BMEC Authorization Number Date of Issuance July 28, 2011 BMEC Application A Date of Expiration July 28, 2016

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1 777 Bay Street, 2 nd Floor 777, rue Bay, 2 e etage Toronto, Ontario, M5G 2E5 Toronto, Ontario, M5G 2E5 T: F: W: T: TC: W: BMEC Authorization Number Date of Issuance July 28, 2011 BMEC Application A Date of Expiration July 28, 2016 AUTHORIZATION REPORT SureSeal Floor Drain Trap Seal: Models SS2009, SS3509 and SS Applicant 2. Manufacturing Facility SureSeal, LLC 1614 South Mildred, Suite 12 Tacoma, WA, USA Mailing Address PO Box Tacoma, WA, USA South Mildred, Suite 12 Tacoma, WA, USA PCSI Design North Creek Parkway, #103 Bothell, WA Tel: Fax: Web: 3. Description The SureSeal Floor Drain Trap Seal: Models SS2009, SS3509 and SS4009 are preassembled inline floor drain trap seal protective devices, which are made of commercial grade ABS plastic and polychloroprene plastics. In general, the SureSeal: Models SS2009, SS3509 and SS4009 are comprised of three pieces: the housing, the diaphragm and the gasket. The SureSeal Floor Drain Trap Seal: Models SS2009, SS3509 and SS4009 must be installed in conjunction with approved area drain fixtures, as area drain fixtures are described in ANSI/ASME A The SureSeal devices may receive liquid from a drain surface and minimize the ingress of sewer gas from the drain into the building. SureSeal, LLC Page 1 of 5

2 4. Authorization Requested The Applicant sought authorization for use of the SureSeal Floor Drain Trap Seal: Models SS2009, SS3509 and SS4009 in conjunction with approved area drain fixtures, as area drain fixtures are described in ANSI/ASME A , in lieu of trap seal primers, as required by Sentence (1) of Division B of the Building Code. 5. Assessment Reports and assessments provided by the Applicant show that if the SureSeal Floor Drain Trap Seal: Models SS2009, SS3509 and SS4009 are designed, performance tested, installed, and maintained in accordance with the limitations in the manufacturer's instructions, and the conditions stated in this authorization; the same level of performance will be provided as required by the Building Code. Reports submitted and reviewed: 1. Letter Report, Larden Muniak Consulting Inc., BMEC Application For SureSeal Floor Drains and Trap Seal Models SS2009, SS3509 and SS4009, dated March 21, 2011 (revised March 29, 2011); 2. Test Report, SGS Test Report, ASSE Model SS2009 report number 654: R1, dated January 8, 2010; 3. Test Report, SGS Test Report, ASSE Model SS4009 report number 654: R1, dated October 29, 2010; 4. Test Report, SGS Test Report, ASSE Model SS4009 report number 654:031645, dated April 13, 2010; 5. Test Report, RADCO Test Report, Physical Tests per IGC a on Hubsett SureSeal Floor Drain Gas Trap project no. C-7799, report no. RAD- 2681, issued December 2000 and revised March 2011 and July 2001; 6. Listing, ICC Evaluation Service, SureSeal Trap Primer Alternate Models SS2009, SS3000, SS3509 and SS4009, listing No. PMG-1070, effective date February 2011; 7. Certificate of Listing, IAPMO Research and Testing, Product: Floor Drain Trap Seal Protection Devises, File number C-4165, effective date August 2010; 8. Report, JB Engineering and Code Consulting, P.C., Analysis of Sure Seal Trap Seal Protection Device, dated July 9, 2010; 9. Manufacturer s Literature, Inline Floor Drain Trap Sealer, dated December 15, 2010, 8 pages; SureSeal, LLC Page 2 of 5

3 10. Letters of Approval: a. City of Dallas, July 28, 2008, b. City of Dallas, February 24, 2004, c. Seattle and King County, January 12, 2009, d. City of Fort Worth, September 13, 2010, and e. State of New Mexico, September 14, 2010; 11. Manufacturer s Literature, Installation and Maintenance dated December 15, 2010, 3 pages; 12. Shop Drawing, The Green Solution: Inline 2 Floor Drain Trap Sealer, Model SS2009, undated; 13. Shop Drawing, The Green Solution: Inline 3.5 Floor Drain Trap Sealer, Model SS3509, undated; 14. Shop Drawing, The Green Solution: Inline 4 Floor Drain Trap Sealer, Model SS4009, undated; 15. Letter Report, SureSeal Manufacturing, RE: Letter date May 26, 2011 from the BMEC s Ms. Penny Horsfall dated, June 7, 2011; 16. Letter Report, PCSI Design, Reference: Membrane Material, dated June 1, 2011; 17. Letter Report, RADCO RE: SureSeal Testing, RADCO Test Report RAD-2681, dated issued December 2000 and Revised March 2001, dated June 7, 2011; 18. Letter Report, Larden Muniak Consulting Inc., BMEC SURESEAL LLC s: Model SS2009, SS3509 and SS4009 dated May 16, 2011; 19. Letter Report, PCSI Design, SureSeal Test, dated June 1, 2011; 20. Listing Certificate, ASSE, Barrier Type Floor Drain Trap Seal Protection Devises, record Number 1409, dated September 29, 2010; and 21. Test Report, SGS Test Report, ASSE Model SS2009, SS3009 and SS3509 report number 654: , dated March 15, Authorization The SureSeal Floor Drain Trap Seal: Models SS2009, SS3509 and SS4009 are authorized for use in lieu of a trap seal primer within the scope of Part 7 Plumbing of Division B of the Building Code, and when installed in accordance with the manufacturer s recommendations, and within the terms and conditions contained in 6.A and 6.B below; all other requirements of the Building Code shall apply: SureSeal, LLC Page 3 of 5

4 A. Specific Terms and Conditions 1. This Authorization is valid only for SureSeal, LLC s, SureSeal Floor Drain Trap Seal: Models SS2009, SS3509 and SS4009 for 50mm (2 ), 89mm (3.5 ) and 102mm (4 ) diameter devices (the SureSeal ); 2. This Authorization expires on July 28, 2016; 3. The SureSeal shall only be installed in conjunction with an ANSI/ASME A area floor drain, as illustrated on the manufacturer's installation instructions on the product packaging; 4. The SureSeal shall have the following permanent and visible markings: (a) SureSeal, (b) ASSE 1072, and (c) Models SS2009, Models SS3509, or Models SS4009; 5. The SureSeal shall not be installed where the liquid discharge may reach or exceed a temperature of 93 0 C (200 0 F); and 6. A final test shall be performed, as required by Subsection Testing of Drainage and Venting Systems of Division B of the Building Code, prior to the floor drain trap(s) being primed with water, to confirm the SureSeal installation. B. General Conditions 1. The use of the SureSeal as described in Section 3. and the Specific Terms and Conditions set out in Section 6.A must comply with: (a) (b) (c) the Building Code Act, 1992, (the Act ) as amended or re-enacted, except as specifically authorized herein, the Building Code as amended or remade, and all other applicable legislation. 2. A copy of this Authorization shall accompany each application for a building permit and shall be maintained on the site of the construction with the building permit. 3. The Applicant specified in Section 1. shall promptly notify the BMEC of: (a) (b) the failure of the Applicant to comply with any of the Specific Terms and Conditions set out in Section 6.A, the failure of the material, system or building design that is the subject matter of this Authorization to (i) (ii) comply with any of the Specific Terms and Conditions set out in Section 6.A, or provide a satisfactory level of performance in situ, or SureSeal, LLC Page 4 of 5

5 (c) the occurrence of any of the events described in General Conditions 6.B.4.(a), (b), (e) or (f). 4. The BMEC may amend or revoke this Authorization at any time on its own initiative, or at the request of the Applicant specified in Section 1. without restricting the foregoing, the BMEC may amend or revoke this Authorization where it determines that: (a) any change has been made to: (i) the name of the Applicant specified in Section 1, (ii) the address or other contact name information of the Applicant specified in Section 1, (iii) the ownership of the Applicant specified in Section 2, (iv) the manufacturing facilities specified in Section 2, (v) the material, system, or building design that is the subject matter of this Authorization, or (vi) a test method relevant to this Authorization, (b) (c) (d) (e) (f) (g) the Applicant has failed to comply with any of the terms and conditions set out in this Authorization, in the opinion of the BMEC, the use of the material, system or building design authorized herein provides an unsatisfactory level of performance in situ, in the opinion of the BMEC, amendment or revocation of the Authorization is appropriate on the basis of potential danger to public health and safety, the Act or Building Code has been amended, re-enacted or remade in a manner relevant to this Authorization, this Authorization was issued on mistaken, false or incorrect information, or a revision of an editorial nature is appropriate. Dated at Toronto this 28 th day of July BUILDING MATERIALS EVALUATION COMMISSION Edward Link, P. Eng. Chair, Building Materials Evaluation Commission SureSeal, LLC Page 5 of 5

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