PCB Piezotronics IMI SENSORS EX621C40 Assembly Instructions Manual page 28

rtertek
AUTHORIZATION TO MARK
Total Quality, Assured,
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:
PCB Piezotronics Inc
3425 WALDEN AVE. DEPEW NY
Address:
14043
Country:
USA
Contact:
Carrie Term in
Phone:
(800) 959-4464 X 2667
FAX:
(800) 959-4464
Email:
ctermin@pcb.com
Manufacturer: PCB Piezotronics Inc
Address:
3425 WALDEN AVE. DEPEW, NY 14043
Country:
USA
Contact:
Carrie Termin
Phone:
(800) 959-4464 X 2667
FAX:
(800) 959-4464
Email:
ctermin@pcb.com
Party Authorized To Apply Mark:
Report Issuing Office:
Control Number:
5010230
Same as Manufacturer
Cortland, New York
Manager
for Dean Davidso
Authorized by:
C" us
Intertek
This document supersedes all previous Authorizations to Mark for the noted Report Number.
This Authorization to Mark is for the exclusive use of lnterteks Client and is provided pursuant to the Certification agreement between Intertek and its Client. lntertek'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 Interteks 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.
545 East Algonquin Road, Arlington Heights, IL 60005
Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672
ATM for Report 103 117575CRT-003a
Page 1 of 2
ATM Issued: 20-Jun-2018
ED 16.3.15 (20-Apr-17) Mandatory