Data Sheet

LITHIUM
BAT TERY
SERVICE
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Version 2/2019 © This form was provided by www.lithium-battery-service.com
LITHIUM BATTERY TEST SUMMARY AND SUPPLIER INQUIRY
IN ACCORDANCE WITH SUB-SECTION 38.3
OF MANUAL OF TESTS AND CRITERIA
BATTERIES INSTALLED IN EQUIPMENT
18. Check point 18 needs to be answered when the batteries are installed in articles:
18.a) Only button cells enclosed? YES NO
18.b) Number of enclosed batteries per equipment
When the equipment is intentionally active/switched on during transport e.g. data loggers:
18.c) Confirmation that no dangerous amount of heat is emitted from the equipment N/A YES NO
18.d) Confirmation that the equipment when transported by air fulfills the defined
air transport standards for electromagnetic radiation according to DO-160
N/A YES NO
19. Place, Date 20. Title, Surname, First name 21. Company stamp and signature
Name/Description of battery (taken from field 1)
Part no. 215617-01
1
Santa Cruz, CA
15 January 2021
Staff Regulatory Compliance
Engineer
Catherine Pell
Digitally signed by Catherine Pell
Date: 2021.01.15 12:32:58 -08'00'