Potter Model 4050 CSFM Listings 1517-0111

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CALIFORNIA DEPARTMENT OF FORESTRY FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL ENGINEERING BUILDING MATERIALS LISTING PROGRAM SERVICE FIRE ALARM PULL BOXES 1 of 1 PRODUCTS GROUP CPG 1609 Park 370 Place Hazelwood MO 63031 Brad Serangeli 314 595 6731 Fax 309 762 8215 brads pottersignal com 4050 001T through 005T 051T through 055T 101T through 105T 211T 212T through 225T 271T through 275T 321T through 325T 402T 403T 406T 409T through 416T manual pull stations Unit may be followed by an additional three digit for color designation Refer to listee s data sheet for additional detailed product and operational considerations accordance with listee s printed installation instructions applicable codes and ordinances in a manner acceptable to the authority having jurisdiction name product number electrical rating and UL label as manual pull stations for use with separately listed compatible fire alarm control All units shall be mounted on a listed outlet box or Models 9090 006 007 or 4050BB box For indoor use only These manual pull boxes meet the requirements of UL Standard 38 1999 Edition and amendments No 06 22 2009 fm listing is based upon technical data submitted by the applicant CSFM Fire Engineering staff has reviewed test results and or other data but does not make an independent verification of any claims This listing is not endorsement or verify correct requirements or installation criteria Refer to listee data sheet installation instructions and or other should not be used of This Issued 01 2021 Expires 30 2022 By CASTILLO M E F P E Engineering Division

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