4050Hazardous

4050Hazardous
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:
Address:
Country:
Contact:
Phone:
FAX:
Email:
Hardy Process Solutions
9440 Carroll Park Drive, Suit 150
San Diego, CA 92121-5201
USA
Debra Lawson (Primary)
(858) 278-2900
(858) 278-9700
[email protected]
Party Authorized To Apply Mark:
Report Issuing Office:
Control Number:
4005301
Manufacturer:
Address:
Country:
Contact:
Phone:
FAX:
Email:
Hardy Process Solutions
9440 Carroll Park Drive, Suit 150
San Diego, CA 92121-5201
USA
Debra Lawson (Primary)
(858) 278-2900
(858) 278-9700
[email protected]
Same as Manufacturer
Dallas, TX
Authorized by:
William T. Starr, Certification Manager
This document supersedes all previous Authorizations to Mark for the noted Report Number.
This Authorization to Mark is for the exclusive use of Intertek's Client and is provided pursuant to the Certification 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 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 further 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.
165 Main Street, Cortland, NY 13045
Telephone 800-345-3851 or 607-753-6711 Fax 607-756-6699
CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment for Use in Class I,
Division 2 Hazardous Locations
Standard(s):
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
Weighing Module
Product:
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: -10ºC to +50ºC
ATM for Report 3116703DAL-001
Page 1 of 2
ATM Issued: 3-Jan-2013
ED 16.3.15 (8-Jan-10) Mandatory
AUTHORIZATION TO MARK
HI 4050, HI 4050CW – xx - xx - xx – xx – xx ...
I
II III IV V VI
Models:
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 (1705-01900), 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: 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)
X:Weight & Measurement Software Options: None/Blank = Not enabled,
NTEP = National Type Evaluation Program, CWM = Canadian Weights and Measure
ATM for Report 3116703DAL-001
Page 2 of 2
ATM Issued: 3-Jan-2013
ED 16.3.15 (8-Jan-10) Mandatory
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