oshpd preapproval of manufacturer's certification (opm)

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APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) OFFICE USE ONLY APPLICATION #: OPM-0537-19 OSHPD Preapproval of Manufacturer's Certification (OPM) Type: X New Renewal/Update Manufacturer Information Manufacturer: Sysmex America, Inc Manufacturer's Technical Representative: Nozomi Honda Mailing Address: 577 Aptakisic Road, Lincolnshire, IL 60669 Telephone: (224) 543-9617 Email: [email protected] Product Information Product Name: Product Type: Product Model Number: General Description: UN Series System Automated Urinalysis System Components: UC-3500, UF-5000, UD-10, ST-10, ST-11, ST-12; Supports: WG-13, WG-44, WG-45 Fully Automated Urine Analyzers Applicant Information Applicant Company Name: Sysmex America, Inc Contact Person: Nozomi Honda Mailing Address: 577 Aptakisic Road, Lincolnshire, IL 60669 [email protected] Email: (224) 543-9617 Telephone: Title: STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION 01/07/2021 OPM-0537-19: Reviewed for Code Compliance by Haeseong Lim 1 of 33 OPM-0537-19 Haeseong Lim 01/07/2021

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OSHPD Preapproval of Manufacturer's Certification (OPM)OFFICE USE ONLY
Type: X New Renewal/Update
Mailing Address: 577 Aptakisic Road, Lincolnshire, IL 60669
Telephone: (224) 543-9617 Email: [email protected]
Product Information
Product Name:
Product Type:
Fully Automated Urine Analyzers
Contact Person: Nozomi Honda
[email protected]:(224) 543-9617Telephone:
OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION
01/07/2021 OPM-0537-19: Reviewed for Code Compliance by Haeseong Lim 1 of 33
OPM-0537-19
OSHPD Special Seismic Certification Preapproval (OSP)
Special Seismic Certification is preapproved under OSP
Testing in accordance with: FM 1950-16
*Use of criteria other than those adopted by the California Building Standards Code, 2019 (CBSC 2019) 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 2019 may be used when approved by OSHPD prior to testing.
X Analysis
Experience Data
OSP Number:
Name: Dieter Siebald
Mailing Address: 2495 Natomas Park Drive, Suite 650, Sacramento, CA 95833
Telephone:916-920-2020 Email: [email protected]
S4346California License Number:
OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION
Senior Structural Engineer
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