APPLICATION FOR OSHPD SPECIAL SEISMIC CERTIFICATION PREAPPROVAL (OSP)

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1 OFFICE OF STATEWIDE HEALTH PLANNING AND DEELOPMENT FACILITIES DEELOPMENT DIISION APPLICATION FOR OSHPD SPECIAL SEISMIC CERTIFICATION PREAPPROAL (OSP) OSHPD Special Seismic Certification Preapproval (OSP) Type: New Renewal Manufacturer Information APPLICATION #: OFFICE USE ONLY Manufacturer: La Marche Manufacturing Manufacturer s Technical Representative: Mark Wong Mailing Address: 06 Bradrock Drive, Des Plaines, IL 6008 Telephone: mwong@lamarchemfg.com Product Information Product Name: Product Type: TPSD Battery Charger/Power Supply/Battery Eliminator; A75D(E) Battery Charger/Eliminator; ESCR Engine Starting Battery Charger Battery Chargers, Power Supplies, Battery Eliminators Product Model Number: TPSD -Phase, TPSD 3-Phase, A75D(E) -Phase, A75D(E) 3-Phase, ESCR -Phase (List all unique product identification numbers and/or part numbers) General Description: Rigid wall & floor mounted cataloged units. Seismic enhancements made to the test units and modifications required to address anomalies observed during the tests shall be incorporated into the production units. Mounting Description: Rigid to floor and wall mounted. External vibration isolation not permitted. Applicant Information Applicant Company Name: The MC Group Contact Person: John P. Giuliano, PE Mailing Address: 3 Main Street, Bloomingdale, NJ Telephone: john.giuliano@thevmcgroup.com I hereby agree to reimburse the Office of Statewide Health Planning and Development review fees in accordance with the California Administrative Code, 203. Signature of Applicant: Date: 8/28/3 Title: President Company Name: The MC Group Access to Safe, Quality Healthcare Environments that Meet California s Diverse and Dynamic Needs STATE OF CALIFORNIA HEALTH AND HUMAN SERICES AGENCY OSH-FD-759 (RE /24/3) Page of 3 0/6/203 Page of 23

2 OFFICE OF STATEWIDE HEALTH PLANNING AND DEELOPMENT FACILITIES DEELOPMENT DIISION California Licensed Structural Engineer Responsible for the Engineering and Test Report(s) Company Name: The MC Group Name: Kenneth Tarlow California License Number: SE285 Mailing Address: th Street, 6 th Floor, Sacramento, CA 9584 Telephone: ken.tarlow@thevmcgroup.com Supports and Attachments Preapproval Supports and attachments are preapproved under OPM- (Separate application for OSHPD Preapproval of Manufacturer s Certification (OPM) of Supports and attachments is required) Supports and attachments are not preapproved Certification Method Testing in accordance with: Other (Please Specify): ICC-ES AC56 Testing Laboratory Company Name: Contact Name: UC Berkeley Wesley Neighbour Mailing Address: 30 South 46 th Street, Building 420, Richmond, CA Telephone: wdn@berkeley.com Access to Safe, Quality Healthcare Environments that Meet California s Diverse and Dynamic Needs STATE OF CALIFORNIA HEALTH AND HUMAN SERICES AGENCY OSH-FD-759 (RE /24/3) Page 2 of 3 0/6/203 Page 2 of 23

3 Seismic Parameters OFFICE OF STATEWIDE HEALTH PLANNING AND DEELOPMENT FACILITIES DEELOPMENT DIISION Design in accordance with ASCE 7-0 Chapter 3: Yes No Design Basis of Equipment or Components (F p /W p ) =.4 S DS (Design spectral response acceleration at short period, g) =.93 a p (In-structure equipment or component amplification factor) =.0 R p (Equipment or component response modification factor) = 2.5 Ω 0 (System overstrength factor) = 2.5 I p (Importance factor) =.5 ( factor ratio) =.0 Equipment or Component Natural Frequencies (Hz) = See Attached Matrix Overall dimensions and weight (or range thereof) = See Attached Matrix Equipment or grade designed in accordance with ASCE 7-0 Chapter 5: Yes No Design Basis of Equipment or Components (/W) = S DS (Design spectral response acceleration at short period, g) = S D (Design spectral response acceleration at second period, g) = R (Response modification coefficient ) = Ω 0 (System overstrength factor) = C d (Deflection amplification factor) = I p (Importance factor) =.5 to Center of Gravity above base = Equipment or Component Natural Frequencies (Hz) = Overall dimensions and weight (or range thereof) = Tank(s) designed in accordance with ASME BPC, 200: Yes No List of Attachments Supporting Special Seismic Certification Test Report(s) Drawings Calculations Manufacturer s Catalog Other(s) (Please Specify): OSHPD Approval (For Office Use Only) Approval Expires on December 3, 209 Signature: Date: 0/6/203 Print Name: M. R. Karim Title: SHFR Special Seismic Certification alid Up to : S DS (g) =.93 =.0 Condition of Approval (if applicable): Access to Safe, Quality Healthcare Environments that Meet California s Diverse and Dynamic Needs STATE OF CALIFORNIA HEALTH AND HUMAN SERICES AGENCY OSH-FD-759 (RE /24/3) Page 3 of 3 0/6/203 Page 3 of 23

4 OSHPD OSP Certified Product Matrix Table. LaMarche A75D & A75DE Battery Charger/Eliminator All models and options listed in the table are pre-approved for an SDS =.93 at =.0 Unit Type A75D/A75DE Series SCR Battery Charger/Eliminator Model No. NEMA Rating Enclosure UL Rating Input oltage [] Phase Output Rating [A] Output oltage [] Dims (in) (W x D x H) Max. [lbs] Material Flexible Wall Rigid Wall Floor!!"#$%# &'()%*$+,()- A75D-6-24 A75DE-6-24 UL 02 20/208/240/ x 5 x Carbon Steel X extrapolated A75D-2-24 A75DE-2-24 UL 02 20/208/240/ x 5 x Carbon Steel X extrapolated A75D-6-24 A75DE-6-24 UL 02 20/208/240/ x 5 x Carbon Steel X extrapolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X extrapolated A75D UL 02 20/208/ x 5 x Carbon Steel X 4 A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75DE UL x 5 x Carbon Steel X 5 A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D-6-48 A75DE-6-48 UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D-2-48 A75DE-2-48 UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D-6-48 A75DE-6-48 UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D-6-30 A75DE-6-30 UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D-2-30 A75DE-2-30 UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D-6-30 A75DE-6-30 UL 02 20/208/240/ x 5 x 24 9 Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D UL x 5 x Carbon Steel X 6 A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 5 x Carbon Steel X interpolated A75D A75DE UL 02 20/208/240/ x 23.5 x Carbon Steel X interpolated Mounting 0/6/203 Page 4 of 23

5 Table. LaMarche A75D & A75DE Battery Charger/Eliminator - cont'd All models and options listed in the table are pre-approved for an SDS =.93 at =.0 Unit Type A75D/A75DE Series SCR Battery Charger/Eliminator All s are 4 gauge. Model No. NEMA Rating Enclosure UL Rating Input oltage [] Phase Output Rating [A] Output oltage [] Dims (in) (W x D x H) Max. [lbs] Material Flexible Wall Rigid Wall Floor!!"#$%# &'()%*$+,()- A75D A75DE /240/ x 5 x Carbon Steel X interpolated A75D A75DE /240/ x 5 x Carbon Steel X interpolated A75D A75DE /240/ x 23.5 x Carbon Steel X interpolated A75D A75DE /240/ x 23.5 x Carbon Steel X interpolated A75D A75DE /240/ x 23.5 x Carbon Steel X interpolated A75D A75DE /240/ x 30 x Carbon Steel X interpolated A75D A75DE /240/ x 30 x Carbon Steel X interpolated A75D A75DE /240/ x 39.4 x Carbon Steel X interpolated A75D A75DE /240/ x 5 x Carbon Steel X interpolated A75D A75DE /240/ x 5 x Carbon Steel X interpolated A75D A75DE /240/ x 5 x Carbon Steel X interpolated A75D A75DE /240/ x 23.5 x Carbon Steel X interpolated A75D A75DE /240/ x 23.5 x Carbon Steel X interpolated A75D A75DE /240/ x 30 x Carbon Steel X interpolated A75D A75DE /240/ x 30 x Carbon Steel X interpolated A75D A75DE /240/ x 39.4 x Carbon Steel X interpolated A75D A75DE /240/ x 39.4 x Carbon Steel X interpolated A75D A75DE /240/ x 5 x Carbon Steel X interpolated A75D A75DE /240/ x 5 x Carbon Steel X interpolated A75D A75DE /240/ x 5 x Carbon Steel X interpolated A75D A75DE /240/ x 5 x Carbon Steel X interpolated A75D A75DE /240/ x 23.5 x Carbon Steel X interpolated A75D A75DE /240/ x 23.5 x Carbon Steel X interpolated A75D A75DE /240/ x 30 x Carbon Steel X interpolated A75D A75DE /240/ x 30 x Carbon Steel X interpolated A75D A75DE /240/ x 39.4 x Carbon Steel X interpolated A75D A75DE /240/ x 39.4 x Carbon Steel X interpolated A75D A75DE /240/ x 39.4 x Carbon Steel X interpolated A75DE x 39.4 x Carbon Steel X 7 Mounting 0/6/203 Page 5 of 23

6 Table 2. LaMarche TPSD Battery Chargers/Power Supplies/Battery Eliminators All models and options listed in the table are pre-approved for an SDS =.93 at =.0 Unit Type TPSD Battery Charger/Power Supply/Battery Eliminator Model No. TPSD-6-24 TPSD-6-24 TPSD-6-24 TPSD-6-24 TPSD-2-24 TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD-6-48 TPSD-2-48 TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD-6-30 TPSD-2-30 TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD TPSD NEMA Rating Enclosure UL Rating Input oltage [] Phase Output Rating [A] Output oltage [] Dims (in) (W x D x H) Max. [lbs] Material Flexible Wall Mounting Rigid Wall Floor!!"#$%# &'()%*$+,()- UL /220/ x 5 x Carbon Steel X UL /220/ x 5 x Carbon Steel X UL /220/ x 5 x Carbon Steel X UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x 24 0 Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x 24 7 Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL 02 20/208/220/240/380/ x 5 x Carbon Steel X X X interpolated UL /220/ x 5 x Carbon Steel X 2 UL /220/ x 5 x Carbon Steel X 2 UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 23.5 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 9 x Carbon Steel X interpolated UL 02 20/208/220/240/380/ x 9 x Carbon Steel X interpolated UL /220/ x 9 x Carbon Steel X 3 0/6/203 Page 6 of 23

7 All s are 4 gauge. Table 3. LaMarche ESCR Engine Starting Battery Charger All models and options listed in the table are pre-approved for an SDS =.93 at =.0 Unit Type ESCR Enginer Starting Battery Charger Model No. ESCR-20/0-2/24-A ESCR-20/0-2/24-A ESCR-20/0-2/24-A ESCR-40/20-2/24-A ESCR-40/20-2/24-A ESCR-40/20-2/24-A NEMA Rating Enclosure UL Rating All s are 6 gauge. Model Numbers uniquely identify all sub-components of Battery Charger Input oltage [] Phase Output Rating [A] Output oltage [] Dims (in) (W x D x H) Max. [lbs] 0 2 UL /208/ x 7 x UL /208/ x 7 x UL /208/ x 7 x UL 236 UL 236 UL /208/240 20/208/240 20/208/ x 9 x 5.4 x 9 x 5.4 x 9 x Material Carbon Steel Carbon Steel Carbon Steel Carbon Steel Carbon Steel Carbon Steel Flexible Wall X X X X Mounting Rigid Wall X X Floor!!"#$%# &'()%*$+,()- interpolated X 8 X 8 interpolated 9 9 0/6/203 Page 7 of 23

8 OSHPD OSP Certified Product Subcomponent Matrix Table 4. LaMarche TPSD Battery Chargers/Power Supplies/Battery Eliminators All models and options listed in the table are certified to the seismic design levels in this report Part Description Part Manufacturer Part Model Series Part Max Tested in UUT AC Breaker AIRPAX 29 SERIES (25-00A, 24;6-50A, 30) ~ # 2 AC Breaker AIRPAX 29 SERIES (6-75A) ~ # Interpolated AC Breaker AIRPAX AUPG SERIES (6-2A, 24 &48) ~ # AC Breaker WESTINGHOUSE QC SERIES ~ # 4 AC Breaker WESTINGHOUSE HQC SERIES (00A) ~4 # Interpolated AC Breaker WESTINGHOUSE KDB SERIES (25-300A) ~5 # 7 AC TERMINATIONS ALTEC ~ # 4, 5, 6 AC TERMINATIONS GLASTIC ARY ~ # 7 Alarm ON CIRCUIT CARD S2A-98, 7 Annuciator ON CIRCUIT CARD S2A-98, 7 Cap La Marche Mfg S6-A75DCAP SERIES ~ # 4, 5, 6, 7 UNITED CHEMI-CON U32D44 (6-40A, 24 & 48) ~ # 4 UNITED CHEMI-CON U36D74 (ALL 30) ~ # 6 UNITED CHEMI-CON U32D444 (50-00A, 24& 48)) ~ # 5 UNITED CHEMI-CON U36D SERIES (30v, # vary between units) ~ 2 # 7 UNITED CHEMI-CON U32D SERIES (24, 48) ~ 2 # Interpolated (C3&C6) UNITED CHEMI-CON U32D SERIES (6-25A, 24 & 48) ~ # (C3&C6) UNITED CHEMI-CON U36D & U32D SERIES (35-50A, 24 & 48) ~ # 2 (C3&C6) UNITED CHEMI-CON U32D SERIES (00A-24; 00A-48; 6-50A, 30v) ~ 2 # 3 La Marche Mfg ARY BETWEEN UNITS, 2, 3 La Marche Mfg ARY BETWEEN UNITS 4, 5, 6 La Marche Mfg ARY BETWEEN UNITS 7 La Marche Mfg S2A-255 ~ #, 2, 3 La Marche Mfg S2A-220 ~ #, 2, 3 La Marche Mfg S2A-296 ~ #, 2, 3 La Marche Mfg S2A-205 ~ #, 2, 3 La Marche Mfg S2A-293 (DIGITAL DISPLAY) ~ #, 2, 3 La Marche Mfg S2A-98 ~ # La Marche Mfg S2A-49 ~ #, 2, 3 La Marche Mfg AC58 30 ONLY ~3 # 3 La Marche Mfg S2A-360S ~ # 4, 5, 6 La Marche Mfg S2A-362 ~ # 4, 5, 6 La Marche Mfg S2A-364 ~ # 4, 5, 6 La Marche Mfg S2A-72 ~ # 5 La Marche Mfg S2A-98 ~ # 5 La Marche Mfg S2A-302 ~ # 4 La Marche Mfg S2A-332 ~ # 7 La Marche Mfg S2A-72 ~ # 7 La Marche Mfg FC6 ~ 2 # 7 La Marche Mfg S2A-32 ~ # 7 La Marche Mfg S2A-326 ~ # 7 Control Fuse LITTLEFUSE ~ #, 2, 3 Data Port La Marche Mfg ON CIRCUIT CARD S2A-302 2, 4 DC Breaker AIRPAX AUPL SERIES (6-75A, 24; 48) ~ # 2 DC Breaker AIRPAX ALEL SERIES (24 & 48) ~ # 4 DC Breaker AIRPAX A279 SERIES (30) ~ # 6 DC Breaker AIRPAX A279 SERIES (30) ~ # Interpolated DC Breaker AIRPAX EHD SERIES (50, 30) ~ # 2 DC Breaker AIRPAX WFD SERIES (00-50A, 30) ~5 # 3 DC TERMINATIONS ALTEC ~ # 4, 5, 6 DC TERMINATIONS GLASTIC ARY ~ # 7 Digital Display Meter La Marche Mfg ON S2A-205 CARD Diode GE N5624 ~ #, 2, 3 Diode ASSEMBLY La Marche Mfg SE-D25-00 ~ 3 # 4, 5 Diode ASSEMBLY La Marche Mfg SE-D38-00 ~ 3 # 6 Fuse FERRAZ SHAWMUT A3X80-4 (6-40A, 24&48) ~ # 4 Fuse FERRAZ SHAWMUT A25X80 (6-40A, 30) ~ # 6 Fuse FERRAZ SHAWMUT A3X200-4 (50-00A) ~ # 5 Fuse GOULD A25X200 < # 7 La Marche Mfg SF-2MX3-00(6-6A) ~7 # 4 La Marche Mfg SE-2MX05-00(20-25A) ~8 # 4 La Marche Mfg SE-M3ETX-XXXX(30-35) & (40-50) ~0 # 6 La Marche Mfg SE-MES8-020(75A) ~ 20 # 5 ON AC58, 2, 3 ASM for diode La Marche Mfg SE-3875-J0 7 0/6/203 Page 8 of 23

9 OSHPD OSP Certified Product Subcomponent Matrix Table 4. LaMarche TPSD Battery Chargers/Power Supplies/Battery Eliminators All models and options listed in the table are certified to the seismic design levels in this report LCD Display AZ DISPLAYS, INC ACM602B < # 4 LCD Display AZ DISPLAYS, INC ACM602B < # 7 Lightning Arrestor DITEK Z40-3Y ~ # 2 Lightning Arrestor DITEK Z40-3Y ~ 3 # 4 Lightning Arrestor DITEK Z40-3Y ~ # 7 Regulator La Marche Mfg ON S2A-205 CARD Regulator La Marche Mfg S2C-47A (75-30) 5 Regulator LITTLELFUSE 250LA20AP (25-50A & 300, 30) 7 Regulator ON CIRCUIT CARD S2A-362 4, 5, 6 Relay La Marche Mfg ON S2A-98 CARD Relay ON S2A-98 CARD < # 4 Relay TYCO/P&B KUP-A5-24 < # 4 Relay TYCO/P&B KUP-A5-24 < # 7 HUNTINGTON FST50-K < # 4, 5, 6 HUNTINGTON FST50-K < # 7 ON CIRCUIT CARD S2A-49, 2, 3 SCADA La Marche Mfg ON CIRCUIT CARD S2A-302 2, 4 Surge Protector La Marche Mfg S2C-47A 3 Surge Protector LITTLEFUSE 250LA20AP (6-2A & 00A, 24) Surge Protector LITTLEFUSE 20ZA6P (20A-75A & 50A, 24) 3 Surge Protector LITTLEFUSE 00ZA5P (24, 48) ~ # 4 Surge Protector LITTLEFUSE 50LA20AP (30) ~ # 6 Temperature Compensation La Marche Mfg < # 7 Temperature Compensation NATIONAL LM335AH ~ # Temperature Compensation NATIONAL LM335AH < # 4 Timer ON CIRCUIT CARD S2A Timer ON CIRCUIT CARD S2A-362 4, 5, 6 Transformer La Marche Mfg ARY BETWEEN UNITS, 2, 3 Transformer La Marche Mfg ARY BETWEEN UNITS Interpolated Transformer La Marche Mfg ARY BETWEEN UNITS 7 aristor SIEMENS S07K250 ~ # 0/6/203 Page 9 of 23

10 UUT #a Model Series: TPSD-6-24 Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 5" 9" 2.25" 90 lbs Transformer AC Breaker Control Fuse Diode Digital Display Meter Relay Regulator Surge Protector Switch Alarm Annunciator Temperature Compensator aristor Oil Fill Cap Aflx- Arig ICC-ES AC56 (202) Wall mounted unit, attached to spring vibration isolated wall fixture. (4) 3/8" SAE Grade 8 bolts on back panel. 0/6/203 Page 0 of 23

11 UUT #b Model Series: TPSD-6-24 Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 5" 9" 2.25" 90 lbs Transformer AC Breaker Control Fuse Diode Digital Display Meter Relay Regulator Surge Protector Switch Alarm Annunciator Temperature Compensator aristor Oil Fill Cap Aflx- Arig ICC-ES AC56 (202) Wall mounted unit, attached to non-isolated wall fixture. (4) 3/8" SAE Grade 8 bolts on back panel. 0/6/203 Page of 23

12 UUT #c Model Series: TPSD-6-24 Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 5" 9" 2.25" 90 lbs Transformer AC Breaker Control Fuse Diode Digital Display Meter Relay Regulator Surge Protector Switch Alarm Annunciator Temperature Compensator aristor Oil Fill Cap Aflx- Arig ICC-ES AC56 (202) Floor mounted unit, attached rigidly thru provided holes. (4) 5/6" SAE Grade 8 bolts on bottom panel. 0/6/203 Page 2 of 23

13 UUT #2a Model Series: TPSD Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 5" 23" 36" 586 lbs Transformer AC Breaker DC Breaker Control Fuse Diode Lightning Arrestor Data Port SCADA Aflx- Arig ICC-ES AC56 (202) Wall mounted unit, attached to spring vibration isolated wall fixture. (6) /2" SAE Grade 8 bolts on back panel. 0/6/203 Page 3 of 23

14 UUT #2b Model Series: TPSD Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 5" 23" 36" 586 lbs Transformer AC Breaker DC Breaker Control Fuse Diode Lightning Arrestor Data Port SCADA Aflx- Arig ICC-ES AC56 (202) Wall mounted unit, attached to non-isolated wall fixture. (6) /2" SAE Grade 8 bolts on back panel. 0/6/203 Page 4 of 23

15 UUT #3 Model Series: TPSD Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 9" 24" 72" 900 lbs na Transformer DC Breaker Control Fuse Diode Surge Protector Aflx- Arig ICC-ES AC56 (202) Floor mounted unit, attached rigidly thru provided holes. (4) 3/8" SAE Grade 8 bolts on bottom panel. 0/6/203 Page 5 of 23

16 UUT #4 Model Series: A75DE Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 5" 9" 2.25" 04 lbs Cap AC Breaker DC Breaker Fuse Diode Assembly Lightning Arrestor Data Port SCADA LCD Display Relay Regulator Surge Protector Timer AC Termination DC Termination Temperature Compensation Aflx- Arig ICC-ES AC56 (202) Wall mounted unit, attached to non-isolated wall fixture. (4) 3/8" SAE Grade 8 bolts on back panel. 0/6/203 Page 6 of 23

17 UUT #5 Model Series: A75D Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 5" 20" 38" 240 lbs na Cap Fuse Diode Assembly Regulator Timer AC Terminations DC Terminations Temperature Compensation Aflx- Arig ICC-ES AC56 (202) Floor mounted unit, attached rigidly thru provided holes. (4) 5/6" SAE Grade 8 bolts on bottom panel. 0/6/203 Page 7 of 23

18 UUT #6 Model Series: A75D Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 5" 9" 24" 300 lbs Cap DC Breaker Fuse Diode Assembly Regulator Surge Protector Timer AC Terminations DC Terminations Aflx- Arig ICC-ES AC56 (202) Wall mounted unit, attached to non-isolated wall fixture. (6) 3/8" SAE Grade 8 bolts on back panel. 0/6/203 Page 8 of 23

19 UUT #7 Model Series: A75DE Construction Summary: 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 4 Gauge galvanized carbon steel 39.4" 38" 70" 2200 lbs na Assembly for diode Transformer Cap AC Breaker Fuse Lightning Arrestor LCD Display Relay Regulator Alarm Annunciator Timer AC Terminations DC Terminations Temperature Compensation Aflx- Arig ICC-ES AC56 (202) Floor mounted unit, attached rigidly thru provided holes. (4) /2" SAE Grade 8 bolts on bottom panel. 0/6/203 Page 9 of 23

20 UUT #8a Model Series: ESCR-20/0-2/24-A Construction Summary: 6 Gauge galvanized carbon steel 6 Gauge galvanized carbon steel 6 Gauge galvanized carbon steel 7" 7.75".25" 25 lbs Transformer AC Breaker DC Breaker Fuse Diode Lightning Arrestor Data Port SCADA Digital Display Meter LCD Display Relay Regulator Surge Protector Alarm Annuciator Timer Temperature Compensation Reactor aristat Aflx- Arig- ICC-ES AC56 (202) Wall mounted unit, attached to spring vibration isolated wall fixture. (4) /4" SAE Grade 8 bolts on back panel. 0/6/203 Page 20 of 23

21 UUT #8b Model Series: ESCR-20/0-2/24-A Construction Summary: 6 Gauge galvanized carbon steel 6 Gauge galvanized carbon steel 6 Gauge galvanized carbon steel 7" 7.75".25" 25 lbs Transformer AC Breaker DC Breaker Fuse Diode Lightning Arrestor Data Port SCADA Digital Display Meter LCD Display Relay Regulator Surge Protector Alarm Annuciator Timer Temperature Compensation Reactor aristat Aflx- Arig- ICC-ES AC56 (202) Wall mounted unit, attached to non-isolated wall fixture. (4) /4" SAE Grade 8 bolts on back panel. 0/6/203 Page 2 of 23

22 UUT #9a Model Series: ESCR-40/20-2/24-A Construction Summary: 6 Gauge galvanized carbon steel 6 Gauge galvanized carbon steel 6 Gauge galvanized carbon steel 9".4" 5" 42 lbs Transformer AC Breaker DC Breaker Fuse Diode Lightning Arrestor Data Port SCADA Digital Display Meter LCD Display Relay Regulator Surge Protector Alarm Annuciator Timer Temperature Compensation Reactor aristat Aflx- Arig- ICC-ES AC56 (202) Wall mounted unit, attached to spring vibration isolated wall fixture. (4) /4" SAE Grade 8 bolts on back panel. 0/6/203 Page 22 of 23

23 UUT #9b Model Series: ESCR-40/20-2/24-A Construction Summary: 6 Gauge galvanized carbon steel 6 Gauge galvanized carbon steel 6 Gauge galvanized carbon steel 9".4" 5" 42 lbs Transformer AC Breaker DC Breaker Fuse Diode Lightning Arrestor Data Port SCADA Digital Display Meter LCD Display Relay Regulator Surge Protector Alarm Annuciator Timer Temperature Compensation Reactor aristat Aflx- Arig- ICC-ES AC56 (202) Wall mounted unit, attached to non-isolated wall fixture. (4) /4" SAE Grade 8 bolts on back panel. 0/6/203 Page 23 of 23

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