PS053 REV. N 07/01/2021
Voluntary Certification
Supplemental ATEX
Certification
LCIE 05 ATEX 6155 X
Ex nL IIC T4
Ex nA IIC T4 (for EX64xB7y, EXTO64xB7y, and EXRV64xB7y)
Notified Body Name
Laboratoire Central des Industries Electriques (0081)
Notified Body’s
Address
FONTENAY-AUX-ROSES (Head Office
)
33, avenue du Général Leclerc
FR- 92260 Fontenay-aux-Roses
Tel. : + 33 1 40 95 60 60
Fax : + 33 1 40 95 86 56
I, the undersigned, hereby declare that the equipment specified above conforms to the above Directive(s) Standard(s)
Place:
Depew, NY
Date:
07/01/2021
Signature:
Name:
Carrie Termin
Title:
Regulatory Affairs and Product Certification Specialist
