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Aug 09 11 02:28p Empire Sign & Crane 775467-2105 p.4 <br />Certificate "- Fipliance (Sign Lighting)(Page 4 of 4)SLTG-leOI LOI] <br />Project Name: <br />,\AA-1 VC 4-hr''Cl m. ag.8 9 <br />5. Specific Liehting Source Method of Compliance <br />Certificate of Compliance and Field Inspection Energy Checklist <br />Complete this part it- there arc signs using tile Specific lighting source method of compliance. (Complete pan 4 of this <br />Cenificate of Compliance if there are signs using the moximum allowed lighting power method of compliance) <br />A B C D E <br />OPTIONAL <br />UL Specific light source used for <br />Symbol or other compliance <br />label Shall include only lightingorDescription <br />Code instructED,1%technologies listed belowBec <br />1,clow)List al] that apply <br />4 <br />Field <br />Inspector <br />Check that <br />Sigli <br />Complies <br />4 <br />Chh,v» A. 80 <br />0 0 <br />0 0 <br />0 0 <br />O 0 <br />A Sym')01 or codcuscd on the ploos (whcn plans arc required) and other documents. <br />B A narrativedescription ofthc sign, or location orsipn on thebuilding; and the locatian of sign on construction documcats <br />C OPTIONAL - Check this box only if this sign has a permanent. pre-printed, ihclory-installed Jabel, listed with Under·writers Laboratory <br />(UL) or other testing laboratory occredited by thc National Voluntuy Laboratory Accreditation hogram (NVLAP) CY Intemulional <br />Standards Organization (ISO) 17025 in accordance with ISO/lEC 1701 1 with tlic products produced underan ongoing inspection program <br />carried oul by a Typc A inspection body in accordance with ISO/IEC 17020, confirming tlult this sign complies with the Section 148 of the <br />California 200& Title 24, Part 6 Standards: using the Specific Lighting Source Method of Complionce. For signs with such o label, colunm <br />'D' is not required to bc filled ouL Note: Using a label isan optional method to validate comptionoc. A label is col nccdcd for compliance. <br />Specific Light Source Compliuncc Method. The sign(s) identified above use only the following lighling technologies· <br />List all applicable numbers (1 through ID) thal apply in column D obovc for each row. <br />1 High pressure sodium lamps <br />2 Pulse start or ceramic metal halidc lamps served bv a ballastwith 2 88% efficiency <br />3 Pulse start metal halide lamps that are S 320 watts, are not 250 watt or 175 watt lamps, and am served by n ballast <br />with Z 80% efficiencv <br />4 Neon or cold cathode lamps with oansformer or power supplv efficiencv 2 75% with rated output current < 50 mA <br />5 Neon or cold cathode lamps with transionner or power suppli efficicncv 2 68% with rated output current 2 50 mAD6 Fluorescent lamps with a minimum color rendering index (CRI) of 80 <br />(Note: when using electronic ballasts for compliance. lamps with a CR] < 80 muY be used) <br />7 Light emitting diodes (LEDs) with n power supplv withk 80%efficiency <br />Single vollage LED external power supplies designed to convert ]20 volt AC input into lowcr voltage DC or AC <br />8 output, having a nameplate output power less than orequal to 250 walls, and ccrlified to the Energy Coounission as <br />complying with the applicable requirements of the Appliance Efficiencv Regulations (Title 20) <br />9 Compacl fluomscent lamps that do not contain a medium screw base sockets (E24/E26) <br />10 Elecounic ballasts with a fundamentul output frequency 2 20 kHz <br />E This pago doubles as a field inspection chooklist. <br />Field Inspector Notes: <br />2003 Namesidential Complimice Forms July 2010 <br />./ <br />i