diameter, Current Rating up to 12A @ 300V Mark(s) of conformity 3 cURus cETLus cETLus cURus 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. 100014113DAL-001 JPL Industries, Inc. 8.0 Test Summary Evaluation Period 02/23/10-03/26/10 Sample Rec. Date 18/02/10 Page 9 of 15 Condition Production Issued: 27-Sep-2010 Revised: 15-Apr-2013 Project No. G100014113 DAL1002161343[ Sample ID. 001-005] 1809 10th Street, Suite #400, Plano, TX 75074 Test Location Testing Lab Test Procedure 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 performed: ANSI/UL 1449 Test Description Dielectric Voltage-Withstand Test 35 Surge Testing 37 Operational Voltage Test 37 Limited current abnormal overvoltage test 39.4 4/22/2013 Evaluation Period Project No. G100014113 "Due to the previous testing performed and reported above no additional testing was necessary for "UL Standard for Safety for Surge Protective Devices - 3rd Edition; Issued: 29-Sep-2006, Revisions through and including 18Oct-2010 (ANSI/UL 1449)" 8.1 Signatures A representative sample of the product covered by this report has been evaluated and found to comply with the M.J. Smith Javier Lozano Completed by: Reviewed by: Compliance Investigator Senior Compliance Investigator Title: Title: Signature: Signature: ED 16.3.15 (1-Jan-13) Mandatory Report No. 100014113DAL-001 JPL Industries, Inc. Page 10 of 15 Issued: 27-Sep-2010 Revised: 15-Apr-2013 9.0 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. JPL Industries, Inc. BASIC LISTEE PO Box 6611 Address Lubbock, TX 79493 USA Country Type 4 Surge Protection Devices Product MULTIPLE LISTEE 1 None Address Country Brand Name ASSOCIATED MANUFACTURER Address Country MULTIPLE LISTEE 1 MODELS BASIC LISTEE MODELS MULTIPLE LISTEE 2 None Address Country Brand Name ASSOCIATED MANUFACTURER Address Country MULTIPLE LISTEE 2 MODELS BASIC LISTEE MODELS MULTIPLE LISTEE 3 None Address Country Brand Name ASSOCIATED MANUFACTURER Address Country MULTIPLE LISTEE 3 MODELS BASIC LISTEE MODELS ED 16.3.15 (1-Jan-13) Mandatory Report No. 100014113DAL-001 JPL Industries, Inc. Page 14 of 15 Issued: 27-Sep-2010 Revised: 15-Apr-2013 12.0 Revision Summary The following changes are in compliance with the declaration of Section 8.1: Date/ Project Handler/ Section Item Description of Change Proj # Site ID Reviewer Michael Smith 1 -- Javier Lozano 1 -- 4 7 4 -- 15-Apr-2013 G101137262DAL Changed manufacturer from JPL Industries to Gesper Marketing, Inc. Updated Standard from revision date May 3, 2010 to revision date 10/18/2010. The change in the standard is administrational. Changed opertaing to operating Added new test section with signatures ED 16.3.15 (1-Jan-13) Mandatory