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MSA The Safety Company 1000 Cranbery Woods Dive, Cranbory Tounstip. PA 16066 MSA Declaration of Conformity In Accordance wth ANSINSEA 125-2014 TAC-46-005 -204 Rev 1 Statement of Conformity: MSA declares thatthe 1amV-TEC PL sn conformiy with th roquirements of ANSI Z350,14-2014 Safty requirements for satretracingdevicos for persona fll arest ‘and rescue systoms Product Code] Model Part Numbers Covered Ac-46-065 ‘5011-00A - 2, 6301-00X, 9011-00" Level ANSIISEA 125.2014 conformity assessment method: [_]Levelt For Level2, information about ISO 17025-accrecite fait in which the product was teste: E]_ Theta ct an independent aa Party 11 Te tos fact is ned partly med byanentiy within suppl’ corporate ttre or hin the manufacuing ea fra roduc nung subenactors Aaport Test Facity Used Test Facility Docunent# [BATRA Technology Gente Lid ‘Spcozsa62/151sTesueS For addtional information about this product(s), ploase contact MSA Customer Service att 1800-148A-2222, When requesting information, please referonce model number), MB ‘ualayiesuranees Anew Wayans Te AO SP 206 Tab SOP 208 revo age 10f2 Performance Details Revlon 4 Report, standard and Product Reguements eau ras 7a acing incon Fr nes aorta racenene [PH 1 ferseregrstopion FFL new aloprcaeregenents [ET 1 teen Prime al apicteoqonens | 1_ fsa ataton Primes arpa rogrone | 2 ft Reisaonteson FFL epi rogtnern | 1 _pA7 ste enn PF ne ppt reitenern | 1 pte omaniceenah FL not terete ritnete_| HH 1 20pm pramere Pent aleprcaierogrnene [OR ScP206 ab ScP-08 Page 202

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