Self-Certification Documentation
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1 Company name: CWD, LLC dba Centric Parts Self-Certification Documentation Company address (line 1): S. Figueroa Street Company address (line 2): City: Carson Postal Code: Contact name: Poh Wah Lee Contact Phone: State/Province: CA Country: USA Contact Title: Director of Friction Materials address: List of edge codes certified by the Company above and required compliance data: 1 N CEN 14AA9156 July 5, 2013 July 5, A CEN 15AA9156 July 5, 2013 December 31, B CEN 15AB9156 July 5, 2013 July 5, N CEN 30AA9156 July 5, 2013 July 5, B CEN 31AA9156 July 5, 2013 July 5, N CEN 16AB2256 July 5, 2013 July 5, N CEN 16AB8241 July 5, 2013 July 5, N CEN 16AB8694 July 5, 2013 July 5, A CEN 10AA5936 July 8, 2013 December 31, A CEN 15AC5936 July 8, 2013 December 31, A MDSA 15AC5936 July 8, 2013 December 31, A CEN 15AD5936 July 8, 2013 December 31, A MDSA 15AD5936 July 8, 2013 December 31, A CEN 38AA5936 July 8, 2013 December 31, N CEN 16AA130 July 9, 2013 July 9, A CEN 10AA2256 July 9, 2013 December 31, A CEN 10AA8241 July 9, 2013 December 31, A CEN 10AA8694 July 9, 2013 December 31, A CEN 10AB2256 July 9, 2013 December 31, A CEN 10AB8241 July 9, 2013 December 31, A CEN 10AB8694 July 9, 2013 December 31, A CEN 10AC2256 July 9, 2013 December 31, A CEN 10AC8241 July 9, 2013 December 31, A CEN 10AC8694 July 9, 2013 December 31, B CEN 10AD2256 July 9, 2013 July 9, B CEN 10AD8241 July 9, 2013 July 9, B CEN 10AD8694 July 9, 2013 July 9, A CEN 15AA2256 July 9, 2013 December 31, A CEN 15AA8241 July 9, 2013 December 31, Page 1 of 7
2 30 A CEN 15AA8694 July 9, 2013 December 31, A MDSA 15AA2256 July 9, 2013 December 31, A MDSA 15AA8694 July 9, 2013 December 31, A MDSA 15AA8241 July 9, 2013 December 31, A CEN 38AA2256 July 9, 2013 December 31, A CEN 38AA8694 July 9, 2013 December 31, A CEN 38AA8241 July 9, 2013 December 31, N CEN 12AA9101 July 9, 2013 July 9, N CEN 30AA9101 July 9, 2013 July 9, N CEN 14AA9101 July 10, 2013 July 10, B CEN 39AA1432 July 10, 2013 July 10, B CEN 36AA1432 July 10, 2013 July 10, B CEN 89AA1432 July 10, 2013 July 10, B CEN 10AD9588 July 10, 2013 July 10, B CEN 15AD9588 July 10, 2013 July 10, B CEN 10AD9439 July 10, 2013 July 10, B CEN 15AD9439 July 10, 2013 July 10, B CEN 10AD10525 July 10, 2013 July 10, B CEN 15AD10525 July 10, 2013 July 10, A CEN 10AF9588 July 10, 2013 December 31, A CEN 15AF9588 July 10, 2013 December 31, A CEN 10AF9439 July 10, 2013 December 31, A CEN 15AF9439 July 10, 2013 December 31, A CEN 10AF10525 July 10, 2013 December 31, A CEN 15AF10525 July 10, 2013 December 31, A MDSA 15AF10525 July 10, 2013 December 31, A MDSA 15AF9439 July 10, 2013 December 31, A MDSA 15AF9588 July 10, 2013 December 31, A CEN 38AA10525 July 10, 2013 December 31, A CEN 38AA9439 July 10, 2013 December 31, A CEN 38AA9588 July 10, 2013 December 31, A CEN15AA9889 September 27, 2013 December 31, A MDSA 15AA9889 September 27, 2013 December 31, A CEN 38AA9889 September 27, 2013 December 31, A CEN 31AA9101 September 27, 2013 December 31, B CEN 13AA9101 September 27, 2013 September 27, N CEN 110AA4607 September 27, 2013 September 27, N CEN 111AA4607 September 27, 2013 September 27, N CEN 112AA4607 September 27, 2013 September 27, N CEN 111AB4607 September 27, 2013 September 27, N CEN112AB4607 September 27, 2013 September 27, Page 2 of 7
3 71 N CEN 111AA9156 September 27, 2013 September 27, N CEN 112AA9156 September 27, 2013 September 27, N CEN 110AA9715 September 27, 2013 September 27, N CEN 111AB9156 September 27, 2013 September 27, N CEN 112AB9156 September 27, 2013 September 27, A CEN 16AA5936 December 18, 2013 December 31, A CEN 15AB3711 January 21, 2014 December 31, N CEN 111AA9769 March 21, 2014 March 21, N CEN 112AA9769 March 21, 2014 March 21, N CEN 110AA1436 March 25, 2014 March 25, N CEN 111AA1436 May 20, 2014 May 20, N CEN 111AB1436 May 20, 2014 May 20, N CEN 112AA1436 May 21, 2014 May 21, N CEN 16AA9156 May 28, 2014 May 28, A CEN 15AG9588 June 26, 2014 December 31, A CEN 15AG9439 June 26, 2014 December 31, A CEN 15AG10525 June 26, 2014 December 31, A MDSA 15AG10525 June 26, 2014 December 31, A MDSA 15AG9439 June 26, 2014 December 31, A MDSA 15AG9588 June 26, 2014 December 31, A CEN 36AB1432 August 25, 2014 December 31, N CEN 16AA9889 February 13, 2015 February 13, N CEN 38AB9889 February 13, 2015 February 13, N CEN 15AB2256 March 20, 2015 March 20, N CEN 15AB8241 March 20, 2015 March 20, N CEN 15AB8694 March 20, 2015 March 20, N MDSA 15AB2256 March 20, 2015 March 20, N MDSA 15AB8694 March 20, 2015 March 20, N MDSA 15AB8241 March 20, 2015 March 20, N CEN 16AC2256 April 3, 2015 April 3, N CEN 16AC8241 April 3, 2015 April 3, N CEN 16AC8694 April 3, 2015 April 3, B CEN 31AC9101 May 21, 2015 May 21, B MTY 31AC9101 May 21, 2015 May 21, B CEN 35AB9101 May 21, 2015 May 21, A CEN 15AA9101 August 5, 2015 December 31, A MDSA 15AA9101 August 5, 2015 December 31, A CEN 38AB9101 August 5, 2015 December 31, A ATZ AD August 5, 2015 December 31, N CEN 15AH9588 September 17, 2015 September 17, N CEN 15AH9439 September 17, 2015 September 17, Page 3 of 7
4 112 N CEN 15AH10525 September 17, 2015 September 17, N MDSA 15AH10525 September 17, 2015 September 17, N MDSA 15AH9439 September 17, 2015 September 17, N MDSA 15AH9588 September 17, 2015 September 17, A CEN 19AA92 November 10, 2015 December 31, N CEN 110AA9156 February 17, 2016 February 17, N CEN 16AB8694 April 20, 2016 April 20, N CEN 16AA130 April 20, 2016 April 20, N CEN 12AA9101 April 20, 2016 April 20, N CEN 30AC9101 April 20, 2016 April 20, N CEN 30AA9101 April 20, 2016 April 20, N MTY 30AA9101 April 20, 2016 April 20, N CEN 14AA9101 April 20, 2016 April 20, N MDSA 14AA9101 April 20, 2016 April 20, N CEN 38AA9101 April 20, 2016 April 20, B CEN 36AA1432 April 20, 2016 April 20, B CEN 39AA1432 April 20, 2016 April 20, B CEN 89AA1432 April 20, 2016 April 20, N CEN 14AA9156 April 22, 2016 April 22, N MDSA 14AA9156 April 22, 2016 April 22, N CEN 30AA9156 April 21, 2016 April 21, N MTY 30AA9156 April 21, 2016 April 21, B CEN 31AA9156 April 20, 2016 April 20, B MTY 31AA9156 April 20, 2016 April 20, N CEN 16AB2256 April 21, 2016 April 21, N CEN 38AB2256 April 21, 2016 April 21, N CEN 38AB8694 April 21, 2016 April 21, N CEN 38AB8241 April 21, 2016 April 21, N CEN 16AB8241 April 22, 2016 April 22, N CEN 15AE5936 June 10, 2016 June 10, N MDSA 15AE5936 June 10, 2016 June 10, B CEN 13AA9101 June 10, 2016 June 10, B CEN 31AD9101 June 10, 2016 June 10, B CEN 31AB9101 June 10, 2016 June 10, N CEN 111AA9156 June 10, 2016 June 10, N CEN 112AA9156 June 15, 2016 June 15, N CEN 111AB9156 June 15, 2016 June 15, N CEN 112AB9156 June 8, 2016 June 8, N CEN 30AB9101 July 22, 2016 July 22, N MTY 30AB9101 July 22, 2016 July 22, N CEN 35AA9101 July 22, 2016 July 22, Page 4 of 7
5 153 N CEN 14AB9101 July 22, 2016 July 22, N ATZ AB July 22, 2016 July 22, N CEN 110AA1436 January 6, 2017 January 6, N CEN 111AA1436 January 11, 2017 January 11, N CEN 111AB1436 January 11, 2017 January 11, N CEN 112AA1436 January 6, 2017 January 6, N CEN 110AC4607 January 6, 2017 January 6, N CEN 111AC4607 January 6, 2017 January 6, N CEN 112AC4607 January 6, 2017 January 6, N CEN 110AA9101 November 18, 2016 November 18, N CEN 111AA9101 November 18, 2016 November 18, N CEN 112AA9101 November 18, 2016 November 18, N CEN 16AA9156 January 11, 2017 January 11, N CEN 111AA9769 January 6, 2017 January 6, N CEN 112AA9769 January 6, 2017 January 6, N CEN 110AA9769 January 6, 2017 January 6, N CEN 16AA11185 January 11, 2017 January 11, N CEN 36AA11185 January 11, 2017 January 11, N CEN 39AA11185 January 11, 2017 January 11, N CEN 37AA11185 January 11, 2017 January 11, N CEN 16AA8402 March 17, 2017 March 17, N CEN 110AA4607 May 26, 2017 May 26, N CEN 111AA4607 May 26, 2017 May 26, N CEN 112AA4607 May 26, 2017 May 26, B CEN 34AA9101 May 10, 2017 May 10, N CEN 37AA9889 November 18, 2016 November 18, N CEN 36AA9889 November 18, 2016 November 18, B CEN 15AB9101 November 30, 2017 November 30, B CEN 31AC9101 November 30, 2017 November 30, B MTY 31AC9101 November 30, 2017 November 30, B CEN 35AB9101 November 30, 2017 November 30, B ATZ AC November 30, 2017 November 30, B CEN 13AA9769 December 8, 2017 December 8, B CEN 31AA9769 December 8, 2017 December 8, N CEN 16AA9889 November 17, 2017 November 17, N CEN 38AB9889 November 17, 2017 November 17, N CEN 110AA11245 October 2, 2017 October 2, N CEN 111AA11245 October 2, 2017 October 2, N CEN 112AA11245 October 2, 2017 October 2, N CEN 50AA9101 January 24, 2018 January 24, A CEN 50AB9101 January 24, 2018 January 24, Page 5 of 7
6 194 N CEN 16AC2256 January 24, 2018 January 24, N CEN 50AA2256 January 24, 2018 January 24, N CEN 38AC2256 January 24, 2018 January 24, A CEN 50AB2256 January 24, 2018 January 24, N CEN 50AA9889 January 24, 2018 January 24, A CEN 50AB9889 January 24, 2018 January 24, B CEN 16AA11877 April 12, 2018 April 12, B CEN 36AA11877 April 12, 2018 April 12, N CEN 15AC2256 May 29, 2018 May 29, N CEN 50AC2256 May 29, 2018 May 29, N CEN 15AD2256 June 11, 2018 June 11, N CEN 50AD2256 June 11, 2018 June 11, N CEN 12AA9769 June 25, 2018 June 25, N CEN 30AA9769 June 25, 2018 June 25, B CEN 16AA12053 June 22, 2018 June 22, B CEN 30AA12053 June 22, 2018 June 22, N CEN 15AH10525 August 15, 2018 August 15, N CEN 15AH9439 August 15, 2018 August 15, N CEN 110AA9156 October 11, 2018 October 11, N CEN 111AA9156 October 11, 2018 October 11, N CEN 112AA9156 October 11, 2018 October 11, Page 6 of 7
7 Affidavit I, the undersigned, on behalf of the above named Company, approve, assert, and certify as true and accurate all information shown in this document. I hereby assert that, under penalty of perjury under the laws of the states specified in the addendum below, the friction materials bearing the edge codes as set forth above are substantially identical to the products submitted for testing and meet the requirements of all applicable codes, regulations, rules and laws including those specified in the addendum below. I hereby authorize NSF ( NSF ) to publicly post all information required to be made public by any United States laws in accordance with the law and any written contracts between NSF and the Company specified above. I hereby assert that all test results used to issue this self-certification comply with all requirements of the law and any contracts between NSF and the Company specified above. Company agrees that NSF shall have no liability to Company or any third party with respect to release of the above referenced Company data to any government agency with the legal authority to receive such data. I hereby assert that I have the authority to make this authorization and assertion on behalf of the Company specified above. Any written modifications of this Affidavit section are not acceptable and invalidate this self-certification. This document shall serve as proof of self-certification as required by the Better Brakes Rules WAC Addendum The undersigned hereby attests to compliance with the following state laws: Washington: Chapter Revised Code of Washington, Chapter Washington Administrative Code Signature: Printed name and title: Poh Wah Lee, Director of Friction Materials. Date and place signed: Contact and phone number (if different from above): Page 7 of 7
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