OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION APPLICATION FOR OSHPD SPECIAL SEISMIC CERTIFICATION PREAPPROVAL (OSP) OFFICE USE ONLY APPLICATION #: OSP-0346-10 OSHPD Special Seismic Certification Preapproval (OSP) Type: New Renewal Manufacturer Information Manufacturer: Siemens Manufacturer’s Technical Representative: Mailing Address: Telephone: Nikunj Shah 100 Technology Drive, Alpharetta, GA 30005 (770) 740-3853 Email: [email protected] Product Information Product Name: Product Type: Gen-II Robicon W-series & Sinamics G120E VFDs Product Model Number: G120E, W120, W120CP, W150CP (List all unique product identification numbers and/or part numbers) General Description: Wall Mounted & Floor Mounted cataloged Variable Frequency Drives. Seismic enhancements made to the test units and modifications required to address anomalies observed during the tests shall be incorporated into the production units. Mounting Description: Wall or Floor rigidly mounted units as specified in attachment. Applicant Information Applicant Company Name: The VMC Group Contact Person: John P Giuliano Mailing Address: 113 Main Street, Bloomingdale, NJ 07403 Telephone: 973-838-1780 Email: [email protected] I hereby agree to reimburse the Office of Statewide Health Planning and Development review fees in accordance with the California Administrative Code, 2013. Signature of Applicant: Title: President Date: Company Name: 7/10/13 The VMC Group “Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs” STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-759 (REV 1/24/13) 11/15/2013 OSP-0346-10 Page 1 of 3 Page 1 of 18 OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION California Licensed Structural Engineer Responsible for the Engineering and Test Report(s) Company Name: Name: The VMC Group Kenneth Tarlow Mailing Address: Telephone: California License Number: SE2851 113 Main St, Bloomingdale, NJ 07403 973-838-1780 Email: [email protected] Supports and Attachments Preapproval Supports and attachments are preapproved under OPM(Separate application for OSHPD Preapproval of Manufacturer’s Certification (OPM) of Supports and attachments is required) Supports and attachments are not preapproved Certification Method Testing in accordance with: ICC-ES AC156 Other (Please Specify): Testing Laboratory Company Name: Contact Name: Mailing Address: Telephone: UC Berkeley Wesley Neighbour th 1301 South 46 Street, Building 420, Richmond, CA 94804 510-665-3409 Email: [email protected] “Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs” STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-759 (REV 1/24/13) 11/15/2013 OSP-0346-10 Page 2 of 3 Page 2 of 18 OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION Seismic Parameters Design in accordance with ASCE 7-10 Chapter 13: Yes No Design Basis of Equipment or Components (Fp/W p) = 0.53 at SDS = 2.11g and z/h = 0.0, 0.99 at SDS = 1.32g, z/h = 1.0 SDS (Design spectral response acceleration at short period, g) = ap (In-structure equipment or component amplification factor) = Rp (Equipment or component response modification factor) = Ω0 (System overstrength factor) = 2.11 at z/h = 0.0, 1.32 at z/h = 1.0 2.5 6.0 2.5 Ip (Importance factor) = 1.5 z/h (Height factor ratio) = 0.0 for SDS = 2.11g and 1.0 for SDS = 1.32g Equipment or Component Natural Frequencies (Hz) = Overall dimensions and weight (or range thereof) = See Attached Matrix See Attached Matrix Equipment or Components @ grade designed in accordance with ASCE 7-10 Chapter 15: Yes No Design Basis of Equipment or Components (V/W) = SDS (Design spectral response acceleration at short period, g) = SD1 (Design spectral response acceleration at 1 second period, g) = R (Response modification coefficient ) = Ω0 (System overstrength factor) = Cd (Deflection amplification factor) = Ip (Importance factor) = 1.5 Height to Center of Gravity above base = Equipment or Component Natural Frequencies (Hz) = Overall dimensions and weight (or range thereof) = Tank(s) designed in accordance with ASME BPVC, 2010: Yes No List of Attachments Supporting Special Seismic Certification Test Report(s) Drawings Calculations Manufacturer’s Catalog Other(s) (Please Specify): OSHPD Approval (For Office Use Only) – Approval Expires on December 31, 2019 Signature: Date: 11/15/2013 Print Name: M. R. Karim Title: SHFR Special Seismic Certification Valid Up to : SDS (g) = See Above z/h = See Above Condition of Approval (if applicable): “Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs” STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-759 (REV 1/24/13) 11/15/2013 OSP-0346-10 Page 3 of 3 Page 3 of 18 11/15/2013 OSP-0346-10 Page 4 of 18 Table 1: Certified Product Matrix Frame Type HP Enclosure NEMA Rating 6SL3710-1BJ12-2AR . A3 1 1 or 12 6SL3710-1BJ12-2AU . 6SL3710-1BJ13-1AR . A4 1.5 1 or 12 6SL3710-1BJ13-1AU . 6SL3710-1BJ14-1AR . A5 2 1 or 12 6SL3710-1BJ14-1AU . 6SL3710-1BJ16-0AR . B1 3 1 or 12 6SL3710-1BJ16-0AU . 6SL3710-1BJ17-7AR . B2 4 1 or 12 6SL3710-1BJ17-7AU . 6SL3710-1BJ21-0AR . B3 5 1 or 12 6SL3710-1BJ21-0AU . 6SL3710-1BJ21-8AR . C1 10 1 or 12 6SL3710-1BJ21-8AU . 6SL3710-1BJ22-5AR . C2 15 1 or 12 6SL3710-1BJ22-5AU . 6SL3710-1BJ23-2AR . C3 20 1 or 12 6SL3710-1BJ23-2AU . 6SL3710-1BJ23-8AR . D1 25 1 or 12 6SL3710-xBJ23-8AU . 6SL3710-1BJ24-5AR . D2 30 1 or 12 6SL3710-xBJ24-5AU . 6SL3710-1BJ26-0AR . D3 40 1 or 12 6SL3710-xBJ26-0AU . 6SL3710-1BJ27-5AR . E1 50 1 or 12 6SL3710-xBJ27-5AU . 6SL3710-1BJ29-0AR . E2 60 1 or 12 6SL3710-xBJ29-0AU . 6SL3710-1BJ31-1AR . F1 75 1 or 12 6SL3710-xBJ31-1AU . 6SL3710-1BJ31-5AR . F2 100 1 or 12 6SL3710-xBJ31-5AU . 6SL3710-1BJ31-8AR . F3 125 1 or 12 6SL3710-xBJ31-8AU . 6SL3710-1BJ32-0AR . F+1 150 1 or 12 6SL3710-1BJ32-0AU . 6SL3710-1BJ32-5AR . F+2 200 1 or 12 6SL3710-1BJ32-5AU . 6SL3710-3BJ27-5Ay . E1 50 1 or 12 6SL3710-3BJ29-0Ay . E2 60 1 or 12 6SL3710-3BJ31-1Ay . F1 75 1 or 12 6SL3710-3BJ31-5Ay . F2 100 1 or 12 6SL3710-3BJ31-8Ay . F3 125 1 or 12 6SL3710-3BJ32-0Ay . F+1 150 1 or 12 6SL3710-3BJ32-5Ay . F+2 200 1 or 12 6SL3710-3GJ33-1AS . G1 250 1 or 12 6SL3710-3GJ33-8AS . G2 300 1 or 12 6SL3710-3GJ35-0AS . G3 400 1 or 12 6SL3710-3GJ36-1AS . H1 500 1 or 12 6SL3710-3GJ37-5AS . H2 600 1 or 12 6SL3710-3GJ38-4AS . H3 700 1 or 12 6SL3710-3GJ41-0AS . J1 800 1 or 12 Dimensions are nominal for enclosure, excluding protruding components. Catalog or Model No. Siemens Gen-II Robicon W-series & Sinamics G120E 30 x 24 x 94 30 x 24 x 94 186 240 68 80 100 130 160 186 240 310 380 490 605 745 840 985 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 30 x 24 x 94 30 x 24 x 94 36 x 24 x 94 36 x 24 x 94 36 x 24 x 94 36 x 24 x 94 36 x 24 x 94 54 x 28 x 100 54 x 28 x 100 54 x 28 x 100 68 x 32 x 100 68 x 32 x 100 100 x 32 x 104 100 x 32 x 104 30 x 24 x 94 30 x 24 x 94 30 x 24 x 94 26 x 20 x 60 26 x 20 x 60 160 26 x 20 x 60 26 x 20 x 60 460 to 480 41 460 to 480 26 x 20 x 60 130 34 460 to 480 20 x 16 x 48 460 to 480 27 460 to 480 20 x 16 x 48 100 22 460 to 480 20 x 16 x 48 460 to 480 16 460 to 480 20 x 16 x 48 80 10.2 460 to 480 20 x 16 x 48 460 to 480 7.7 460 to 480 20 x 16 x 48 68 5.9 460 to 480 20 x 16 x 48 460 to 480 4.1 460 to 480 20 x 16 x 48 54 3.1 460 to 480 20 x 16 x 48 460 to 480 2.2 460 to 480 930 930 1120 1160 1260 1460 1660 2420 2520 2880 3270 3960 6170 6600 760 760 720 720 720 330 330 330 330 330 230 230 230 230 230 230 230 230 230 Nominal Cabinet Input Voltage [V] Max. Cabinet Output Rating [A] Dimensions (inches) (See Note 4) Weight [lbs] (W x D x H) Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Floor Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Wall Mounted Installation 24, 40, 72 24, 40 24, 28 24 20, 24 20, 24 N/A Optional Cabinet Widths (inch) interpolated 3 interpolated interpolated interpolated interpolated 4 interpolated interpolated 5 interpolated interpolated interpolated 6 interpolated interpolated interpolated interpolated interpolated 2 interpolated interpolated interpolated interpolated 1 extrapolated extrapolated extrapolated extrapolated extrapolated extrapolated extrapolated extrapolated UUT Table 2: Certified Sub-Component Matrix Breakers Siemens' SAP Part Number Description HHED63B015 HHED63B020 HHED63B025 HHED63B035 HHED63B040 HHED63B050 HHED63B060 HHED63B080 HHED63B100 HHED63B110 HDG3B110 HFG3B125 HFG3B150 HFG3B175 HFG3B175 HFG3B225 HFG3B225 HJG3B250 HJG3B250 HJG3B300 HJG3B350 HDG3B090 HLK3B400 HLK3B500 HMG3B700 HNG3B800 HNG3X100 HPG3X120 HPG3X160 Breaker ED 3P 15A 600V 18KA LD Lug Breaker ED 3P 20A 600V 18KA LD Lug Breaker ED 3P 25A 600V 18KA LD Lug Breaker ED 3P 35A 600V 18KA LD Lug Breaker ED 3P 40A 600V 18KA LD Lug Breaker ED 3P 50A 600V 18KA LD Lug Breaker ED 3P 60A 600V 18KA LD Lug Breaker ED 3P 80A 600V 18KA LD Lug Breaker ED 3P 100A 600V 18KA LD Lug Breaker ED 3P 110A 600V 18KA LD Lug Breaker VL 110A T/M 3P 65KA NO Lugs Breaker VL 125A T/M 3P 65KA NO Lugs Breaker VL 150A T/M 3P 65KA NO-Lugs Breaker VL 175A T/M 3P 65KA NO-Lugs Breaker VL 175A T/M 3P 65KA NO-Lugs Breaker VL 225A T/M 3P 65KA NO-Lugs Breaker VL 225A T/M 3P 65KA NO-Lugs Breaker VL 250A T/M 3P 65KA NO Lugs Breaker VL 250A T/M 3P 65KA NO Lugs Breaker VL 300A T/M 3P 65KA NO Lugs Breaker VL 350A T/M 3P 65KA NO Lugs Breaker VL 90A T/M 3P 65KA NO Lugs Breaker VL 400A T/M 3P 65KA NO-Lugs B Breaker VL 500A T/M 3P 65KA NO-Lugs B Breaker VL 700A T/M 3P 65KA NO-Lugs Breaker VL 800A T/M 3P 65KA NO-Lugs Breaker VL 1000A LIG 3P/4W NO-Lugs Breaker VL 1200A LIG 3P/4W 65KA NO/Lugs Breaker VL 1600A LIG 3P/4W 65KA NO/Lugs Manufacturer UUT Mounting Siemens Wall Siemens Floor Manufacturer UUT Mounting Siemens Wall Siemens Floor UUT / Interpolated / Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated 1 Interpolated Interpolated Interpolated Interpolated 2 3 Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated 4 Interpolated Interpolated Interpolated Interpolated 5 Interpolated Interpolated Interpolated 6 Power Modules Siemens' SAP Part Number Description 6SL32240BE175UA0 6SL32240BE211UA0 6SL32240BE215UA0 6SL32240BE222UA0 6SL32240BE230UA0 6SL32240BE240UA0 6SL32240BE255UA0 6SL32240BE275UA0 6SL32240BE311UA0 6SL32240BE315UA0 6SL32240BE318UA0 6SL32240BE322UA0 6SL32240BE330UA0 6SL32240BE337UA0 6SL32250BE315UA0 6SL32250BE318UA0 6SL32250BE322UA0 6SL32250BE330UA0 6SL32250BE337UA0 6SL32240BE330UA0 6SL32240BE337UA0 6SL32240BE345UA0 6SL32240BE355UA0 6SL32240BE375UA0 6SL32250BE345UA0 6SL32250BE355UA0 6SL32250BE375UA0 6SL32240BE388UA0 6SL32240BE411UA0 A5E02230857 A5E02230858 A5E02230859 A5E02230828 A5E02230829 A5E02230830 A5E02230831 PM240_FSA_400V_2.2A_UFLT PM240_FSA_400V_3.1A_UFLT PM240_FSA_400V_4.1A_UFLT PM240_FSB_400V_5.9A_UFLT PM240_FSB_400V_7.7A_UFLT PM240_FSB_400V_10.2A_UFLT PM240_FSC_400V_18A_UFLT PM240_FSC_400V_25A_UFLT PM240_FSC_400V_32A_UFLT PM240_FSD_400V_38A_UFLT PM240_FSD_400V_45A_UFLT PM240_FSD_400V_60A_UFLT PM240_FSE_400V_75A_UFLT PM240_FSE_400V_90A_UFLT SINAMICS G120,PM250_FSD_400V_NFLT,15KW SINAMICS G120,PM250_FSD_400V_NFLT,18.5KW SINAMICS G120,PM250_FSD_400V_NFLT,22KW SINAMICS G120,PM250_FSE_400V_NFLT,30KW SINAMICS G120,PM250_FSE_400V_NFLT,37KW PM240_FSE_400V_75A_UFLT PM240_FSE_400V_90A_UFLT PM240_FSF_400V_110A_UFLT PM240_FSF_400V_145A_UFLT PM240_FSF_400V_178A_UFLT SINAMICS G120,PM250_FSF_400V_NFLT,45KW SINAMICS G120,PM250_FSF_400V_NFLT,55KW SINAMICS G120,PM250_FSF_400V_NFLT,75KW SINAMICS PM240-IP20-FSF-U-400V-90KW SINAMICS PM240-IP20-FSF-U-400V-110KW GG+/FSG/DC-AC/650VDC/160KW/310A DAC GG+/FSG/DC-AC/650VDC/200KW/380A DAC GG+/FSG/DC-AC/650VDC/250KW/490A DAC EB+/FSH/DC-AC/650VDC/315KW/605A DAC EB+/FSH/DC-AC/650VDC/400KW/745A DAC EB+/FSH/DC-AC/650VDC/450KW/840A DAC EB+/FSJ/DC-AC/650VDC/560KW/985A DAC 11/15/2013 OSP-0346-10 UUT / Interpolated / Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated 1 Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated 2 Extrapolated 3 Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated 4 Interpolated Interpolated 5 Interpolated Interpolated Interpolated 6 Page 5 of 18 Table 2: Certified Sub-Component Matrix Reactors Siemens' SAP Part Number Description A5E30186467 A5E30187458 A1RAL00G011 A5E30187473 A5E30187492 A5E30187492 A5E30187499 A5E30187494 A5E30187499 A1RAL00G016 A5E30187507 A5E30187509 A1RAL00G021 A1RAL00G020 A5E30186453 A5E30186455 A1RAL00G024 A5E30186457 A5E30186459 A1RAL00G027 A5E30186461 A5E30186463 A1RAL00G030 A5E30186465 A5E30125361 A5E30188359 A1RAL00G033 A1RAL00G036 A5E30188361 A5E30188363 A5E30188365 A1RAL00G039 A5E30188963 A1RAL00G042 A5E30188965 A5E30125353 A1RAL00G045 A5E30188967 A5E30188969 A5E30188971 A1RAL00G048 A5E30188973 A1RAL00G051 A5E30188975 A5E30188977 A1RAL00G053 A5E30188979 A5E30188981 A5E30188983 A1RAL00G056 A5E00213481 A5E00213494 A5E00452580 A5E00213499 A5E00213506 A5E00452583 A5E00213507 A5E00213507 A5E00213512 A5E00452584 Reactor 02A / 11000uH / 690V Reactor 02A / 18000uH / 690V Reactor 02A / 12000uH / 600V Reactor 03A / 06800uH / 690V Reactor 03A / 11000uH / 690V Reactor 03A / 11000uH / 690V Reactor 04A / 07700uH / 690V Reactor 04A / 04800uH / 690V Reactor 04A / 07700uH / 690V Reactor 04A / 06500uH / 600V Reactor 07A / 03000uH / 690V Reactor 07A / 04800uH / 690V Reactor 08A / 05000uH / 600V Reactor 08A / 03000uH / 600V Reactor 11A / 02100uH / 690V Reactor 11A / 03300uH / 690V Reactor 12A / 02500uH / 600V Reactor 14A / 01600uH / 690V Reactor 14A / 02600uH / 690V Reactor 18A / 01500uH / 600V Reactor 21A / 01100uH / 690V Reactor 21A / 01800uH / 690V Reactor 25A / 01200uH / 600V Reactor 28A / 00820uH / 690V Reactor 28A / 01300uH / 690V Reactor 35A / 00710uH / 690V Reactor 35A / 00800uH / 600V Reactor 45A / 00700uH / 600V Reactor 46A / 00550uH / 690V Reactor 46A / 00980uH / 690V Reactor 55A / 00750uH / 690V Reactor 55A / 00500uH / 600V Reactor 65A / 00380uH / 690V Reactor 80A / 00400uH / 600V Reactor 83A / 00290uH / 690V Reactor 83A / 00510uH / 690V Reactor 100A / 300uH / 600V Reactor 104A / 230uH / 690V Reactor 104A / 375uH / 690V Reactor 130A / 180uH / 690V Reactor 130A / 200uH / 600V Reactor 130A / 300uH / 690V Reactor 160A / 150uH / 600V Reactor 160A / 155uH / 690V Reactor 160A / 260uH / 690V Reactor 200A / 055uH / 600V Reactor 200A / 115uH / 690V Reactor 200A / 200uH / 690V Reactor 250A / 095uH / 690V Reactor 250A / 045uH / 690V Reactor 0310A / 24uH / 480V Reactor 0380A / 21uH / 480V Reactor 0490A / 54uH / 400V Reactor 0490A / 19uH / 480V Reactor 0605A / 18uH / 480V Reactor 0840A / 32uH / 400V Reactor 0840A / 13uH / 480V Reactor 0840A / 13uH / 480V Reactor 0985A / 10uH / 480V Reactor 1405A / 10uH / 400V 11/15/2013 OSP-0346-10 Manufacturer UUT Mounting MTE Corp Wall MTE Corp Floor Siemens Floor UUT / Interpolated / Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated 1 Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated 1 Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated 2 Interpolated 2 3 Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated 4 Extrapolated Extrapolated Extrapolated 5 Interpolated Interpolated Interpolated Interpolated 6 Extrapolated Page 6 of 18 Table 2: Certified Sub-Component Matrix Autotransformer & Input Reactor Assembly Siemens' SAP Part Number Description Manufacturer UUT Mounting TYZ:A1208319104 TYZ:A1208319105 TYZ:A1208319106 TYZ:A1208319107 TYZ:A1208319108 TYZ:A1208319109 TYZ:A1208319110 TYZ:A1208319111 TYZ:A1208319112 TYZ:A1208319114 TYZ:A1208319116 TYZ:A1208319117 TYZ:A1208319118 TYZ:A1208319119 AutoTrans/React Assy,18-PULSE,50HP AutoTrans/React Assy,18-PULSE,60HP AutoTrans/React Assy,18-PULSE,75HP AutoTrans/React Assy,18-PULSE,100HP AutoTrans/React Assy,18-PULSE,125HP AutoTrans/React Assy,18-PULSE,150HP AutoTrans/React Assy,18-PULSE,200HP AutoTrans/React Assy,18-PULSE,250HP AutoTrans/React Assy,18-PULSE,300HP AutoTrans/React Assy,18-PULSE,400HP AutoTrans/React Assy,18-PULSE,500HP AutoTrans/React Assy,18-PULSE,600HP AutoTrans/React Assy,18-PULSE,700HP AutoTrans/React Assy,18-PULSE,800HP Norlake Floor Siemens' SAP Part Number Description Manufacturer UUT Mounting A5E02815031 A5E02818852 A5E02819317 A5E02842615 Assembly 18-P Rectifier 60HP Assembly 18-P Rectifier 200HP Assembly 18-P Rectifier 400HP Assembly 18-P Rectifier 600HP Siemens Floor Siemens' SAP Part Number Description Manufacturer UUT Mounting A5E30180240 A5E30180242 A5E30180244 A5E30180246 A5E30180248 A5E30180250 3NE18170 3NE18180 3NE18200 3NE10212 3NE10222 3NE12242 3NE12252 3NE12272 3NE12302 3NE10202 3NE10212 3NE10222 3NE12240 3NE12252 3NE12272 3NE12302 3NE13332 3NE14352 3NE14372 3NE14382 A5E30633623 A5E30633601 Fuse_Drive_10A_600V Fuse_Drive_15A_600V Fuse_Drive_20A_600V Fuse_Drive_25A_600V Fuse_Drive_35A_600V Fuse_Drive_40A_600V Fuse,50A,AC,690V,(GR.000) Fuse,63A,AC,690VGR.000 Fuse,80A,AC,690V Fuse-Link 100A AC 690V Fuse-Link 125A AC 690V Fuse-Link 160A AC 690V Fuse-Link 200A AC 690V Fuse-Link 250A AC 690V Fuse-Link 315A AC 690V Fuse-Link 80A AC 690V Fuse-Link 100A AC 690V Fuse-Link 125A AC 690V Fuse-Link,160A,AC 690V Fuse-Link 200A AC 690V Fuse-Link 250A AC 690V Fuse-Link 315A AC 690V Fuse,-Link 450A AC 690V Fuse-Link 560A AC 690V Fuse-Link 710A AC 690V Fuse-Link 800A AC 690V Fuse-Link 900A AC 700V Fuse-Link 1000A AC 700V Bussman Wall Siemens Wall Siemens Floor Bussman Floor UUT / Interpolated / Extrapolated Extrapolated 3 Interpolated Interpolated Interpolated Interpolated 4 Interpolated Interpolated 5 Interpolated Interpolated Interpolated 6 Rectifier Assembly UUT / Interpolated / Extrapolated 3 4 5, 6 Extrapolated Fuse UUT / Interpolated / Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated 1 Extrapolated Extrapolated Extrapolated Extrapolated 2 3 Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated 4 Interpolated Interpolated 5 Extrapolated Extrapolated Extrapolated 6 Precharge Resistors Siemens' SAP Part Number Description Manufacturer UUT Mounting A5E30111546 RES_WIRE_HS300_5%_300W Arcol Floor 11/15/2013 OSP-0346-10 UUT / Interpolated / Extrapolated 5, 6 Page 7 of 18 Table 2: Certified Sub-Component Matrix Control Unit Siemens' SAP Part Number Description 6SL32430BB301HA2 6SL32430BB301PA2 6SL32440BB121BA1 6SL32440BB121PA1 6SL32440BB131BA1 6SL32440BB131PA1 6SL32440BA201BA0 6SL32440BA211PA0 6SL32440BA211FA0 6SL32440BA201PA0 6SL32440BA201FA0 6SL30401MA000AA0 6SL30401MA000AA0 SINAMICS G120 CONTROL UNIT CU230P-2 HVAC SINAMICS G120 CONTROL UNIT CU230P-2 DP SINAMICS CU240E-2 SINAMICS CU240E-2 DP SINAMICS CU240E-2 F SINAMICS CU240E-2 DP-F SINAMICS G120 CONTROL UNIT CU240S S-TYPE SINAMICS G120 CONT UNIT CU240S DP-F,S-TY SINAMICS CU240S PN-F SINAMICS G120 CONTROL UNIT CU240S DP SINAMICS G120 CONTROL UNIT CU240S PN CU320-2 DP S120 CONTROL UNIT CU320-2 PN S120 CONTROL UNIT Siemens' SAP Part Number 6SL30550AA003AA1 Manufacturer System Mounting Wall Floor Siemens UUT 2 Interpolated Interpolated Interpolated Interpolated Interpolated UUT 1 Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated UUT 3 / 4 Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated Interpolated UUT 5 / 6 Extrapolated Description Manufacturer UUT Mounting SINAMICS TM31TERMINAL MODULE Siemens Floor Siemens' SAP Part Number Description Manufacturer UUT Mounting MT0250L MT0250A MT0500L MT0500A MT0750A MT0750L MT1000A A5E00117675 Ctrl Trans w/Fuses & Holders,250VA,220/460/600-11 Ctrl Trans w/Fuses & Holders,250VA,240/480-120V, Ctrl Trans w/Fuses & Holders,500VA,220/460/600-11 Ctrl Trans w/Fuses & Holders,500VA,240/480-120V, Ctrl Trans w/Fuses & Holders,750VA,240/480-120V, Ctrl Trans w/Fuses & Holders,750VA,220/460/600-11 Ctrl Trans w/Fuses & Holders,1000VA,240/480-120V, Transformer,1.0KVA,380-690V PRI,120V SEC Siemens Wall Siemens Floor Terminal Module UUT / Interpolated / Extrapolated 5, 6 Control Transformer UUT / Interpolated / Extrapolated 1 Interpolated Interpolated 2 3, 4, 5, 6 Interpolated Interpolated 3 Power Supply Siemens' SAP Part Number Description 6EP13211SH03 6EP13322BA10 6EP13311SH03 6EP13332BA01 6EP13342BA01 LOGO 12V/1.9A POWER SUPPLY SITOP PS 120/230 VAC, 24VDC,2.5 A,w. EX LOGO 24V/1.3A POWER SUPPLY SITOP PS 120/230 VAC, 24 VDC, 5 A, w. EX SITOP PS 120/230 VAC, 24 VDC, 10 A, w.EX Siemens' SAP Part Number 3RT10331AK60 3RT10231AK60 3RT10546AF36 3RT10566AF36 3RT10656AF36 3RT10756AF36 3RT10766AF36 3TG10010AG2 40NH32AF Manufacturer System Mounting Wall Floor Siemens N/A UUT 1 N/A N/A N/A Extrapolated Extrapolated Extrapolated UUT 5 UUT 6 Description Manufacturer UUT Mounting Contactor,Nonrev,S2,28A,120VAC,3P,SCRW Contactor ,Nonrev,S0,9A,120VAC,3P,SCRW Contactor,Nonrev,S6,115A,110-127V,3P,BAR Contactor,Nonrev,S6,185A,110-127V,3P,BAR Contactor,Nonrev,S10,265A,110-127V,3P,BAR Contactor,Nonrev,S12,400A,110-127V,3P,BR Contactor,Nonrev,S12,500A,110-127V,3P,BR Contactor,3NO+1NC,DIN RAIL MTD,110VAC Contactor, SZ7,3PH,OPN,120V, Siemens Wall Siemens Floor Siemens' SAP Part Number Description Manufacturer 3TX71175HF13C 3TX71175HC03C 3RS10411GW50 A5E00146964 A6X30020231 RELAY,4PDT,120VAC,15A RELAY,4PDT,24VDC,15A TEMPERATURE MONITORING RELAY MONITOR,GND FLT,IRDH275U-435,88-260 VAC MOTOR PROT RELAY,TYPE 369,W/RTD Contactors UUT / Interpolated / Extrapolated 1 5, 6 Interpolated Interpolated 4 Interpolated 5 Interpolated 6 Control Relays 11/15/2013 OSP-0346-10 Siemens Bender GE System Mounting Wall Floor UUT 1 UUT 1 / 2 Extrapolated N/A N/A Extrapolated UUT 3 / 4 / 5 / 6 UUT 3 3 3 Page 8 of 18 Table 2: Certified Sub-Component Matrix Overload Relays Siemens' SAP Part Number Description 3RU11261CB0 3RU11261EB0 3RU11261FB0 3RU11261HB0 3RU11261JB0 3RU11261KB0 3RU11264BB0 3RU11364EB0 3RU11364FB0 3RU11364GB0 3RU11364HB0 3RU11464JB0 3RU11464LB0 3RU1146-4MB0 3RU11161BB0 3RU11161CB0 3RU11161DB0 3RU11161EB0 3RU11161FB0 OVERLOAD,IEC,S0,CL10,1.8 - 2.5A,SCREW OVERLOAD,IEC,S0,CL10,2.8 - 4A,SCREW OVERLOAD,IEC,S0,CL10,3.5 - 5A,SCREW OVERLOAD,IEC,S0,CL10,5.5 - 8A,SCREW OVERLOAD,IEC,S0,CL10,7 - 10A,SCREW OVERLOAD,IEC,S0,CL10,9 - 12.5A,SCREW OVERLOAD,IEC,S0,CL10,14 - 20A,SCREW OVERLOAD,IEC,S2,CL10,22 - 32A,SCREW OVERLOAD,IEC,S2,CL10,28 - 40A,SCREW OVERLOAD,IEC,S2,CL10,36 - 45A,SCREW OVERLOAD,IEC,S2,CL10,40 - 50A,SCREW OVERLOAD,IEC,S3,CL10,45 - 63A,SCREW OVERLOAD,IEC,S3,CL10,70 - 90A,SCREW OVERLOAD,IEC,S3,CL10,80 - 100A,SCREW OVERLOAD,IEC,S00,CL10,1.4 - 2A,SCREW OVERLOAD,IEC,S00,CL10,1.8 - 2.5A,SCREW OVERLOAD,IEC,S00,CL10,2.2 - 3.2A,SCREW OVERLOAD,IEC,S00,CL10,2.8 - 4A,SCREW OVERLOAD,IEC,S00,CL10,3.5 - 5A,SCREW Manufacturer System Mounting Wall Floor Siemens N/A N/A N/A N/A N/A N/A N/A N/A UUT 1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated Extrapolated UUT 3 Interpolated Interpolated Interpolated Interpolated UUT 4 Power Distribution Block (Terminal Block) Siemens' SAP Part Number Description Manufacturer UUT Mounting A5E30193311 A6X30016791 A5E30193314 POWER BLOCK_3P_310A_1IN-1OUT_SCREW POWER BLOCK 3P,620A,2IN-2OUT POWER BLOCK_3P_760A_2IN-2OUT_SCREW Marathon Floor Siemens' SAP Part Number Description Manufacturer UUT Mounting A5E00265453, 5 CHOPPER_400/200/G(6SL3300-1AE32-5AA0) Siemens Floor UUT / Interpolated / Extrapolated Extrapolated 4 5 Braking Chopper 11/15/2013 OSP-0346-10 UUT / Interpolated / Extrapolated 5 Page 9 of 18 Table 3: UUT Matrix UUT C3 (PM240) E2 (PM250) E2 F+2 G3 J1 6SL3710-1BJ23-2AR0 6SL3710-1BJ23-2AU0 6SL3710-5BJ29-0AU0 6SL3710-1BJ29-0AR0 6SL3710-3BJ29-0AR0 6SL3710-3BJ32-5AR0 6SL3710-3GJ35-0AS3 6SL3710-3GJ41-0AS3 Frame Type 800 400 200 60 60 20 HP UniFab UniFab UniFab UniFab Hoffman Hoffman 12 1 12 1 12 Carbon Steel Carbon Steel Carbon Steel Carbon Steel 1 Enclosure NEMA Rating Carbon Steel Carbon Steel Enclosure MFR / Material All units were full of contents and maintained structural integrity and functional compliance All wall mounted units were tested on a rigid and an isolated fixture All units were tested to both SDS levels shown in table 6 5 4 3 2 1 Model No. Siemens Gen-II Robicon W-series & Sinamics G120E 11/15/2013 OSP-0346-10 Page 10 of 18 460 to 480 460 to 480 460 to 480 460 to 480 460 to 480 380 to 480 Input Voltage [V] 985 490 240 80 80 27 Output Rating [A] 98 x 32 x 100 54 x 28 x 100 36 x 24 x 94 30 x 24 x 94 26 x 20 x 60 20 x 16 x 48 Cabinet Dims [ in ] (W x D x H) 6600 2880 1660 930 330 230 Max. Cabinet Weight [lbs] Floor Floor Floor Floor Wall Wall Installation Description 2.11 (1.32) 2.11 (1.32) 2.11 (1.32) 2.11 (1.32) 2.11 (1.32) 2.11 (1.32) SDS 0 (1) 0 (1) 0 (1) 0 (1) 0 (1) 0 (1) z/h 5.40 7.40 12.20 11.60 12.90 14.90 X 8.10 8.10 12.50 10.10 16.70 22.80 Y 13.60 13.60 13.50 13.70 14.00 13.70 Z na na na na 3.30 3.30 X na na na na 4.20 4.20 Y Natural Frequency (Hz) Rigid Isolated na na na na 11.70 9.40 Z UUT #1-Shake 1 Manufacturer: Siemens Model: 6SL3710-1BJ23-2AR0 Cabinet Construction Summary: Base: Galvanized Carbon Steel Sheetmetal Walls: Galvanized Carbon Steel Sheetmetal Roof: Galvanized Carbon Steel Sheetmetal Component Summary: Item Depth 16 Dimensions Width Height 20 48 Weight 230 Lowest Natural Frequency F-B S-S V NA NA NA Cabinet Breaker Power Module Input Reactor Control Unit Control Transformer Power Supply Output Reactor Input Contactor Fuse Output & Bypass Contactor Rotary Switch Relay Pushbutton, Green Pushbutton, Red Relay with Suppressor Overload Temperature Monitor Relay Seismic Test Parameters: Qualification Method Sds z/h Ip Aflx-H Arig-H Aflx-V Arig-V ICC-ES AC156 (2012) 2.11/1.32 0.0/1.0 1.5 2.11/2.11 0.84/1.58 1.41/0.88 0.56/0.35 Pre/Post Shake Functionality Test Results: Pre: PASSED All units were full of contents, maintained structural integrity and passed post-shake functional compliance. Post: UUT Mounting Description: Wall mounted unit with (4) 3/8" dia SAE Grade 8 bolts, fixture rigidly on table. 11/15/2013 OSP-0346-10 Page 11 of 18 UUT #1-Shake 2 Manufacturer: Siemens Model: 6SL3710-1BJ23-2AR0 Cabinet Construction Summary: Base: Galvanized Carbon Steel Sheetmetal Walls: Galvanized Carbon Steel Sheetmetal Roof: Galvanized Carbon Steel Sheetmetal Component Summary: Item Depth 16 Dimensions Width Height 20 48 Weight 230 Lowest Natural Frequency F-B S-S V NA NA NA Cabinet Breaker Power Module Input Reactor Control Unit Control Transformer Power Supply Output Reactor Input Contactor Fuse Output & Bypass Contactor Rotary Switch Relay Pushbutton, Green Pushbutton, Red Relay with Suppressor Overload Temperature Monitor Relay Seismic Test Parameters: Qualification Method Sds z/h Ip Aflx-H Arig-H Aflx-V Arig-V ICC-ES AC156 (2012) 2.11/1.32 0.0/1.0 1.5 2.11/2.11 0.84/1.58 1.41/0.88 0.56/0.35 Pre/Post Shake Functionality Test Results: PASSED Pre: All units were full of contents, maintained structural integrity and passed post-shake functional compliance. Post: UUT Mounting Description: Wall mounted unit with (4) 3/8" dia SAE Grade 8 bolts, fixture on spring vibration isolators. 11/15/2013 OSP-0346-10 Page 12 of 18 UUT #2-Shake 1 Manufacturer: Siemens Model: 6SL3710-5BJ29-0AU0 Cabinet Construction Summary: Base: Galvanized Carbon Steel Sheetmetal Walls: Galvanized Carbon Steel Sheetmetal Roof: Galvanized Carbon Steel Sheetmetal Component Summary: Item Depth 20 Dimensions Width Height 26 60 Weight 330 Lowest Natural Frequency F-B S-S V NA NA NA Cabinet Breaker Power Module Input Reactor Control Unit Control Transformer Output Reactor Fuse Seismic Test Parameters: Qualification Method Sds z/h Ip Aflx-H Arig-H Aflx-V Arig-V 2.11/1.32 0.0/1.0 1.5 2.11/2.11 0.84/1.58 1.41/0.88 0.56/0.35 ICC-ES AC156 (2012) Pre/Post Shake Functionality Test Results: Pre: PASSED All units were full of contents, maintained structural integrity and passed post-shake functional compliance. Post: UUT Mounting Description: Wall mounted unit with (4) 3/8" dia SAE Grade 8 bolts, fixture rigidly on table. 11/15/2013 OSP-0346-10 Page 13 of 18 UUT #2-Shake 2 Manufacturer: Siemens Model: 6SL3710-5BJ29-0AU0 Cabinet Construction Summary: Base: Galvanized Carbon Steel Sheetmetal Walls: Galvanized Carbon Steel Sheetmetal Roof: Galvanized Carbon Steel Sheetmetal Component Summary: Item Depth 20 Dimensions Width Height 26 60 Weight 330 Lowest Natural Frequency F-B S-S V NA NA NA Cabinet Breaker Power Module Input Reactor Control Unit Control Transformer Output Reactor Fuse Seismic Test Parameters: Sds z/h Ip Aflx-H Arig-H Aflx-V Arig-V Qualification Method 2.11/1.32 0.0/1.0 1.5 2.11/2.11 0.84/1.58 1.41/0.88 0.56/0.35 ICC-ES AC156 (2012) Pre/Post Shake Functionality Test Results: Pre: PASSED All units were full of contents, maintained structural integrity and passed post-shake functional compliance. Post: UUT Mounting Description: Wall mounted unit with (4) 3/8" dia SAE Grade 8 bolts, fixture on spring vibration isolators. 11/15/2013 OSP-0346-10 Page 14 of 18 UUT #3 Manufacturer: Siemens Model: 6SL3710-3BJ29-0AR0 Cabinet Construction Summary: Base: Galvanized Carbon Steel Sheetmetal Walls: Galvanized Carbon Steel Sheetmetal Roof: Galvanized Carbon Steel Sheetmetal Component Summary: Item Depth 24 Dimensions Width Height 30 94 Weight 931 Lowest Natural Frequency F-B S-S V 11.60 10.10 13.70 Cabinet Breaker Power Module Autotransformer-Reactor Rectifier Assembly Fuse Control Unit Control Transformer with Fuses Reactor Monitor Temperature Monitoring Relay Overload Motor Protection Relay Seismic Test Parameters: Qualification Method Sds z/h Ip Aflx-H Arig-H Aflx-V Arig-V ICC-ES AC156 (2012) 2.11/1.32 0.0/1.0 1.5 2.11/2.11 0.84/1.58 1.41/0.88 0.56/0.35 Pre/Post Shake Functionality Test Results: Pre: PASSED All units were full of contents, maintained structural integrity and passed post-shake functional compliance. Post: UUT Mounting Description: Floor mounted unit with (4) 1/2" dia SAE Grade 8 bolts directly into table. 11/15/2013 OSP-0346-10 Page 15 of 18 UUT #4 Manufacturer: Siemens Model: 6SL3710-3BJ32-5AR0 Cabinet Construction Summary: Base: Galvanized Carbon Steel Sheetmetal Walls: Galvanized Carbon Steel Sheetmetal Roof: Galvanized Carbon Steel Sheetmetal Component Summary: Item Depth 24 Dimensions Width Height 36 94 Weight 1,660 Lowest Natural Frequency F-B S-S V 12.20 12.50 13.50 Cabinet Breaker Power Module Autotransformer-Reactor Rectifier Assembly Fuse Control Unit Control Transformer with Fuses Reactor Power Block Non-Reversible Contactor Rotary Switch Power Distribution Block Overload Seismic Test Parameters: Qualification Method Sds z/h Ip Aflx-H Arig-H Aflx-V Arig-V ICC-ES AC156 (2012) 2.11/1.32 0.0/1.0 1.5 2.11/2.11 0.84/1.58 1.41/0.88 0.56/0.35 Pre/Post Shake Functionality Test Results: Pre: PASSED All units were full of contents, maintained structural integrity and passed post-shake functional compliance. Post: UUT Mounting Description: Floor mounted unit with (4) 1/2" dia SAE Grade 8 bolts directly into table. 11/15/2013 OSP-0346-10 Page 16 of 18 UUT #5 Manufacturer: Siemens Model: 6SL3710-3GJ35-0AS3 Cabinet Construction Summary: Base: Galvanized Carbon Steel Sheetmetal Walls: Galvanized Carbon Steel Sheetmetal Roof: Galvanized Carbon Steel Sheetmetal Component Summary: Item Depth 28 Dimensions Width Height 54 100 Weight 2,880 Lowest Natural Frequency F-B S-S V 7.40 8.10 13.60 Cabinet Breaker Power Supply Autotransformer-Reactor Rectifier Assembly Fuse Resistor Wire Contactor with Non-Reversible Varistor Power Block Contactor Sitop Power Supply Control Unit Terminal Module Control Transformer with Fuses Reactor Filter Non-Reversible Contactor Rotary Switch Brake Chop Overload Seismic Test Parameters: Qualification Method Sds z/h Ip Aflx-H Arig-H Aflx-V Arig-V ICC-ES AC156 (2012) 2.11/1.32 0.0/1.0 1.5 2.11/2.11 0.84/1.58 1.41/0.88 0.56/0.35 Pre/Post Shake Functionality Test Results: PASSED Pre: All units were full of contents, maintained structural integrity and passed post-shake functional compliance. Post: UUT Mounting Description: Floor mounted unit with (6) 1/2" dia SAE Grade 8 bolts directly into table. 11/15/2013 OSP-0346-10 Page 17 of 18 UUT #6 Manufacturer: Siemens Model: 6SL3710-3GJ41-0AS3 Cabinet Construction Summary: Base: Galvanized Carbon Steel Sheetmetal Walls: Galvanized Carbon Steel Sheetmetal Roof: Galvanized Carbon Steel Sheetmetal Component Summary: Item Depth 32 Dimensions Width Height 98 100 Weight 6,600 Lowest Natural Frequency F-B S-S V 5.40 8.10 13.60 Cabinet Breaker Power Supply Autotransformer-Reactor Rectifier Assembly Fuse Resistor Wire Contactor with Non-Reversible Varistor Contactor Sitop Power Supply Control Unit Terminal Module Control Transformer with Fuses Transformer Reactor Filter Network Fuse, Ferraz Soft Start Seismic Test Parameters: Qualification Method Sds z/h Ip Aflx-H Arig-H Aflx-V Arig-V ICC-ES AC156 (2012) 2.11/1.32 0.0/1.0 1.5 2.11/2.11 0.84/1.58 1.41/0.88 0.56/0.35 Pre/Post Shake Functionality Test Results: PASSED Pre: All units were full of contents, maintained structural integrity and passed post-shake functional compliance. Post: UUT Mounting Description: Floor mounted unit with (8) 1/2" dia SAE Grade 8 bolts directly into table. 11/15/2013 OSP-0346-10 Page 18 of 18