REVISIONS C LTR DESCRIPTION DATE APVD A Original Release per C.O.7416 10/13/16 CSK B Revised per C.O.7461 11/7/16 CSK C Revised per C.O.7643 8/1/18 CSK 960-0134-001 VERIFY REVISION BEFORE USING RECORD OF REVISION STATUS OF EACH SHEET 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 A A / B B / C C C / REGULATORY DOCUMENT AI-TEK Instruments, LLC 06410 APPROVALS DATE CS Kalley 10/13/16 TITLE: PREPARED DECLARATION OF CONFORMITY CS Kalley 10/13/16 CHECKED CS Kalley 10/13/16 DSGN ENGR D. Schiavo 10/25/16 QUAL ENGR DWG. NO. CODE IDENT. SIZE 960-0134-001 A NUMBER J. Zitnay 10/20/16 MFG ENGR 1XP56 SHEET 1 OF 2
960-0134-001 C REVISIONS LTR DESCRIPTION DATE APVD A Original Release per C.O.7416 10/13/16 CSK B Revised per C.O.7461 11/7/16 CSK C Revised per C.O.7643 8/1/18 CSK VERIFY REVISION BEFORE USING RECORD OF REVISION STATUS OF EACH SHEET 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 A A / B B / C C C / REGULATORY DOCUMENT AI-TEK Instruments, LLC 06410 APPROVALS DATE PREPARED CS Kalley 10/13/16 TITLE: CHECKED CS Kalley 10/13/16 DECLARATION OF CONFORMITY DSGN ENGR CS Kalley 10/13/16 QUAL ENGR D. Schiavo 10/25/16 SIZE A CODE IDENT. NUMBER 1XP56 DWG. NO. 960-0134-001 MFG ENGR J. Zitnay 10/20/16 SHEET 1 OF 2
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