Document of Conformity

File E338066 Vol. 3 Sec. 2 Page 1 Issued: 2019-09-26

and Report

DESCRIPTION

PRODUCT COVERED:

USL, CNL – Analogue Signal Converter Isolator ACT20P Series for use in Class

I, Division 2, Groups A, B, C and D Hazardous Locations

Models ACT20P-CI-CO-ILP-S, ACT20P-CI-CO-ILP-P, ACT20P-2CI-2CO-ILP-

S, ACT20P-2CI-2CO-ILP-P, ACT20P-CI1-CO-OLP-S, ACT20P-CI1-CO-OLP-P,

ACT20P-CI2-CO-OLP-S, ACT20P-CI2-CO-OLP-P, ACT20P-VI1-CO-OLP-S,

ACT20P-VI1-CO-OLP-P, ACT20P-VI-CO-OLP-S, ACT20P-VI-CO-OLP-P,

ACT20P-CI-2CO-OLP-S, ACT20P-CI-2CO-OLP-P.

GENERAL:

These devices shall comply with ordinary locations File E501171-D1001,

issued date 2019-04-26, Measuring, Testing and Signal-generation Equipment,

covering for this manufacturer and with the following description. Should the

Procedure File E501171-D1001, issued date 2019-04-26 be withdrawn, labeling

under this Procedure must be discontinued until authorization to resume is

received. In the case of any discrepancy between this File and File E501171-

D1001, issued date 2019-04-26, this file has precedence. When used in

hazardous environments corresponding to Class I, Division 2, the device must

be installed in an ultimate enclosure where the internal compartment is only

accessible by use of a tool.

These devices are considered Open-Type Analogue Signal Converter, which

can connect with current/voltage source signal. The signal 0/4 -20mA or 0-

5/10V is isolated and transferred through output side.

TECHNICAL CONSIDERATIONS (NOT FOR FIELD REPRESENTATIVE’S USE):

Products designated USL have been investigated using requirements

contained in:

UL121201, Nonincendive Electrical Equipment for Use in Class I and II,

Division 2 and Class III, Division 1 and 2 Hazardous (Classified)

Locations, Edition 9, Revised on Date 31 August, 2018.

Products designated CNL have been investigated using requirements

contained in:

CSA C22.2 No. 213-17, Nonincendive Electrical Equipment for Use in Class

I and II, Division 2 and Class III, Division 1 and 2 Hazardous

(Classified) Locations, Edition 3, Issued Date 15 September, 2017