Document 4JGV5v2vad1GyG8DxVVLQzYXj

Vista Chemtcoi Company 15990 N. Barker's landing Rd. Post Office Box 19029 Houston,Texas 77224 Phone (713) 531-3200 December 3, 1984 Catherine Baron-Gillaspey IFF 1515 Highway 36 Union Beach, NJ 07735 VISTA Dear Catherine: Enclosed are the completed vendor questionnaires for Vista ALF0L 12 and ALF0L 6 Alcohols, We could not find the Food, Drug and Cosmetic Act sections referred to in the Vendor Guarantee because we maintain the U.S. Codes and the section numbers have been changed from those in the original act. Specifically, Section 404 is codified at 21 USC 344 and Section 505 at 21 USC 355. The person we have listed as being responsible for quality control is the chief chemist at our manufacturing facility. Sincerely, Thomas G. Grumbles, CIH Director, Industrial Hygiene & Product Safety ai o 005 Enclosure cc Mory Osborn IFF INTERNATIONAL FLAVORS fc FRAGRANCES INC. CORPORATE SAFETY ASSURANCE R&D 15:5 HIGHWAY 36 UNION BEACH N.i C7735 (201! 264-4500 PRODUCT QUESTIONNAIRE: FLAVOR natn 11/21/3'+ I. GENERAL CHEMICAL/PHYSICAL DATA A. (3 Single Chemical Mixture of Isomers Formulation Natural Raw Materials Natural Extract n Organism B. Synonyms: l - HEXANOL Vendor MxKesson Chemical Co. Vendor # _________________________ PRODUCT DESCRIPTION Hexanol, N_________________________ PRODUCT 08-2803 510A Food Enzyme Spice Color CONFIDENTIAL (CAS # 111 - 2 7 -- 3 Other ) C. Specifications: Purity of Main Ingredient___10 ^___ % Minimum) Method of Analysis _____________ Major Impurities (>1%) Material % RO 3/83 D. Appearance COLORLESS LIQUID 0 E. Flashpoint 13 0 F cc (Specify F or C) F. DOT Classification (Title 49, CFR 170-180) COMBUSTIBLE LIOUID G. Recommended Identity Test_______________________________________ ________ H. Microbial Count (if applicable)------------------------------------------------------------------------------------------------------- I. Particle Size Range (if applicable)---------------------------------------------------__------------------------------------------ J. Heavy Meta! Content (if applicable)_____________________________ _________-- K. Does this material meet specifications for: Food Grade E Yes No CA^nr70VED BY FDA FOR VARIOUS DIRECT AND oPuharmaceu4ti.cal Grad.e ,--. wYes Q .N. o INDIRECT P00D USES) If yes, please circle applicable specifications: FCC, USP, NF, Codex Alimentarius VW 000016105 PRODUCT QUESTIONNAIRE: FLAVOR Page 2 Vendor Vendor # ________________________ PRODUCT DESCRIPTION Bexanol, N__________________ ______ PROOUCT __Q8-2803 II. REGULATORY STATUS 510A A. Flavor Regulatory Status (if formulation, list general status) FDA CFR # Hunter List FEMA GRAS # German Approved - Food EEC #____________Tobacco Council of Europe # Food: Conforms to Standard of Identity Yes No No Standard ______________ Country Conforms to Standard of Identity Yes No No Standard ______________ Country Conforms to Standard of Identity Yes No No Standard ______________ Country Other (specify) None (Please attach production process) Unknown (Please attach production process) B. Threshold Limit Value (TLV) (if applicable) NONE ESTABLISHED________________________ C. Is this material (or all components thereof) on the TSCA Inventory 0 Yes No D. Has this product (or all components thereof) been listed on the European Inventory (EINECS) 0 Yes No E. Label Information: (Appendix A Attached: Yes E No) Label Designation____COMBUSTIBLE LIQUID Ingredient Statement (please include level): F. MSDS / attached 0 unavailable III. TOXICITY DATA in preparation, will be forwarded upon completion A. Are you aware of any published information relating to the safety of this material other than that published by RIFM or FEMA? If so, please give a brief explanation and reference: MULTIPLE LITERATURE SOURCES AVAILABLE El Yes No VVV 000016106 B. Are you aware of any unpublished information relating to the safety of this material? If so, please describe (may be appended if necessary): SEE SECTION 5 OF THE ATTACHED MSDS 0 Yes No PRODUCT QUESTIONNAIRE: FLAVOR Page 3 IV. STATUS US Natural Status (21 CFR 101.22) 100% Natural Contain All Natural Flavors 0 Artificial Tobacco Identical (attach reference if available) European Status - (Per Codex Alimentarius) Natural Nature Identical Artificial If natural, source_______________ quantity (if known)(ppm etc.) V. GENERAL INFORMATION A. Year first marketed B. Do you know of any problems or allegations associated with the use of this material? Yes No If yes, explain. C. Kosher Approved Yes Rabbinical Service __________________ ___ ______ 0 No Passover Approved Yes 0 No Not currently Kosher Approved, but can be certified on request VI. VENDOR GUARANTEE* A. The supplier named below guarantees that the articles comprising each shipment or other delivery of any of the products listed herein hereafter made by the supplier to, or on the order of, International Flavors & Fragrances. Inc., will not be. as of the date of such shipment or delivery, adulterated or mis branded within the meaning of the Federal Food. Drug and Cosmetic Act including the Food Additives Amendment thereto, any applicable State Law or Municipal Ordinance, and any regulations under any of said laws and ordinances, nor articles which may not, under the provision of Section 404 or 505 of the FD&C Act, be introduced into interstate commerce. The products shall have been manufactured, stored, and shipped under good standards of sanitation in packaging free from dirt, filth, or contaminating substances and shall arrive at the buyer's plant in clean undamaged condition. The information contained in this survey will apply to all shipments of this product until notification to the contrary is received in writing by IFF. B. The individual specifically responsible for quality control is Darrell Zinmer Name VVV 000016107 VII. SIGNATURE Thomas G. Grumbles Dir. Ind. Hv?. & ...~r*-- Print Name and Title / Product Safety Signature Date Vista Chemical ComDanv Vendor P.0. Box 19029 Address Houston. TX 77224 (713)531-3445 Telephone 'Outside the US, please provide a similar Guarantee according to relevant local laws. RD 3/63 PRODUCT QUESTIONAIRE: FLAVOR Page 4 Vendor McKesson Ctewdcal Go, Vendor # j Veanm*l0 & Product Description Product 06-2803 APPENDIX A Technical Adjuvants, Processing Aids, Additives and Other Specific Substances 510A Acids, Bases and Salts Name or E-Number and Quantity' Flavor Enhancers Name or E-Number and Quantity1 Anticaking Agents Modified Starches Antifoaming Agents Preservatives Antioxidants Processing Aids Carriers Sweetners, Artificial Cloudifying Agents Thickening and Gelling Agents Emulsifiers and Stablizers Enzyme Preparations (Residual Activity) Extraction Solvents _________________________________ _________________________________ Other-Specify2 _________________________ ____ vw 000016108 1 E-numbers have been assigned by the European Economic Community (EEC) and are useful for compliance with food legislation requirements such as labelling and restriction on uses. The requirements vary between the EEC member states. 2 Includes: Beta-Asarone, Coumarin, Hydrocyanic Acid, Safrole, Iso-safrole, Thujone (Alpha & Beta), Pulegone, Quinine, 3,4-Benzopyrene. RD 3*3 IFF INTERNATIONAL FLAVORS fc FRAGRANCES INC. CORPORATE SAFETY ASSURANCE r.c/D 1515 HIGHWAY 56 UNION EEACH NT. 67755 'Oil 264-4500 PRODUCT QUESTIONNAIRE: FLAVOR Date GENERAL CHEMICAL/PHYSICAL DATA A. Q3 Single Chemical Mixture of Isomers Formulation Natural Raw Materials Natural Extract Organism B. Synonyms: 1 - Dodecanol lauryl Alcohol C. Specifications: Purity of Main Ingredient 100% Method of Analysis ______ Major Impurities (>t%) Vendor MC KESSfflN CHEM CO Vendor * ALCOHOL C-12 PRODUCT DESCRIPTION PRODUCT 1la)1x-x1x9x9x2x 1 co^m\hc. Food Enzyme Spice Color (CAS #__ H2-53-8 Other 98.5 % Minimum) Material D. Appearance Colorless liquid E. Flashpoint _ 265F_ cc (Specify F or aC) F. DOT Classification (Title 49, CFR 170-180) _ Non-hazardous G. Recommended Identity Test Flash point H. Microbial Count (if applicable)___N.ZA I. Particle Size Range (if applicable) N/A J. Heavy Metal Content (if applicable) N/A K. Does this material meet specifications for: Food Grade H Yes No VVV 000016109 Pharmaceutical Grade Yes Q No If yes, please circle applicable specifications: FCC, USP, NF, Codex Aiimentarius R0 3/83 PRODUCT QUESTIONNAIRE: FLAVOR Page 2 Vendor MC KESSiN CHEM CO Vendor # ALCOHOL C-12 PRODUCT DESCRIPTION PRODUCT Limxxx II. REGULATORY STATUS A. Flavor Regulatory Status (if formulation, list general status) FDA CFR #______________________- Hunter List FEMA GRAS # German Approved - Food EEC #___________________________ ______ Tobacco Council of Europe # Food: Conforms to Standard of Identity Yes No No Standard ______________ Country Conforms to Standard of Identity Yes No No Standard ______________ Country Conforms to Standard of Identity Yes No No Standard ______________ Country Other (specify) None (Please attach production process) Unknown (Please attach production process) B. Threshold Limit Value (TLV) (if applicable) none established C. Is this material (or all components thereof) on the TSCA Inventory 0 Yes No D. Has this product (or all components thereof) been listed on the European Inventory (EINECS) 0 Yes No E. Label Information: (Appendix A Attached: Yes IX No) Label Designation No labeling requirements Ingredient Statement (please include level): F. MSDS (OSffTFmfiFSeo attached @ unavailable III. TOXICITY DATA in preparation, will be forwarded upon completion A. Are you aware of any published information relating to the safety of this material other than that published by RIFM or FEMA? If so, please give a brief explanation and reference: See section 5 of MSDS Yes 0 No VVV 000016110 RO 3/83 B. Are you aware of any unpublished information relating to the safety of this material? If so, please describe (may be appended if necessary): See section 5 of MSDS [3 Yes No PRODUCT QUESTIONNAIRE: FLAVOR Page 3 Vendor MC KESStN CHEN CO Vendor # _________________________ PRODUCT DESCRIPTION ALCOHOL C-12 PRODUCT IV. STATUS US Natural Status (21 CFR 101.22) 100% Natural Contain All Natural Flavors [^Artificial Tobacco Identical (attach reference if available) If natural, source__________ quantity (if known) European Status - (Per Codex Alimentarius) Natural Nature Identical Artificial (ppm etc.) V. GENERAL INFORMATION A. Year first marketed B. Do you know of any problems or allegations associated with the use of this material? Yes gjj No If yes, explain____________________________________________ C. Kosher Approved G Yes Rabbinical Service _________________________ X No Passover Approved Yes No Not currently Kosher Approved, but can be certified on request VI. VENDOR GUARANTEE* A. The supplier named below guarantees that the articles comprising each shipment or other delivery of any of the products listed herein hereafter made by the supplier to, or on the order of. International Flavors & Fragrances. Inc., will not be, as of the date of such shipment or delivery, adulterated or mis branded within the meaning of the Federal Food, Drug and Cosmetic Act including the Food Additives Amendment thereto, any applicable State Law or Municipal Ordinance, and any regulations under any of said laws and ordinances, nor articles which may not, under the provision of Section 404 or 505 of the FD&C Act, be introduced into interstate commerce. The products shall have been manufactured, stored, and shipped under good standards of sanitation in packaging free from dirt, filth, or contaminating substances and shall arrive at the buyer's plant in clean undamaged condition. The information contained in this survey will apply to aii shipments of this product until notification to the contrary is received in writing by IFF. B. The individual specifically responsible for quality control is Darrell Zimmer Name VII. SIGNATURE ,_____ __L_ _ Thomas G. Grumbles Dir. Industrial Hygiene & Product Print Namae and {Title /' Fafetv , > Signature j/ Date 'Outside the US, please provide a similar Guarantee according to relevant local laws. RD 3(83 _V_is_ta__Ch_e_m_ic_al Comnany Houston. TX___77224___________ Address 713/543-3445__________________ Telephone WV 000016111 PRODUCT QUESTIONAIRE: FLAVOR Page 4 Vendor comc kessm chem Vendor # ALCOHOL C-12 Product Description n| product mm APPENDIX A Technical Adjuvants, Processing Aids, Additives and Other Specific Substances Acids, Bases and Salts Name or E-Number and Quantity1 Flavor Enhancers Name or E-Number and Quantity1 Anticaking Agents Modified Starches Antifoaming Agents Preservatives Antioxidants Processing Aids Carriers Sweetners, Artificial Cloudifying Agents Thickening and Gelling Agents Emulsifiers and Stablizers Enzyme Preparations (Residual Activity) Extraction Solvents Other-Specify2 VVV 000016112 1 E-numbers have been assigned by the European Economic Community (EEC) and are useful for compliance with food legislation requirements such as labelling and restriction on uses. The requirements vary between the EEC member states. 2 Includes: Beta-Asarone, Coumarin, Hydrocyanic Acid, Safrole, Iso-safrole, Thujone lAlpha & Beta), Pulegone. Quinine, 3,4-Benzopyrene. no 3/83