To: TSSA From: Renzo Pupulin Company: Emerson Process Mgmt. Rosemount Inc. Phone: 416 - 747- 2345 Pages: 5 Location: Toronto Our File: ANR-2068 Date: August 25, 2011 Your File: 626048 Subject: Request for Design Registration Dear Ms. Francis, CSA has reviewed the documentation submitted by TSSA on behalf of Emerson Process Mgmt. Rosemount Inc . These fittings have been registered by CSA for the Province of Québec. In accordance with an agreement between CSA, the Provinces of Québec, Manitoba and Saskatchewan, this registration is recognized by both Manitoba and Saskatchewan, (see copies of attachments), and these fittings are acceptable for use in these Provinces. A copy of the stamped Statutory Declaration is attached with the prefix CSA per the agreement. The CRN is CSA-0F4952.56R2. The cost for this service is $ 760.00 plus HST. A copy of the Statutory Declaration with an original stamp affixed will be forwarded to you along with our invoice by regular mail. Yours truly Renzo Pupulin C.E.T. Product Group Manager Gas Appliances and Accessories [email protected] Show facsimile of manufacturer's logo or trademark, as it will appear on the fitting, in the space below TECHNICAL STANDARDS & SAFETY AUTHORITY 14th Floor, Centre Tower 3300 Bloor Street West Toronto, Ontario Canada M8X 2X4 ROSEMOUNT® Analytical STATUTORY DECLARATION Registration of Fittings , Dana Crow ley, Manager of Copliance m and Test Engineering (Name and Position, ag, President, Plant Manager, Chief Engineer) of Emerson Process Management, Rosemount Analytical, Inc. (Alarm of Manufacturer) ocated at 2400 Barranca Parkway, Irvine CA 92606 (949) 757-85 (Pi.nt Address) (949) 474-7250 (Telephone No.) (Fax No.) do solemnly declare that the fittings listed hereunder, which are subject to the Technical Standards and Safety Act, Boilers and Pressure Vessels Regulation, comply with all of the requirements of (Title of recognized North American Standard) which specifies the dimensions, materials of constructbn, pressireftemperature ratings, identification marking the fittings and service; or are not covered by the provisions of a recognized North Amer -ban standard and are therefore manufactured to comply with Product data sheets and * as suopor'ed byte attached data which identfies the dimensions, material of construction, pressurettemperature ratings and the basis for such ratings, the marking of the fitting for identification and service. *applicable requirements of GSA standard B51. further declare that the manufacture of these fittings is controlled by a quality system meeting the requirements of ISO 9001:2008 which has been verified by the following authodty, Det Norske Veritas . (F) The items covered by this declaration, for which I seek registration, are category tyje fittings. In support of this application, the folloWnq information and/or test data are attached as follows: Model 385+, 396/R, 400NP data sheets, drawings, sensor proof pressure tests (MEC test report 11680-TRT Rev.00) (drawings, calculaUons, test reports, etc.) , Declared before me at Rosemount Analu. ical Inc . (-32-CP--- the day of April in the County AD 2011 of Oranae , comsslonøt2 1 t6 J s ',;.+Com *ssioner for Oaths: . ' omm. C . rinted naer m 2t,-/e.-4,—,-,..,_ r .. ,-/ 7 ..;_, er '- (Signature) _ '-, ,_ .,., , ma 6_ ■ . . o ignal ire of Declarell. FOR OFFICE USE ONLY To the best of my knowledge and belief, the application meets the requirements of the - 4:2- . Technical Standards and Safety Act, Bailers and Pressure Vesseis Regulation, and CSA INTERNATI NAL - CSA Standard B51 and is accepted for registration in Category CRN: c,,,c/o-(7) F 4(750±6 7 Q Registered by: Aw1/4KCT77 AZ11/1/4/co/A Tr Dated: " REGISTERED C.R.N.: Signed: -ZgainES=._ O 5 Air 2c>11 NOTE: Th' - Zip._ . ion expires on PV 09553 (06i OlEfScope ofrekstration: Renewal of CRN. Two plant locations: 2400 Barranca Parkway CA, USA Mexicali B.C. Mexico Date: 176Roxdate Blvd., Toronto. ON M9W 1R3 DET NORSKE VERITAS MANAGEMENT SYSTEM CERTIFICATE Certificate No. CERT-09242-2006-AQ-HOU-ANAB Rev. 1 This is to certifr that Emerson Process Management Rosemount Analytical at 2400 Barranca Parkway, Irvine, CA 9260ti USA Additional Location: Site Name Site Address Emerson Process Emerson Process Circuito del Progreso # 27 ::, Parque Industrial Progreso 6565P Davis Industrial Parkway 1 ; Site City , , Mexicali B.C. Solon Site State ; Mexico 21190 OH 44139 , Site Main Activities Manufacturing, Test, Inspection, Material Order Processing. Purchasing, Design, 1Marketing has been found to conform to the Management stem Standard: ISO 9001:2008 This Certificate is valid for the following product or service ranges: DESIGN AND MANUFACTURE OF ANALYTICAL PROCESS INSTRUMENTATION Initial Certification date: Place and date: July 16, 2009 Houston, Texas, October 02, 2009 This Certificate is valid until: DET NORSKE VERITAS for the Accredited Unit: July 13, 2012 ERTIFICATION INC., HOUSTON TEXAS The audit has been pelformed under the supervision of Roy Celestino Lead Auditor .40 earer Management Representative Lack of fulfillment of conditions as set out in the Certification Agreement ma: , render this Certificate invalid. HEAD OFFICE: Det Norske Veritas Certification, Inc. 1400 Ravello Drive, Katy, Texas 77449. 'TL: (281)396-1040. FAX: (281) 396-1903
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