P.O. Box 772700 AT ZoThe Netherla CNG-comp

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- Heat exc- Natural g- LNG fill- LNG pre- LNG pre- LNG ma

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Page 1 of 5

mber: 01

Approval number: E4-110R-010362 Extension number: 01

CNG-components R110-00 v3.00 Page 2 of 5

- LNG non return valve2 - LNG pressure relief valve2 - LNG excess flow valve2 - LNG fuel pump2

2. Trade name or mark : LNG Receptacle

3. Manufacturer’s name and address : Engineerd Controls International, LLC 100 RegO Drive, 27244 Elon, North Carolina United states of America

4. If applicable, name and address of manufacturer’s representative :

5. Submitted for approval on : June 2014

6. Technical service responsible for conducting approval tests :

Kiwa Nederland B.V. P.O. Box 137 7300 AC Apeldoorn The Netherlands

7. Date of report issued by that service : 18-03-2015

8. Number of report issued by that service : 127044_140800627

9. Approval : granted/refused/extended/withdrawn (1)

10. Reason(s) of extension (if applicable) : The current homologated LNG Receptacle is extended due to a design change of the poppet seal (Gen2).

11. Place : Zoetermeer

12. Date :

13. Signature :

14. The documents filed with the application or extension of approval can be obtained upon request.

(1) Strike out what does not apply.

Approval number: E4-110R-010362 Extension number: 01

CNG-components R110-00 v3.00 Page 3 of 5

ADDENDUM

1. Additional information concerning the type-approval of a type of CNG components pursuant to Regulation number 110.

1.1. Container(s) or cylinder(s) 1.1.1. Dimensions : 1.1.2. Material :

1.2. Pressure indicator 1.2.1. Working pressure(s) (2) : 1.2.2. Material :

1.3. Pressure relief valve (discharge valve) 1.3.1. Working pressure(s) (2) : 1.3.2. Material

:

1.4. Automatic valve(s) 1.4.1. Working pressure(s) (2) : 1.4.2. Material

:

1.5. Excess flow valve 1.5.1. Working pressure(s) (2) : 1.5.2. Material :

1.6. Gas-tight housing 1.6.1. Working pressure(s) (2) : 1.6.2. Material :

1.7. Pressure regulator(s) 1.7.1. Working pressure(s) (2) : 1.7.2. Material

:

1.8. Non-return valve(s) or non-return valve(s) 1.8.1. Working pressure(s) (2) :1.8.2. Material :

1.9. Pressure relief device (temperature triggered) 1.9.1. Working pressure(s) (2) : 1.9.2. Material :

1.10. Manual valve 1.10.1. Working pressure(s) (2) : 1.10.2. Material :

1.11. Flexible fuel lines 1.11.1. Working pressure(s) (2) : 1.11.2. Material :

1.12. Filling unit or receptacle 1.12.1. Working pressure(s) (2) : 1.12.2. Material :

Approval number: E4-110R-010362 Extension number: 01

CNG-components R110-00 v3.00 Page 4 of 5

1.13. Gas injector(s) 1.13.1. Working pressure(s) (2) : 1.13.2. Material :

1.14. Gas flow adjuster 1.14.1. Working pressure(s) (2) : 1.14.2. Material :

1.15. Gas/air mixer 1.15.1. Working pressure(s) (2) : 1.15.2. Material :

1.16. Electronic control unit (CNG-fuelling) 1.16.1. Basic software principles :

1.17. Pressure and temperature sensor(s) 1.17.1. Working pressure(s) (2) : 1.17.2. Material :

1.18. CNG filter(s) 1.18.1. Working pressure(s) (2) : 1.18.2. Material :

1.19. PRD (pressure triggered) 1.19.1. Working pressure(s) (2) : ... MPa1.19.2. Material :

1.20. Fuel rail(s) 1.20.1. Working pressure(s) (2) : ... MPa 1.20.2. Material :

1.21. Heat Exchanger(s) / Vaporizer(s) 1.21.1. Working pressure(s) (2) : ... MPa 1.21.2. Material

:

1.22. Natural gas detector(s) 1.22.1. Working pressure(s) (2) : ... MPa 1.22.2. Material :

1.23. LNG filling receptacle(s) 1.23.1. Working pressure(s) (2) : 3.8 MPa (550 psig) 1.23.2. Material : See Report 140800672

1.24. LNG pressure control regulator(s) 1.24.1. Working pressure(s) (2) : ... MPa 1.24.2. Material :

1.25. LNG pressure and/or temperature sensor(s) 1.25.1. Working pressure(s) (2) : ... MPa 1.25.2. Material :

1.26. LNG manual valve(s) 1.26.1. Working pressure(s) (2) : ... MPa 1.26.2. Material :

Approval number: E4-110R-010362 Extension number: 01

CNG-components R110-00 v3.00 Page 5 of 5

1.27. LNG automatic valve(s) 1.27.1. Working pressure(s) (2) : ... MPa 1.27.2. Material :

1.28. LNG non return valve(s) 1.28.1. Working pressure(s) (2) : ... MPa 1.28.2. Material :

1.29. LNG pressure relief valve(s) 1.29.1. Working pressure(s) (2) : ... MPa 1.29.2. Material :

1.30. LNG excess flow valve(s) 1.30.1. Working pressure(s) (2) : ... MPa1.30.2. Material :

1.31. LNG fuel pump(s) 1.31.1. Working pressure(s) (2) : ... MPa 1.31.2. Material :

(2) Specify the tolerance

CNG/LNG Test Report CNG/LNG components

LNG Receptacle

Report number: 127044, 140800627

Engineered Controls International, LLC

Elon, North Carolina

United States of America

Kiwa Nederland B.V. • P.O. Box 137 • 7300 AC Apeldoorn • The Netherlands Telephone: +31 555 393 393 • automotive@kiwa.nl • www.kiwa-automotive.com

File Issue: 009 INDEX

Report Number: 127044 CNG/LNG components Page: IN 1/00

Job Reference: 140800627 Initials: Harmser

Report contents:

Sheet Chapter Code # Pages

Index 1 IN 1

History sheet(s) 2 HS 1

Contact information 3 CI 1

Summary sheet(s) 4 SS 1

Identification sheet 5 IS 1

Test Sheets: Regulation 110 6 TS 2

Result Sheets: Identification of EUT 7 RID 1

Measurement equipment in use uncertainties 7 RU 1

Regulation 110 7 RS 2

Declaration sheet(s) 8 DS 1

Drawing and technical description sheet(s) 9 DR 10

Correspondence sheet(s) 10 CS 1

Kiwa Nederland B.V. Files (if applicable, included in Kiwa Nederland B.V. report only)

11 KF -

Note: The revision number of each page of this report is identified in the right heading of the page by means of the last 2 digits in the page number (e.g. HS 1/00, Heading Sheet page 1, revision 00).

File Issue: 009 HISTORY SHEET(S)

Report Number: 127044 CNG/LNG components Page: HS 1/00

Job Reference: 140800627 Initials: Harmser

Report history:

Date: Description: Report No: Job Ref:

30-06-2014

LNG Receptacle

E4-110R-010362 ext.00

127044 127044

18-03-2015 E4-110R-010362 ext.01

The current homologated LNG Receptacle is extended due to a design change of the poppet seal (Gen2).

127044 140800627

Any modification and/or extension made to this report shall be recorded in a Report History Sheet and be inserted as a first page when opening this report. This sheet shall detail the modification and/or extension applicable to this initial report and shall clearly state where these details can be found. A copy of this sheet shall also be provided to the applicant/manufacturer, in order to keep the reports identical.

Signed by Test Engineer: Signed by Reviewer:

Name: Eric Harmsen

Name: Regina Adelmann Date: 18-03-2015

Signature:

© 2015, Kiwa Nederland B.V., Apeldoorn. - This report may only be duplicated as a complete set without any modifications and with permission of the legitimate

owner. - The test results in this report are exclusively related to the samples offered and tested. - Tests marked in this report with the IRN number are part of the accreditation scope (RvA L248) unless stated differently. - With regard to measurement uncertainty information please check our website. - Conclusions for compliance with e.g. product standard requirements are not part of the lab scope (RvA L248). - In case of dispute regarding this test report please contact Kiwa Nederland BV.

File Issue: 009 CONTACT INFORMATION

Report Number: 127044 CNG/LNG components Page: CI 1/00

Job Reference: 140800627 Initials: Harmser

Responsible Test House: Kiwa Nederland B.V.

Address: Wilmersdorf 50

7327 AC Apeldoorn

P.O. Box 137

7300 AC Apeldoorn

The Netherlands

Telephone: + 31 555 393 393

Facsimile: + 31 555 393 685

E-mail: automotive@kiwa.nl

Name of the Applicant: Engineerd Controls International, LLC

Address: 100 RegO Drive, 27244

Elon, North Carolina

United States of America

Name of the Manufacturer: Engineerd Controls International, LLC

Address: 100 RegO Drive, 27244

Elon, North Carolina

United States of America

File Issue: 009 SUMMARY SHEET(S)

Report Number: 127044 CNG/LNG components Page: SS 1/00

Job Reference: 140800627 Initials: Harmser

Test report of the examination of the:

CNG/LNG component(s)

LNG Receptacle

The CNG/LNG component(s), LNG Receptacle made by Engineered Controls International LLC meet(s) the requirements of:

Regulation 110 Addendum 109: Regulation No. 110 Revision 3-Amendment 1 Incorporating all valid text up to: Supplement 2 to 01 series of amendments to the Regulation - Date of entry into force: 09 October 2014 Uniform provisions concerning the approval of: I. Specific components of motor vehicles using compressed natural gas (CNG/LNG) in their propulsion system; II. Vehicles with regard to the installation of specific components of an approved type for the use of

compressed natural gas (CNG/LNG) in their Propulsion system UNITED NATIONS

See the Identification Sheet (IS) for all available types.

Signed in Acceptance:

Kiwa Nederland B.V.

Paul Dijkhof Unit Manager Automotive

Date: 18-03-2015

Note:

The described test results are only valid for the tested materials and objects

File Issue: 009 IDENTIFICATION SHEET

Report Number: 127044 CNG/LNG components Page: IS 1/00

Job Reference: 140800627 Initials: Harmser

Type break down (including specifications)

LNG Receptacle:

Make(s): Engineered Controls International, LLC

Macro Technologies LLC

RegO Products

Type(s): Receptacle: 13615

13620 & Dash

13705

13990 & Dash

14050

14120

14405 & Dash

Approval number: E4-110R-010362-L

Working pressure: Class 5 (3.8 MPa) 550 psig

Temperature range: -162°C (-259.6°F) up to 85°C (185°F)

Material(s): See Drawings: 13615 Rev. L

13620 & Dash Rev. M 13705 Rev. G 13990 & Dash Rev. M 14050 Rev. D 14120 Rev. D 14405 & Dash Rev. B

File Issue: 001 TEST SHEETS R110 CNG/LNG EQUIPMENT

Report Number:

127044

Filling unit or receptacle

Page: TS 01

Job Reference: 140800627 Initials: Harmser

Annex 4J: LNG FILLING RECEPTACLE

Key to Test Sheets: YES = YES NA = Not Applicable NT = Not Tested NO = NO Example: YES-NA-NT-NO

Notes: When filling in Test Sheets, answers are crossed out which are not applicable for that clause.

Definition: a filling unit or receptacle means a device fitted in the vehicle external or internal (engine

compartment) used to fill the container in the station.

2.1 The filling unit shall comply with the requirements of paragraph 3. YES-NA-NT-NO

2.2 The manufacturer of the receptacle may require a specific LNG nozzle type to be used. YES-NA-NT-NO

3.1 The filling unit shall conform to the requirements of Class 5 and follow the test procedures in Annex 5

with the following specific requirements.

YES-NA-NT-NO

3.1.1. The non-metallic material constituting the filling unit which is in contact with the LNG when the device

is in service shall be compatible with the CNG. In order to verify this compatibility, the procedure of

Annex 5D, 5F and 5G shall be used.

See below

3.1.2. The filling unit shall be free from leakage at a pressure of 1.5 times the working pressure (MPa) (see

Annex 5B)

See below

3.1.3. The filing unit shall be designed as to operate at temperatures as specified in Annex 5O. YES-NA-NT-NO

3.1.4. The filling unit shall withstand a number of 7,000 cycles in the durability test specified in Annex 5L as

follows:

YES-NA-NT-NO

3.1.4.1 Low temp. cycling:

The component shall be connected for 96 per cent of the total cycles at cryogenic temperature and at rated service pressure. The source can be liquid or gaseous nitrogen (or LNG) at or below the temperature corresponding to LNG rated service pressure (see table in Annex 5O). Flow should be established, and then shut off. During the off cycle, the downstream pressure of the test fixture should be allowed to decay to 50 per cent of the test pressure. On completion of the cycles, the components shall comply with the leakage test of Annex 5B at cryogenic temperature. It is allowed to interrupt this part of the test at 20 per cent intervals for leakage testing.

YES-NA-NT-NO

3.1.4.2 Room temperature cycling: The component shall be operated through 2 per cent of the total cycles as above at the appropriate room temperature specified at rated service pressure. The component shall comply with the leakage test of Annex 5B at the room temperature at the completion of the room temperature cycles.

YES-NA-NT-NO

3.1.4.3 High temperature cycling The component shall be operated through 2 per cent of the total cycles as above at the appropriate maximum temperature specified at rated service pressure. The component shall comply with the leakage test of Annex 5B at the high temperature at the completion of the room temperature cycles. Following cycling and leakage re-test the component shall be capable of remove of the filling nozzle without spilling more than 30 cm3 LNG.

YES-NA-NT-NO

3.1.5. The LNG filling receptacle shall be made out of non-sparking material and should comply with the no igniting evaluation tests described in ISO 14469-1:2004.

YES-NA-NT-NO

3.1.6 The electrical resistance of the connected LNG filling receptacle and nozzle shall be not be greater than 10 Ω either in the pressurized and un-pressurized state. Test shall be conducted prior to and after the endurance test.

YES-NA-NT-NO

File Issue: 001 TEST SHEETS R110 CNG/LNG EQUIPMENT

Report Number:

127044

Filling unit or receptacle

Page: TS 02

Job Reference: 140800627 Initials: Harmser

5A Overpressure or strength YES-NA-NT-NO

5B External leakage YES-NA-NT-NO

5C Internal leakage YES-NA-NT-NO

5D CNG compatibility YES-NA-NT-NO

5E Corrosion resistance

- 1 Salt spray test

- 2 Ammonia test

YES-NA-NT-NO

YES-NA-NT-NO

5F Resistance to dry heat YES-NA-NT-NO

5G Ozone aging YES-NA-NT-NO

5H Temperature cycle YES-NA-NT-NO

5L Durability test YES-NA-NT-NO

5N Vibration resistance YES-NA-NT-NO

5O Operating temperatures YES-NA-NT-NO

5P Low Temperature test YES-NA-NT-NO

Remarks: Test 5F and 5G

The non-metallic material is no rubber material but a polymer and there for the tests are not

applicable.

NA All these test are covered by the original report 127044

File Issue: 009 RESULT SHEET(S) INDENTIFICATION OF EUT

Report Number: 127044 CNG/LNG components Page: RID 1/00

Job Reference: 140800627 Initials: Harmser

Sample designation:

Description Reference no. Date intake Receptacle seal C140782 01-09-2014

Receptacle C140783 01-09-2014

File Issue: 009 MEASUREMENT EQUIPMENT IN USE UNCERTAINTIES

Report Number: 127044 CNG/LNG components Page: RU 1/00

Job Reference: 140800627 Initials: Harmser

List of general measurement equipment:

Voltage ± 2 % Reading

High voltage test device (SPS) 500 – 3750 Vac ± 5 % Reading

Resistance ± 2 % Reading

Protective wire and insulation test device ± 5 % Reading

Sliding gauge ± 0.1 mm

Measuring tape ± 1 mm

Cooling and heating < -10 °C ± 5 °C

Cooling and heating –10 C / +100 °C ± 3 °C

Cooling and heating > 100 °C ± 5 % Reading

Climate chamber ± 2 °C / ± 3 %RV

Ambient temperature ± 1 °C (10-30)

Time =< 1 hour ± 0.2 s

Time > 1 hour ± 0.1 % Reading

Torque ± 5 % Reading

Bending moment ± 5 % Reading

Standard weight ± 5 % Reading

Weighing < 30 g ± 0.1 % Reading

Weighing > 30 g ± 2 % Reading

Pressure (gas + air) general ± 5 % Reading

Barometer reading ± 5 mbar

Pressure (water) ± 5 % Reading

Burst water pressure ± 1 % Reading

Gas tightness 0-100 cm3/h ± 5 cm3/h

Gas tightness > 100 cm3/h ± 5 % Reading

Actual Flow rate (general) ± 5 % Reading

More info about measurement uncertainty of testing in the context of ISO/IEC 17025 can be found on;

http://www.kiwa.nl/netherlands/publications.aspx

File Issue: 004

RESULT SHEET R110

CNG EQUIPMENTReport Number: 127044 EXTERNAL LEAKAGE TEST

including high and low temperature

Page: RS 01

Job Reference: 140800627 Initials: Rookshe

Product: RegO products PVA (Gen2).

Tested in accordance with:

IRN 52

Leakage

Approval requirement:

Annex:

Regulation 110

5B and 4L

Testing Equipment Kiwa no. Calibration (due date)

Operation OK

Oven 111906 December 2014 85°C Yes

Cooler 111931

Pressure gauge 111939 April 2017 50 bar Yes

Leakage gauge

Stopwatch 112107 March 2017 28.12 sec Yes

Temperature

Room temperature equipment (and temperature) 111256 June 2015 21C

Test Conditions Complies N.A.

- The sample is slowly pressurised to the test pressure as declared by the manufacturer; Yes

- The sample has conditioned for 8 hours (at least) at the test temperature; Yes

- The test sample is submerged in the test fluid for at least 60 sec, preferred is 900 sec; Yes

- When air bubble(s) where detected after 60 sec, leakage is considered to be > 15cm3/h. N.A.

Test Results Requirement sample no.:C140873

Test temperature room temperature 85C / 120C* -20C/-40C/ -119C*

Moment of test * Corrosion / Durability /

Vibration / Cycle test /

Before after Before after before After

Classification of component * 0 1 2 3 5 5 5 5

Test pressure (Kpa / MPa) 1,5 x wp

2 x wp

2 x wp

2 x wp

1,5 x wp

5.7 MPa

3.8 MPa

1.8 MPa

External leakage < 15cm3/h 0 cc/h 0 cc/h 0 cc/h Test date To be monitored 22-09-

2014 23-09-

2014 23-09-

2014

Conclusion

Requirement Complies N.A.

Samples meets requirement Yes

Remarks:

* Cross out which is not applicable.

WP = working pressure

File Issue: 003 RESULT SHEET R110 CNG EQUIPMENT

Report Number: 127044 CNG COMPATIBILITY TEST n-Pentane

Page: RS 02

Job Reference: 140800627 Initials:Rookshe

Product: RegO products PVA (Gen2).

Tested in accordance with:

IRN 49

Mass

Approval requirement:

Annex:

Regulation 110

5D

Task instructions*: ISO 1817

Testing Equipment Kiwa no. Calibrated (due date)

Operation OK

Balance 101489 September 2014 0.13400 gr Yes

Oven

Temperature

Temperature equipment (room temperature) 111257 June 2015 21°C

Test Conditions Complies N.A.

- After each test zero point of the balance is checked Yes

- When the test sample is provided with inlayers, these inlayers shall not affect the weight of

the test sample.

N.A.

Test results Before Immersion After immersion 72h in

n-pentane

Change in volume

< 20%

After storage for 48 h at 40oC

Weight loss: max. decrease of 5%

Sample description Above water

(g)

Under water

(g)

Above water

(g)

Under water

(g)

Values in

%

Values in

(g)

Values in

%

LNG 1 0,134 1,51171 0,14177 1,51115 -0,60 0,13407 -0,05

Receptacle seal 2 0,20579 1,50817 0,21696 1,50556 -1,06 0,20590 -0,05

3 0,25353 1,50655 0,26622 1,50491 -1,14 0,25376 -0,09

1

2

3

1

2

3

1

2

3

1

2

3

Test date 05-09-2014 05-09-2014 08-09-2014 08-09-2014 08-09-2014 10-09-2014 10-09-2014

Conclusion

Requirement Complies N.A.

Samples meet requirement Yes

Remarks: With sinker 1.53387 gr

File Issue: 009 DECLARATION SHEET(S)

Report Number: 127044 CNG/LNG components Page: DS 1/00

Job Reference: 140800627 Initials: Harmser

Manufacturer’s declaration(s):

Declaration title Date

Declaration sheet rubber material N.A.

Declaration sheet product classification N.A.

Declaration sheet compliance with general design rules N.A.

File Issue: 009 DRAWING AND TECHNICAL DESCRIPTION SHEET(S)

Report Number: 127044 CNG/LNG components Page: DR 1/00

Drawings and Technical Descriptions:

Description # Pages Date

Photo Sheets

Drawing number: 14508

Drawing number: 13615 Rev. M

Drawing number: 13620 & Dash Rev. N

Drawing number: 13705 Rev. H

Drawing number: 13990 & Dash Rev. N

Drawing number: 14050 Rev. E

Drawing number: 14120 Rev. E

Drawing number: 14405 & Dash Rev. C

1

1

1

1

1

1

1

1

1

-

23-07-2014

12-08-2008

12-08-2008

28-04-2009

19-01-2011

15-03-2011

20-09-2011

16-08-2013

Job Reference: 140800627 Initials: Harmser

File Issue: 009 DRAWING AND TECHNICAL DESCRIPTION SHEET(S)

Report Number: 127044 CNG/LNG components Page: DR 2/00

Job Reference: 140800627 Initials: Harmser

LNG Receptacle:

Macro Technologies LLC

B 62529

Project no. 140800627

Project no. 140800627

62529C

Macro Technologies LLC

Project no. 140800627

Project no. 140800627

Project no. 140800627

Project no. 140800627

Project no. 140800627

Project no. 140800627

File Issue: 009 CORRESPONDENCE SHEET(S)

Report Number: 127044 CNG components Page: CS 1/00

Job Reference: 140800627 Initials: Harmser

Contents of correspondence sheets:

Reference Author # Pages Date

-