AUTHORIZATION TO MARKThis authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s)Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing
Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing
Report.
This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be
applied only at the location of the Party Authorized To Apply Mark.
Applicant:Address:
Country:
Contact:
Phone:FAX:
Email:

Accretech SBS, Inc
2451 NW 28th Avenue
Portland, OR 97210
USA
Yosuke Tezuka
Kelvin Woltring(503) 595-4270(503) 595-4298(503) 595-4271
ytezuka@AccretechSBS.com
kwoltring@AccretechSBS.com

Party Authorized To Apply Mark:
Report Issuing Office:Control Number:

5020486

Manufacturer:
Address:
Country:
Contact:
Phone:FAX:
Email:

Accretech SBS, Inc
2451 NW 28th Avenue
Portland, OR 97210
USA
Yosuke Tezuka
Kelvin Woltring(503) 595-4270(503) 595-4298(503) 595-4271
ytezuka@AccretechSBS.com
kwoltring@AccretechSBS.com

Same as Manufacturer
Cortland, NYAuthorized by:for L. Matthew Snyder, Certification Manager

This document supersedes all previous Authorizations to Mark for the noted Report Number.
This Authorization to Mark is for the exclusive use of Intertek's Client and is provided pursuant to the Certification agreement between Intertek and its Client. Intertek's responsibility and liability arelimited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasionedby the use of this Authorization to Mark. Only the Client is authorized to permit copying or distribution of this Authorization to Mark and then only in its entirety. Use of Intertek’s Certification mark isrestricted to the conditions laid out in the agreement and in this Authorization to Mark. Any further use of the Intertek name for the sale or advertisement of the tested material, product or service mustfirst be approved in writing by Intertek. Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with theagreement, they are not for the purposes of production quality control and do not relieve the Client of their obligations in this respect.

Intertek Testing Services NA Inc.
545 East Algonquin Road, Arlington Heights, IL 60005
Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672

ATM for Report 100089045PRT-001

Page 1 of 2

ATM Issued: 4-Jun-2021
ED 16.3.15 (15-Oct-20) Mandatory

AUTHORIZATION TO MARKElectrical Equipment for Measurement, Control, and Laboratory Use; Part 1: General Requirements [UL61010-1:2012 Ed.3+R:19Jul2019]
Standard(s):Safety Requirements for Electrical Equipment for Measurement, Control, and Laboratory Use Part 1:
General Requirements [CSA C22.2#61010-1-12:2012 Ed.3+U1;U2;A1]
Product:Models:SBS Balance System
SB-4500-X
SB-4400-X
SB-4475-X

4-Channel
2-Channel w/o FP
2-Channel with FP

SB-5500-X
SB-5510-X
SB-5520-X
SB-5530-X
SB-5501-X
SB-5511-X
SB-5521-X
SB-5531-X

AC Input
AC Input, no FP
DC Input
DC Input, no FP
AC Input, no Pb
AC Input, no FP, no Pb
DC Input, no Pb
DC Input, no FP, no Pb

X may be:
X= no card installed(blank) = Mech. Balancer card installed
H= Hydro card installed
G= AEMS card installed
M= Manual balance card installed
N= Non-contact card installed
FP = Front PanelPb = Profibus

ATM for Report 100089045PRT-001

Page 2 of 2

ATM Issued: 4-Jun-2021
ED 16.3.15 (15-Oct-20) Mandatory