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A5W00056028-004

ACMA form – C02

Junly 2021

Supplier’s declaration of conformity

As required by the following Notices:

 Radiocommunications (Compliance Labelling - Devices) Notice 2014 made under section 182 of the Radiocommunications Act 1992;

 Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2017 made under section 182 of the Radiocommunications

Act 1992

 Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2014 made under section 182 of the

Radiocommunications Act 1992 and

 Telecommunications (Labelling Notice for Customer Equipment and Customer Cabling) Instrument 2015 made under section 407 of

the Telecommunications Act 1997.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

Siemens Ltd

Building Technologies Division

Street Address (AUSTRALIAN)

885 Mountain Highway

Bayswater, Victoria, 3153

ACN/ARBN

98 004 347 880

New Zealand IRDN

Product details and date of manufacture

Product description – brand name, type, current model, lot, batch or serial number (if available), software/firmware version (if applicable)

Product identification: Energy Measuring Valve DN…

Energy Measuring Valve DN… 2-way valve

Contains

Product

number

Typ

Stock

number

Artikelnummer

Product

number

Typ

Stock number

Artikelnummer

Declaration

Conformity

Additional

information

[ASN]

[SEN, SSN, ASN or

ID]

[ASN]

[SEN, SSN, ASN or

ID]

EVG4U10E015

S55300-M100

DN15

iValve Controller

ASE4U10E

S55845-Z205

A5W00055907

Flow Sensor

AVG4E015

S55845-Z206

A5W00058665

Control Valves

VAG61.15-6.3

S55230-V104

n/a

Summary of content (8 pages)

PAGE 1
s Supplier’s declaration of conformity As required by the following Notices:     Radiocommunications (Compliance Labelling - Devices) Notice 2014 made under section 182 of the Radiocommunications Act 1992; Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2017 made under section 182 of the Radiocommunications Act 1992 Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2014 made under section 182 of the Radiocommunications Act 1992 and Telecommunications (
PAGE 2
s Contains Product number Stock number Product number Typ Artikelnummer Typ Stock number Declaration Additional of information Artikelnummer Conformity [ASN] [SEN, SSN, ASN or [ASN] [SEN, SSN, ASN or ID] EVG4U10E020 EVG4U10E025 EVG4U10E032 Unrestricted ACMA form – C02 S55300-M101 S55300-M102 S55300-M103 Page 2/8 ID] DN20 DN25 DN32 Temp Sensor EZU10-2615 S55845-Z229 A5W00059005 Actuator GLA161.
PAGE 3
s Contains Product number Stock number Product number Typ Artikelnummer Typ Stock number Declaration Additional of information Artikelnummer Conformity [ASN] [SEN, SSN, ASN or [ASN] [SEN, SSN, ASN or ID] EVG4U10E040 EVG4U10E050 EVF4U20E065 EVF4U20E080 Unrestricted ACMA form – C02 S55300-M104 S55300-M105 S55300-M106 S55300-M107 Page 3/8 ID] DN40 DN50 DN65 DN80 iValve Controller ASE4U10E S55845-Z205 A5W00055907 Flow Sensor AVG4E040 S55845-Z210 A5W00058665 Control Valves VAG6
PAGE 4
s Contains Product number Stock number Product number Typ Artikelnummer Typ Stock number Declaration Additional of information Artikelnummer Conformity [ASN] [SEN, SSN, ASN or [ASN] [SEN, SSN, ASN or ID] EVF4U20E100 EVF4U20E125 Unrestricted ACMA form – C02 S55300-M108 S55300-M109 Page 4/8 ID] DN100 DN125 Temp Sensor EZU10-10025 S55845-Z230 A5W00059005 Actuator SAX61.
PAGE 5
s Energy Measuring Valve DN… 3-way valve Contains Product number Stock number Product number Typ Artikelnummer Typ Stock number Declaration Additional of information Artikelnummer Conformity [ASN] [SEN, SSN, ASN or [ASN] [SEN, SSN, ASN or ID] EXG4U10E015 EXG4U10E020 EXG4U10E025 EXG4U10E032 Unrestricted ACMA form – C02 S55300-M111 S55300-M112 S55300-M113 S55300-M114 Page 5/8 ID] DN15 DN20 DN25 DN32 iValve Controller ASE4U10E S55845-Z205 A5W00055907 Flow Sensor AVG4E015 S55845
PAGE 6
s Contains Product number Stock number Product number Typ Artikelnummer Typ Stock number Declaration Additional of information Artikelnummer Conformity [ASN] [SEN, SSN, ASN or [ASN] [SEN, SSN, ASN or ID] EXG4U10E040 EXG4U10E050 EXF4U20E065 S55300-M115 S55300-M116 S55300-M117 EXF4U20E080 S55300-M118 Unrestricted Page 6/8 ACMA form – C02 ID] DN40 DN50 DN65 DN80 Temp Sensor EZU10-2615 S55845-Z229 A5W00059005 Actuator GLA161.
PAGE 7
s Contains Product number Stock number Product number Typ Artikelnummer Typ Stock number Declaration Additional of information Artikelnummer Conformity [ASN] [SEN, SSN, ASN or [ASN] [SEN, SSN, ASN or ID] EXF4U20E100 Unrestricted ACMA form – C02 S55300-M119 Page 7/8 ID] DN100 Flow Sensor AVF4E080 S55845-Z214 A5W00058665 Control Valves VXF42.80-100 S55204-V141 A5W00006523 Temp Sensor EZU10-10025 S55845-Z230 A5W00059005 Actuator SAX61.
PAGE 8
s Compliance – applicable standards and other supporting documents Evidence of compliance with applicable standards may be demonstrated by test reports, endorsed/accredited test reports, certification/competent body statements. Having had regard to these documents, I am satisfied the above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992 and the Telecommunications Act 1997.