OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION “Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs” STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-700 (REV 1/24/13) Page 1 of 2 APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM) OFFICE USE ONLY APPLICATION #: OPM-0193-13 OSHPD Preapproval of Manufacturer’s Certification (OPM) Type: New Renewal Update to Pre-CBC 2013 OPA Number: Manufacturer Information Manufacturer: Getinge USA Manufacturer’s Technical Representative: Anthony Powell Mailing Address: 1777 E. Henrietta Road, Rochester, NY. 14623 Telephone: (585) 272-5243 Email: [email protected]Product Information Product Name: 700 Series Sterilizer – Control Tower Product Type: Motor Control Center Product Model Number: N/A General Description: Control Panel for 700 Series Sterilizers Applicant Information Applicant Company Name: EASE Co. Contact Person: Jonathan Roberson, S.E. Mailing Address: 5877 Pine Ave. Suite 210, Chino Hills, CA. 91709 Telephone: (909) 606-7622 Email: [email protected]I hereby agree to reimburse the Office of Statewide Health Planning and Development review fees in accordance with the California Administrative Code, 2013. Signature of Applicant: Date: 2/2/15 Title: Principal Engineer Company Name: EASE Co. r 7 7 7 7 0 0 0 0 0 0 0 0 0 0 n t S r S o e o e l e r 700 Se 7 r T 7 r T n 70 e o t 0 e o 00 e o r o 0 s w r 0 s w o w o S S e l S S e e S Se T r t e T te er T e ries Ste o e ries Ste o r es Ster o r es Ster w es Steri w s Steril w s i e z e z S e e S r e St e t r e s e s r r i li z z ze e e r rs s s S i St ili we Emai Anthony.p r – Cont er nel for il: ony.p r e n ntr r el fo – Co ma il: A An William Staehlin William Staehlin OPM-0193-13 06/25/2015 06/25/2015 OPM-0193-13: Reviewed for Code Compliance by William Staehlin Page 1 of 9
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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION
“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs”
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCYOSH-FD-700 (REV 1/24/13) Page 1 of 2
APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM)
OFFICE USE ONLY
APPLICATION #: OPM-0193-13
OSHPD Preapproval of Manufacturer’s Certification (OPM)
Type: New Renewal Update to Pre-CBC 2013 OPA Number:
Manufacturer Information
Manufacturer: Getinge USA
Manufacturer’s Technical Representative: Anthony Powell
Mailing Address: 1777 E. Henrietta Road, Rochester, NY. 14623
Product Name: 700 Series Sterilizer – Control Tower
Product Type: Motor Control Center
Product Model Number: N/A
General Description: Control Panel for 700 Series Sterilizers
Applicant Information
Applicant Company Name: EASE Co.
Contact Person: Jonathan Roberson, S.E.
Mailing Address: 5877 Pine Ave. Suite 210, Chino Hills, CA. 91709
Telephone: (909) 606-7622 Email: [email protected] hereby agree to reimburse the Office of Statewide Health Planning and Development review fees in accordance with the California Administrative Code, 2013.
Signature of Applicant: Date: 2/2/15
Title: Principal Engineer Company Name: EASE Co.
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William StaehlinWilliam Staehlin
OPM-0193-13
06/25/2015
06/25/2015 OPM-0193-13: Reviewed for Code Compliance by William Staehlin Page 1 of 9
OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION
“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs”
Registered Design Professional Preparing Engineering Recommendations
Company Name: EASE Co.
Name: Jonathan Roberson, S.E. California License Number: S4197
Mailing Address: 5877 Pine Ave. Suite 210, Chino Hills, CA. 91709
OSHPD Special Seismic Certification Preapproval (OSP)
Special Seismic Certification is preapproved under OSP-(Separate application for OSP is required)
Special Seismic Certification is not preapproved
Certification Method(s)
Testing in accordance with: ICC-ES AC156 FM 1950-10
Other* (Please Specify):
*Use of test criteria other than those adopted by the California Building Standards Code, 2013 (CBSC 2013) for component supports and attachments are not permitted. For distribution system, interior partition wall, and suspended ceiling seismic bracings, test criteria other than those adopted in the CBSC 2013 may be used when approved by OSHPD prior to testing.
Analysis
Experience Data
Combination of Testing, Analysis, and/or Experience Data (Please Specify):
List of Attachments Supporting the Manufacturer’s Certification
Test Report Drawings Calculations Manufacturer’s Catalog
Other(s) (Please Specify):
OFFICE USE ONLY – OSHPD APPROVAL VALID FOR CBC 2013 ONLY
Signature: Date: 06/25/2015
Print Name: William Staehlin
Title: SSE
Condition of Approval (if applicable):
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCYOSH-FD-700 (REV 1/24/13) Page 2 of 2