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1. UK DECLARATION OF CONFORMITY declares under his sole responsibility, that the PPE described hereafter: AlphaTec 4000 Model 111 PPE to be used against category III risks The Manufacturer ANSELL (U.K.) LIMITED BUILDING C, WILLERBY HILL BUSINESS PARK WILLERBY, HULL UNITED KINGDOM, HU10 6FE ® is in conformity with the provisions of Regulation 2016/425 on personal protective equipment as amended to apply in GB, and with the standards, EN 14605:2005 + A1:2009, EN ISO 13982-1:2004 + A1:2010, EN 1073-2:2002, EN 14126:2003, EN 1149-5:2018 (with exception for resistance to ignition not tested) and is identical to the PPE which is subject to the UK Type-examination (Module B, Annex V of the Regulation), under certificate number 0120/PPE/220497, issued by the Approved Body: SGS UNITED KINGDOM LIMITED REG. OFFICE: ROSSMORE BUSINESS PARK, ELLESMERE PORT, CHESHIRE CH65 3EN UNITED KINGDOM and is subject to the conformity assessment procedure set in out in Annex VIII (Module D) of the Regulation under the surveillance of the Approved Body: SGS UNITED KINGDOM LIMITED REG. OFFICE: ROSSMORE BUSINESS PARK, ELLESMERE PORT, CHESHIRE CH65 3EN UNITED KINGDOM Ulf Nystrom Sr Manager, Regulatory Affairs PPE Products Place: Malmö Date: 2022/11/23
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