Samson 3277 - Page 90

14-16 EB 8048-2 EN
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EHEDG Certification – Equipment Evaluation Form
Design Evaluation Date: 22.06.2021
EHEDG File Number:
EHEDG-
C2100021
Certification Type: EL CLASS I
Applicant:
SAMSON REGULATION SAS, Vaulx-en-Velin, France
Equipment:
Aseptic control angle valve Type 3349 HV01 with PTFE diaphragm, DN 15 to 65
Other essential identification: with
parabolic plug, except size DN40/NPS 1 ½ Kvs 25/Cv30
Evaluated by:
Name: Dr. Nicolas Rossi
Approved by:
Name: Jacques Kastelein,
Title: AEO,
Date, Signature: _____________________________________
1. Results of inspection for compliance with the EHEDG Hygienic Design
Criteria.
Conclusion:
The equipment complies with the criteria.
The use of the EHEDG Certification logo is justified:
YES
☐
MAYBE 
2. Evidence for compliance provided and convincing for Certification.
Conclusion:
The equipment complies with the criteria where possible.
The use of the EHEDG Certification logo is justified:
YES 
Signature: N ROSSI
Date: 16.11.2021
The original of this form will be kept by EHEDG together with the application, the inspection report, the evidence
provided and any other relevant documentation, as listed on the back.