Document 3Q0E8L7KY6NV8eZVxY8Mxdd36

BFGoodrich The BFGoodrich Company 3925 Embassy Parkway Akron, Ohio 44313-1799 g/i/4S.33 April 19, 1990 Toxicology Services National Sanitation Foundation P.O. Box 1468 Ann Arbor, Michigan 48106 Dear Gentlereader: I am enclosing a ^completed Material Formulation Confidential Report (DCC #WT00565-001) for Culligan International,\ Northbrook, Illinois. ) The composition of Geon 8761, Grey 273 is confidential to the BFGoodrich Company and therefore, subject to the generic secrecy agreement signed by BFGoodrich and the National Sanitation Foundation, October 24, 1979. Sincerely, THE BFGOODRICH COMPANY W. C. Bachtel Toxicologist Environmental Health, and Safety Management Systems 0419-2/jp cc: J. Kelley - CL-OTM-3 20846001 BFG07439 NATIONAL SANITATION FOUNDATION MATERIAL FORMULATION CONFIDENTIAL REPORT FEB 2 6 1990 Document Control Code WT00565-001 Company Number 11900 Regional Office 02 Issue Date 09/19/89 Regional Representative J. ARMBRUSTER * * * DO NOT DUPLICATE Standard Number 42, 44, 58 CBI Code *** I. PROGRAM PARTICIPANT CULLIGAN INTERNATIONAL COMPANY MR. LARRY HOLZMAN ONE CULLIGAN PARKWAY NORTHBROOK, IL 60062 Plant At: NORTHBROOK, IL 60062 II. MODEL(S) Equipment Model Number(s) SEE GRID Description of Equipment WATER TREATMENT III. PART(S) Description of Part(s) PLUG Part Numbet(s) 4486-69 Fabricated by CULLIGAN Surface Area of Part(s) (sq. ik.) 1.25 Af * Cofttalk Area (sqV in.) 0.4 IV. SUPPLIER Basic Material Supplier Material Type Complete Formulation. Id , 7Lf E#? * 11 _____ _______________ [ ] Natural [ ] Precolored: [ ] See Form V. COMPOSITION OF FQRH9LAT10N AND PERTINENT DATA - U$F-RVERSE SIDE. To Be Completed By Basic Material/Pigment Supplier*. VI. CERTIFICATION (Check?0ne* Use alternate only for fton-FDA materials such as brass.) ( ] It is herein certified that this materiafi ia intended for the specific end use application. It is further certified* that the information provided is accurate and complete, and that the material meets the requirements of the Federal Food, Drug, and Cosmetic Act as amended. [ ] It is herein certified that this material is intended for the specific end use application. It is further certified that the information provided is accurate and complete, and that I, and the company I represent, know of no reason this material should not be used in contact with drinking water. Company__ Signature Title____ | Address__ Telephone Date BASIC MATERIAL SUPPLIER LX!2^, firi,k ( .frvf j'i.C*--O.--7 * Klt -MHtU/bl -('.U 7 FAX 2/C, - jffr'l - 0 60? ----------- - f. Seal in the BLUE envelope provided, insert in an outer envelope and MAIL TO: Toxicological Services National Sanitation Foundation P.0. Box 1468 Ann Arbor, MI 48106 Page (1) BFG07440 20846002 COMPOSITION OF FORMULATION AND PERTINENT DATA Chemical Description of ingredient (Do NOT Use Trade Names) Please verify the material type/color and formulation identification referenced in Section IV on the reverse. Geon 8761 Gray 273 Parts by Weight Supplier Section of the U.S. Code of Federal Regulations (21 CFR)` under which accepted. Polyvinyl chloride Styrene-acrylonitrile Dibutyltin bisisoctyl- thioglycolate Titanium dioxide Carbon Black Calcium Stearate N,N' Ethylene bisstearamick 100.0 2.0 2.0 1.7 0.162 2.0 2.0 BPGoodrich BPGocdridi Argus Prior Sanctioned 181.32 NSF Std. 14- DuPont 177.2600!. Cabot 177.2600 Synthetic ; 178.2010 Products Mallinckxpdt Witoo Carstab Lonza Interstab 181.28, 177.1210 20846003 PLEASE PROVIOE SIGNATURE/CERTIFICATION ON REVERSE SIDE. Available from the Superintendent of Documents. U. S. Government, Printing Office, Washington, D.C. 20402 (202-783-3238) or your local U. S. Government Printing Office outlet. ^ Title 21 (Food and Drugs), Parts 1-99: General information and color additives (direct). %e 21 (Food and Drugs), Parts 170-199: Direct and indirect food additives, including ingredients for use in food contact materials. 12; BFG07441 C103D326 C103F326 GEON PROD BFGOODRICH GEON VINYL DIVISION RECIPE INQUIRY USERID: N50JCKPTERMID: PV1200 PRODUCT NBR: 7B761 COO 2730 S761 GRAY 273 LOC: 12 DEPT: 5667 ISSUE: CIS SBC: 13C2 EFFECTIVE DATE: 86070B INTERMEDIATE RM NBR: TOTAL LBS RM: 109.862000 LBS PRODUCT: 109.862000 RECIPE TYPE: 2 PAGE SEQ RAW MATL DESCRIPTION QUANTITY LC PERCENT COMMENTS 120 961-000023 103EF' F--76 100.000000 12 91.0233 210 941-710700 2301 X 36 2.000000 1.3205 310 912--00S008 TIN THIOGLYCOLA 2.000000 1.8205 410 924-00B123 TI-PURE R-100 1.700000 1.5474 420 922--00B291 BLACK,REGAL 330 0.162000 0.1475 510 943--O0L034 CA STEARATE-FUS 2.OOOOOO 1.8205 520 943--00L035 EBS WAX POWDER 2.OOOOOO 1.8205 NEXT RESPONSE: DC900016 RECIPE INQUIRY OK NEXT KEY: PF5-PR0P PF6-RMKS PF9-SAFE PF10-INST t009680Z BFG07442 April 17, 1990 To: Wally Bachtel From: J.C. Kelley Subject: NSF Attached is the recipe for Geon 8761 Gray 273. Please fill in the attached NSF form and send it to NSF. Thanks. JCK/ga Attachment cc: Jack Binder R. Jeziorski D. Kuharik Day File Desk File 20846005 BFG07443 PLANT & OFFICES: KUEBLER ROAD - FORKS TOWNSHIP, EASTON, PA. 18042 MAILING ADDRESS: POST OFFICE BOX 757 FAX: 215-253-4436 TELEPHONE: 215-252-7355 March 30, 1990 Mr. Joseph C. Kelley Technical Service Manager/Rigid PVC BFGOODRICH - Chemical Group 6100 Oak Tree Blvd. Cleveland, OH 44131 Dear Joe: Attached please find a letter that was sent to me by John D'Arco from Plastic Piping Systems in Lombard, Illinois along with a NSF "Material Formulation Confidential Report". This particular account purchases PVC Rod from us. Since we do not formulate the rod compound, I would greatly appreciate you filling out the confidential information and forward it to NSF. Thanking you in advance for your usual co-operation. Sincerely yours, HARVEL PLASTICS, INC. PMF/pv Enclosures Patrick M. Foose Vice President Sales & Marketing '0846006 BFG07444 j 1 1 s - jj-11*" *' "i PLASTIC PIPING SYSTEMS 266 EISENHOWER LANE NORTH LOMBARD, ILLINOIS 60148 PHONE: (312)495-4700 FAX: (312) 495-1086 March 22,1990 Harvel Inc. P.O.Box 757 Easton, PA 18044 ATTN: Pat Foose .EOMEIfT AR 26 1990 I : rvjibinnr11. HA"VEL ELASTIC, JBC. Dear Pat: Enclosed please find copies of a letter from Culligan along with a NSF form. We purchase rod from Harvel which Culligan machines into a plug. Please have your people fill out the required information and return directly to NSF. If you have any questions, please call. Sincerely, 0G9tf802 BFG07445