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Equipment Physical Design Standards ATT-TP-76200, Issue 19

AT&T Services, Inc. June 2014

FRM-001 Form

DECLARATION OF FIRE RESISTANCE OF MATERIALS

Manufacturer:_____________ Equipment Name:________________ Date:___________

This statement of compliance applies to the following product(s) which are being considered for

purchase:

The below individual having reasonable control over the fire resistance characteristics of materials and

components used in the construction and manufacture of the above product(s) assures that:

1. ___ All materials and components, except those listed below, meet the fire resistance requirements

contained in the current issue of ANSI T1.307 Fire Resistance Criteria - Part 1: Ignitability

Requirements for Equipment Assemblies, and Fire Spread Requirements for Interconnection

Wire and Cable Distribution Assemblies.

2. ___ Products having an exposed surface area < ft.

(0.09 m

) shall be formed from materials having

a fire resistance characteristic equivalent to or better than UL-94 V-0 at its minimum rated

thickness (T1.307 section 4.4.1 a).

3. ___ Products having an exposed surface area >1 ft.

(0.09 m

) to 10 ft.

(0.93 m

) shall be formed

from materials having a fire resistance characteristic equivalent to or better than UL-94 5VA at

its minimum rated thickness (T1.307 section 4.4.1 b).

4. ___ Products having an exposed surface area >10 ft.

(0.93 m

) shall be formed from materials

having a fire resistance characteristic equivalent to or better than UL-94 5VA at its minimum

rated thickness, and shall have a flame spread rating of <200. Flame spread ratings may be

determined by radiant panel test methods that are equivalent to those contained in UL standard

94, Tests for flammability of plastic materials for parts in devices and appliances or UL standard

723 Test For Surface Burning Characteristics Of Building Materials (T1.307section 4.4.1 c).

5. ___ Items 2, 3 and 4 are not applicable to the product(s).

The below non-metallic components (other than LEDs, small cable ties and terminal lug

insulators) do not or may not comply with Items 1 through 4 above. The combined weight of the

listed components is _________ grams.

____________________________________ ______________________________________

Signature Printed name

_________________________________________

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