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672-00077-001-Rev.

Invensys Controls Supplier's Declaration of Compliance toREACH SVHC (all lists) and
ANNEX XVII REACH SVHC( ) XVII
Invensys Controls Brand ACL, ASTRO DIAL, AUTOSTAT, CENTERON, COMBI-STAT, DIGIFROST, D-FROST-O-MATIC, DOLE, DRAYTON, EBERLE, ELIWELL, ENERSTAT, EW, EXT ENERGY, FULTROL, GOODWATTS, KORROMAT, KORROSTOP, LEVEL-TEK, MINI-TEK, MR.
Names CONTROLS, ONDATHERM, OREG, PARAGON, PNEUMODULAR, POWERFROST, PPS, PREMIER POWER SOLUTIONS, PRECOSOFT, RANCO, ROBERTSHAW, SIMP-L-FIT, SIMP-L-ZONE, SITEMINDER, SLIMLINE, SLIMZONE, SLIP-FIT, SPARKMATIC,
: SUPER CAP, TELEVIS SYSTEM, THERMOSTAT MAN DESIGN, UNI-COUPLE, UNI-KIT, UNI-LINE, UNITROL, VARIFIX, VIBRASWITCH, WECOCOOL, WECOFLEX

Invensys Facility Invensys Appliance Controls Ltda. - Vacaria Plant Revision F of June 18, 2010
Contact Name : Diego Humberto Amarante Borba
Please complete and return to : diego.a.borba@Invensys.com
The below referenced Company, through its authorized signatory, certifies material compliance as indicated herein.

Company Name : APIS DELTA LTDA Address : RUA ALVARES CABRAL, 1151; DIADEMA SP
Contact Person : Kazunori Hosomomi Phone : (11) 4056 2300
Contact Title : Coordenador de Engenharia email : 'marcos.romera@apisdelta.com.br'
Printed Name : Date : 23/11/2010
Signature (Manager or
Director level)
:
The following part(s) comply with REACH, REACH Annex XVII, and the REACH SVHC Lists as amended at the time of any order as indicated in the table below. Please respond yes/no for each part listed. For further details please refer to
COMMISSION REGULATION (EC) No 552/2009; of 22 June 2009 amending Regulation (EC) No 1907/2006 of the European Parliament and of the Council on the Registration, Evaluation, Authorisation and Restriction of Chemicals
(REACH). REACH,REACH XVII REACH SVHC 2009 6 22 (EC) No 552/2009 (EC)No 1907/2006

Part complies with Reach


Part is free of all REACH If no, please list the List restricted material List restricted
Invensys Controls Part Annex
Description Vendor Number Supplier Part SVHCs? Reach restricted materials CAS material levels
Number XVII? Reach XVII
Number SVHC? present number CAS (ppm)
?
(Yes /No ) PPM
(Yes /No )
01-CA-128 CONEXAO DE LATAO ROSCA 2"BSP 42680310 3229-B Yes Yes - - -

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