CERTIFICATE OF COMPLIANCE / CONFORMANCE

Customer ; Customer P.O. No. Shipping Order No. Date

DINCORSA PO19442-120-2018 213121212 03/09/2018
886014353
Items supplied Comply / Conform to:
Eatons B-Line Catalog SS15 PH 16
Item No. Part No. Additional Specification
(If Required)
B22SH-120 GLV 78101121330
B22SH-120 HDG 78101121308
B54SH-120 GLV 78101125730
N225 ZN (1/2) 78101140343
B2001 ZN 3/8RGD 1/2EMT CLAMP 78101160813
B2008 ZN 1/2RGD 7/8OD CLAMP 78101161013
B2009 ZN 3/4RGD 1OD CLAMP 78101161023
B2010 ZN 1"STD 1 3/8OD CLAMP 78101161033
B2011 ZN 1 1/4RGD 1 5/8OD CLAMP 78101161043
B2012 ZN 1 1/2RGD 1 7/8OD CLAMP 78101161053
B2013 ZN 2RGD 2 3/8OD CLAMP 78101161063
B2014 ZN 2 1/2RGD 2 7/8OD CLAMP 78101161073
B2015 ZN 3RGD 3 1/2OD CLAMP 78101161083
B2017 ZN 4RGD 4 1/2OD CLAMP 78101161103
B2020 ZN 6RGD 6 5/8OD CLAMP 78101161133
B3100-1 ZN STD DUTY CLEVIS 78101105013
HANGER

Approved Exceptions:
M.T.R.’S Attached: None
SUPPLIERS CERTIFICATION
This is to certify that the products identified herein have been manufactured/supplied under Cooper B-
Line’s approved quality assurance program and are in compliance with the procurement quality
requirements including applicable codes, standards and specifications as identified in the above
referenced documents. Cooper B-Line, or the qualified sub-tier supplier have performed final
inspections and/or tests required to verify compliance of the items supplied. Any supporting
documentation will be forwarded or retained in accordance with purchase order requirements.

Steve Koonce 3/9/2018

Quality Assurance Inspector Date

509 West Monroe Street

Highland, IL 62249
Phone: 618-654-2184
 CERTIFICATE OF COMPLIANCE / CONFORMANCE
Customer ; Customer P.O. No. Shipping Order No. Date
DINCORSA PO19442-120-2018 213121212 03/09/2018
886014353
Items supplied Comply / Conform to:
Eatons B-Line Catalog SS15 PH 16
Item No. Part No. Additional Specification
(If Required)
B3100-1 1/4 ZN STD DUTY CLEVIS 78101105019
HANGER
B3100-1 1/2 ZN STD DUTY CLEVIS 78101105025
HANGER
B3100-2 ZN STD DUTY CLEVIS 78101105031
HANGER
B3100-2 1/2 ZN STD DUTY CLEVIS 78101105037
HANGER
B3100-1 1/4 ZN STD DUTY CLEVIS 78101105019
HANGER

Approved Exceptions:
M.T.R.’S Attached: None
SUPPLIERS CERTIFICATION
This is to certify that the products identified herein have been manufactured/supplied under Cooper B-
Line’s approved quality assurance program and are in compliance with the procurement quality
requirements including applicable codes, standards and specifications as identified in the above
referenced documents. Cooper B-Line, or the qualified sub-tier supplier have performed final
inspections and/or tests required to verify compliance of the items supplied. Any supporting
documentation will be forwarded or retained in accordance with purchase order requirements.

Steve Koonce 3/9/2018

Quality Assurance Inspector Date

509 West Monroe Street

Highland, IL 62249
Phone: 618-654-2184