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DocumentTit�e: oocNo: FRM 61-43 <br /> ����M�v� fmpact Performance RevNo: 3 �age: 1 a: , <br /> K�YSTO1�(� Certification <br /> CLH7IVIGAT�oNa.INC. <br /> � �"-�~ �= Authorization Re ort <br /> Required Sy pR0 81-03 <br /> CAR & Product ID Number: 190 - 297 <br /> issue Da#e: 01/13/2015 <br /> Revision Date: 01/13/2015 <br /> Expiration Date: 12/16/2018 <br /> Company Code: 190 <br /> This Certification Authorization Report(CAR) is issued by Keystone Certifications, Inc. {iCCI)after full validation review <br /> of the product qualification documents for the product named below. This report is only valid when signed by an o�cer <br /> of KCI, and indicates the produc# as manufactured by the company named below has been tested and meets the <br /> requirements of the referenced standard and is eligible for the application of Keystone Certification Program certification <br /> labeis. Licensee stipulates in affixing certification labels to products, that #hose products are representative of the <br /> specimen evaluated and documented for certification authorization. Only products bearing such a certiftcation iabel <br /> shal! be considered certified. The information in this report can be verified at www.keystonecerts.com. <br /> Licensee Information: Product Information: <br /> PG7 Industries Mode(: HR5510 PVC 1/4-1/2-1/4 Impact Horiz <br /> Slider <br /> 1070 Technology Dr. Operator Type: HS <br /> PO Box 1529 Config: EM/AII/Clip, GS-5/16"Ann Lami IG {Ann C p) <br /> Nokomis, �L 34274 Max Width: 120 <br /> � Max Height: g3 <br /> Corresponding Structural CARs: 190-1053.0 <br /> Referenced Standard: Product Rating: <br /> ASTM E1886-Q5/E1996-12 Missile Level D, Wind Zone 4, DP=+/-45, 120x63 XOX <br /> Qualifying Test Information: <br /> Test Report No: FTL-8052/8053 <br /> Test Report Expiration: 92/16/2018 <br /> Authorized Signature: <br /> Keystone Certifications, lnc. <br /> 564 Old York Road, Suite 5 <br /> Etters, Pennsylvania 'i 7319 <br />, • � Phone: 717-932-8500 <br /> Fax: 717-932-8501 <br /> W W W.KtYSTO N ECERTS.0 OM <br />