3003 W CASINO RD BLDG 40-23 2023-04-19

1.0 PURPOSE The purpose of these inspections and tests is to provide assurance that custom or non -certified equipment meets the requirements of the appropriate codes, safety orders and industry standards. These inspections and tests are normally required by the local building inspection authority having jurisdiction (AHJ) when equipment has not been certified by a Nationally Recognized Testing Laboratory (NRTL) or other recognized testing agency. These inspections address only the electrical systems on the equipment listed in Section 5.0 of this report. 2.0 SUMMARY This project was initiated at the request of Mr. Brian Hainey with Electroimpact. Inspection, testing and labeling of the equipment referenced in Section 5.0 was performed at the Boeing 40-27 Building in Everett, WA by eti Conformity Services Compliance Engineer Donald Preiss on November 15, 2022. No discrepancies were noted. The equipment was previously approved with eti labels 2025743 and 2025798. Scanners were added and the equipment retested and labeled. No electrical discrepancies were observed during the inspection and testing of the equipment. The scanners and one existing E Stop were tested. eti Conformity Services considers this equipment to be in compliance with the electrical codes and standards listed in Section 4.0, pursuant to the conditions of acceptance described in Section 3.0. An eti Conformity Services evaluation label has been affixed to the equipment. Note that final approval is under the jurisdiction of the City of Everett. 3.0 GENERAL CONDITIONS OF ACCEPTANCE In the event of modifications resulting in a change in the materials, manufacturing methods, loading, or environment that would affect the use of the accepted equipment under the provisions of the noted electrical standards, this acceptance will be considered automatically canceled. The applicant will be required to request re-examination of this equipment to determine acceptability of the modifications. By acceptance of the equipment referenced in Section 5.0, eti Conformity Services does not assume or discharge the responsibility of the equipment manufacturer, installer, or other relevant parties. Equipment evaluation is based upon adherence to sound engineering practices, and upon compliance with the specific sections quoted from the electrical standards referenced in Section 4.0 of this report. Reference No.: 1099539 Page 1