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‘CERTIFIED BY ONY GL
"180 S00" 2801 Dawson Rd
Tulsa, OK 74110
wow thecrosby group.com
Certificate of Conformance
Certificate Number: CC1-2022081800518
Location of Issue: PROCABLES S.A.
AV, OQUENDO 5580
CALLAO, Peru
Phone: (+511) 877-1187
Stock No: 1018632
Description of Gear:_G209 25t Screw Pin Anchor Shackle 1-3/4” Maxtough®
Working Load Limit 251] [Max. Allowed Proof Load: sot + indicates metric tons
‘Comments: 6:1 Design Factor.
Note: Meets the performance requirements of Federal Specification RR-C-271G Type IVA,
Grade A, Class 2, except for those provisions required of the contractor
Meets or exceeds all requirements of ASME B30.26.
Crosby forged shackles can be used in general service with good rigging practice
down to temperatures of -40 °F (-40 °C).
Has not been contaminated by Mercury or Asbestos in the manufacturing process
Number of Pieces: 2
Generic certificate based on item being the Crosby product described above.
‘Mentioned products are in conformity to the Crosby literature available atthe time of manufacture, We hereby certify that the
above described material was manufactured and processed in a manner compatible to meeting the specified load ratings when used
under normal and proper applications. This product atthe time of manufacture does not contain any ozone-depleting substances,
‘This product atthe time of manufacture does not execed the threshold for any of the hazardous listed chemicals in
Appendix 1 of MEPC.269(68) 2015 Guidelines,
EEE Les Theil Fidique aed’ “Cy” MAXTOUGH ce
For Product Delivered To: MOTA-ENGIL PERU S.A
RUC 2010045517
AV. NICOLAS AYLLON 2634 ATE
LIMA PERU Peru
Customer (User) Order Number: 3000341792 ’
Date of Issuance Michael Gil, Crosby Director of Quality