Product Certification Form Page 2

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For information on completing this form, see “A Guide to the Certification of Products under the Environment Agency’s
MCERTS Scheme” which is available from CSA Group. CSA Group can provide assistance in completing this form if
required.
The performance standards and test procedures for product certification are published by the Environment Agency and
available on the MCERTS web-site
MANUFACTURER
COMPANY NAME
(The Certificate will be in this
name)
ADDRESS
POST CODE
TELEPHONE
APPLICANT
COMPANY NAME
(If not the manufacturer)
ADDRESS
POST CODE
TELEPHONE
TECHNICAL CONTACT
NAME:
COMPANY:
TELEPHONE:
EMAIL:
COMMERCIAL
NAME:
CONTACT
COMPANY:
TELEPHONE:
EMAIL:
CERTIFICATION
CONTINUOUS EMISSION MONITORING SYSTEMS (CEMS) (EN 15267)
STANDARD
TRANSPORTABLE SYSTEMS FOR EMISSION MONITORING
(Indicate the MCERTS standard
against which certification is
PORTABLE SYSTEMS FOR EMISSION MONITORING
sought)
AUTOMATIC ISOKINECTIC SAMPLERS
CONTINUOUS AMBIENT AIR MONITORING SYSTEMS (CAMS)
OPEN PATH AMBIENT AIR MONITORING SYSTEMS (DOAS)
INDICATIVE AMBIENT PARTICULATE MONITORS
VARIATION / RE-CERTIFICATION TO EXISTING CERTIFICATE
STATE CERTIFICATE NUMBER BELOW:
MODEL
Model/description of instrument or
system
Provide a general arrangement
drawing of the system/product
together with sales literature and
technical specifications.
See guide for an example of what
a system comprises.
Form 1173 – Issue 12
Page 2 of 4
Sira Certification Service
May 2015

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