Document of Conformity

Underwriters Laboratories (UL LLC) Manufacturing Factories Report

Model: ACT20P-VM-AO-S, ACT20P-VM-AO-P

Manufacturing Factory(ies): Shanghai Chenzhu Instrumentation Co Ltd

Floor 7~8, Building 6 No. 201,Minyi Road Songjiang District

shanghai 201612 CN

Applicant: Weidmueller Interface GmbH & Co Kg

Klingenbergstrasse 16

Detmold 32758 Germany

E469563

Listee: Same as Applicant

Listee File No.:

Report No.: E469563-D1002-1/A0/C0

Report Issue Date: 2018-10-17

Standard(s): UL 61010-1, 3rd Edition, Revision dated April 29, 2016, CAN/CSA-C22.2

No. 61010-1-12, 3rd Edition, Revision dated April 29, 2016

Additional Standards: N/A

Report Types: This report consists of the following report types:

[ Yes ] US Certification (UL Recognition)

[ Yes ] CAN Certification (UL Recognition)

You are receiving this report as a Manufacturing Factory for the above-referenced Applicant.

This report covers the Safety evaluation of the referenced model(s) according to the standard(s)

specified above.

This report includes portions of the full Applicant report and is designed to support any Follow-Up

inspections at the Manufacture’s facility.

Please refer to any Supplements to this document for a detailed manufacturer report, which includes

information for the Follow-Up Inspection as specified below:

- Appendix C: Follow-Up Service Documentation

- Appendix A: Enclosures

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Underwriters Laboratories (UL LLC) Manufacturing Factories Report Model: Manufacturing Factory(ies): ACT20P-VM-AO-S, ACT20P-VM-AO-P Shanghai Chenzhu Instrumentation Co Ltd Floor 7~8, Building 6 No. 201,Minyi Road Songjiang District shanghai 201612 CN Applicant: Weidmueller Interface GmbH & Co Kg Klingenbergstrasse 16 Detmold 32758 Germany E469563 Listee: Same as Applicant Listee File No.: Report No.
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Report Modifications Summary The following changes were made to this report. If none listed in the below table, this report is the originally issued report. NOTE: Some of the changes listed below were made in the full report and may not reflect the changes in this associated Factory Report, which just includes the Appendices listed above from the main report.