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139810_R4 GF 400 BF CE2 7/18
We
Company name:
Postal address:
Postcode and City
Country
Telephone number:
e-mail address
Declare that the GAC is issued under our sole responsibility and belongs to the following product:
Apparatus model/Product:
Type:
Article Number:
Batch:
Serial Number:
Object of the declaration (identification of apparatus allowing traceability; it may include a colour
image of sufficient clarity where necessary for identification of apparatus):
The object of the declaration described above is in conformity with the relevant Union
harmonisation legislation:
Gas Appliance Regulation (EU) 2016/426
Title, Date of Standard/Specification
BS EN 613: 2001 + A1: 2003 + C1: 2008
Notified body (where applicable)
Kiwa Ltd T/A Kiwa Gastec
Additional information:
N/A
Signed for and on behalf of: Jøtul North America, Inc.
Gorham, Maine U.S.A.
Place of issue
2
EU Gas Appliance Regulation (EU) 2016/426
Jøtul North America, Inc.
55 Hutcherson Drive
Gorham, Maine
United States of America
+0 1 207 591 6601
Jøtul GF 400 BF CE2
Balanced Flue Gas Heater
30051208
Series :
4 digit notified body number
0558
Roger Purinton
Product Development Manager
Date of issue
Name, function
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