Document 4aEJgykrQLBD4k4ZG8x69m3NQ

STUDY CODE : K01-1802 A R 1 2 S -O I3 C Receipt No. T96-2481 Report No. T-4637 FINAL REPORT BACTERIAL REVERSE MUTATION TEST OF T -l September, 1996 Hita Research Laboratories Chemical Biotesting Center Chemicals Inspection & Testing Institute Japan 002000 QUALITY ASSURANCE STATEMENT Hita Research Laboratories, Chemical Biotesting Center Chemicals Inspection & Testing Institute, Japan Sponsor: SUMITOMO 3M LIMITED Title:_______ Bacterial reverse mutation test of z -1 Study code: K01-1802 This report was audited by the Quality Assurance Section. I, the undersigned, hereby declare that this report reflects the original Japanese report. (Date) (Signature) Section Chief, Quality Assurance 02001 KOl-1802 I, the undersigned, hereby declare that this report provides a correct English translation of the Final Report. (Study code No. KOI-1802 issued on September 25, 1996) (date) /?9 7 ('signature') Shozo Ogura Hita Research Laboratories Chemical Biotesting Center Chemicals Inspection & Testing Institute, Japan CG2002 K01-1802 GLP STATEMENT Hita Research Laboratories, Chemical Biotesting Center Chemicals Inspection & Testing Institute, Japan Sponsor:___________ SUMITOMO 3M LIMITED Title:_______________Bacterial reverse mutation test of T - l Study Code No : K01-1802 I, the undersigned, hereby declare that this study was conducted in compliances with "Standards to be observed by Testing Institutions for Toxicity Investigations" (Japan's MOL, No.76, September 1, 1988). Management: Signed in original September 25, 1996 Shigetaka Yamane, Ph. D. 002003 GLP STATEMENT Hita Research Laboratories, Chemical Biotesting Center Chemicals Inspection & Testing Institute, Japan Sponsor:___________ SUMITOMO 3M LIMITED Title: _________ Bacterial reverse mutation test of T -1 Study Code No.:_____K01-1802 I, the undersigned, hereby declare that this study was conducted in compliances with "Standards to be observed by Testing Institutions for Toxicity Investigations" (Japan's MOL, No.76, September 1, 1988). This was reissued because of the final report amendment. Management: Signed in original Shigetaka Yamane, Ph. D. November 27,1996 002004 KOl-1802 QUALITY ASSURANCE STATEMENT Hita Research Laboratories, Chemical Biotesting Center Chemicals Inspection & Testing Institute, Japan Sponsor:___________ SUMITOMO 3M LIMITED Title:______________ Bacterial reverse mutation test of T -1 Study Code No : K01-1802 This study was audited by the Quality Assurance Section and the study procedures were inspected on the following dates. Dates of Inspections Dates of Reports to Dates of Reports to and Audits Study Director Management August 15, 1996 August 15, 1996 August 15, 1996 September 20,1996 September 24, 1996 September 24, 1996 September 25, 1996 September 25, 1996 September 25, 1996 I, the undersigned, hereby declare that this report provides an accurate description of the methods and procedures used in this study and that the reported results accurately reflect the raw data obtained. Section Chief, Quality Assurance: Signed in original Keiji Shiraishi, B.S. September 25, 1996 CG200S QUALITY ASSURANCE STATEMENT Hita Research Laboratories, Chemical Biotesting Center Chemicals Inspection & Testing Institute, Japan Sponsor:___________ SUMITOMO 3M LIMITED Title:______________ Bacterial reverse mutation test of T - l Study Code No.: KO1-1802 This study was audited by the Quality Assurance Section on the following dates. Auditor Kumiko Matsui Date of Audit Date of Report to Study Director Date of Report to Management November 27, 1996 November 27, 1996 November 27, 1996 This statement was added to the Quality Assurance Statement issued on September 25, 1996. Section Chief, Quality Assurance: Signed in original Keiji Shiraishi, B.S. November 27, 1996 \ C2006 KOl-1802 Study code: K01-1802 Test substance code: HR3272 Sponsor code: S-030 TITLE Bacterial reverse mutation test of T - l SPONSOR SUMITOMO 3M LIMITED 8-8, Minami-Hashimoto 3-chme Sagamihara-shi, Kanagawa, 229 Japan TESTING FACILITY Hita Research Laboratories, Chemical Biotesting Center Chemicals Inspection & Testing Institute, Japan 822, 3-chome, Ishii-machi, Hita, Oita 877, Japan PURPOSE OF STUDY The purpose of this study was to determine the mutagenic potential o f the test substance using Salmonella typhimurium and Escherichia coli. TESTING METHOD This study was conducted in accordance with the following guidelines: "Standards for Toxicity Investigations" (Japan's MOL, No.77, September 1, 1988). GLP COMPLIANCE This study was carried out in compliance with the following GLP requirement: "Standards to be observed by Testing Institutions for Toxicity Investigations" (Japan's MOL, No.76, September 1, 1988). PERIOD OF STUDY Commencement of test: Dose finding test: Completion of observation: Presentation of final report: August 21, 1996 September 10, 1996 September 17, 1996 September 25, 1996 CG2007 KOl-1802 LOCATION AND PERIOD FOR RETENTION OF RAW DATA Data and test substance are retained in the archives and the test substance storage room of Hita Research Laboratories for 10 years following the date o f the notification specified under Item 1 of Article 57-2 of Industrial Safety & Health Law, respectively. After termination of the retention period, any measures taken are done so with the approval of the sponsor. PERSON CONCERNED WITH STUDY Study Director: Signed in original September 25, 1996 Shozo Ogura Hita Research Laboratories Mutagenicity Section Study Staff: Person in charge of Storage: Tsunehiko Inai, B.S. Shizuka Kouda ANY UNEXPECTED SITUATIONS AND DEVIATIONS FROM PROTOCOL There were no unexpected situations and deviations from protocol which might have affected the test results. C 02008 KOI-1802 CONTENTS SUMMARY MATERIALS AND METHODS 1. TEST SUBSTANCE AND POSITIVE CONTROLS ............................ 2. BACTERIAL STRAINS 3. MEDIUM AND S9 MIX 4. PRE-CULTURES .................................................... 5. PREPARATION OF TEST SUBSTANCE AND POSITIVE CONTROLS .................................................... 6. METHODS .................................................... 7. MICROSCOPIC OBSERVATION AND COLONY COUNTING ....... 8. INTERPRETATION OF RESULTS .................................................... 2 6 7 7 8 9 RESULTS .................................................... 9 CONCLUSION ......................... : ......................... 10 REFERENCES ..................................... .............. 10 APPENDIX TABLES AND FIGURES .................................................... 1-6 1 4 5 C02009 K01-1802 SUMMARY The reverse mutation test o f T - l was performed on Salmonella typhimurium strains TA100, TA1535, TA98, TA1537 and Escherichia coli strain WP2 uvrA using the pre incubation method with and without metabolic activation. The results showed that the numbers of their revertant colonies for all strains in groups which were treated with the test substance were less than twice that o f each negative control, with and without S9 Mix. The numbers of the revertant colonies in the negative control and the positive controls were within the background data in our laboratories. Based upon the above results, T - l was judged to have no reverse mutagenic potential under the present test conditions. - 1- c o ^ o i KOI-1802 MATERIALS AND METHODS 1. TEST SUBSTANCE AND POSITIVE CONTROLS 1.1 Test substance (Information provided by the sponsor) 1) Name Reaction products of perfluorodimethylcyclohexylsulfonyl fluoride, perfluoroalkyl (C=0-2) cyclohexylsulfonyl fluoride, potassium carbonate and sulfuric acid Other name: T - l CAS No.: 67584-42-3 (the main component A(n=2)) 2) Lot No. 293 3) Supplier SUMITOMO 3M LIMITED 4) Structural formula or rational formula (Outline of manufacturing method, in case both were unknown) (n=0-2) 76% C CmF2mfiS03K (m=8) D K2S 04 Others (molecular formula --) 20% 3% 0.4% 0.6% 100 w/w% 6) Impurities 7) Physicochemical properties Appearance at ordinary temperature: white powder Molecular weight: about 500 -2 - C0 2 0 1 1 K01-1802 Stability: stable Melting point: Boiling point: Vapor pressure: Partition coefficient: Solubility: Degree of solubility: Water: S 0.1% DMSO: ^ 5 w/v%* Acetone: about 5% Others: methanol about 5% * Examined in our laboratories 8) Storage conditions room temperature 9) Care on handling Gloves, a mask, a head cap and a lab coat were worn when handling. 1.2 Positive controls 1) 2-(2-Furyl)-3-(5-nitro-2-furyl)acrylamide (AF-2) Manufacturer: Wako Pure Chemical Industries, Ltd. Lot No.: LEN0571 Properties: reddish-orange crystalline powder Purity: 99.5% Grade: special grade 2) Sodium azide (NaN3) Manufacturer: Wako Pure Chemical Industries, Ltd. Lot No.: DLP2438 Properties: white crystalline Purity: 99.4% Grade: special grade 3) 2-Methoxy-6-chloro-9-[3-(2-chloroethyl)-aminopropylamino]acridine 2HC1 (ICR-191) Manufacturer: Polysciences, Inc. Lot No.: 412795 Properties: yellow crystalline powder Purity: -- Grade: -- 002012 -3 - K01-1802 4) 2-Aminoanthracene (2AA) Manufacturer: Wako Pure Chemical Industries, Ltd. Lot No.: DLR7869 Properties: yellowish-green-brown powder Purity: 95.7% Grade: -- 5) Storage conditions A cold and dark place 6) Care on handling Gloves, a mask, a head cap and a lab coat were worn when handling. 2. BACTERIAL STRAINS 2.1 Strains selected Salmonella typhimurium strains TA100, TA98, TA1535 and TA1537 were obtained from Dr. B.N. Ames, University o f California, U.S.A. ,on June 20, 1990. A Escherichia coli strain WP2 uvrA was obtained from Japan Bioassay Laboratories, on April 6, 1995. S. typhimurium strains TA100, TA1535 and E. coli strain WP2 uvrA were used for the detection of base-pair substitution mutation, while S. typhimurium strains TA98 and TA1537 for the detection of frameshift mutation. 2.2 Storage The test strains were stored as frozen stock cultures (0.045 ml of dimethyl sulfoxide (DMSO)*/0.5 ml o f broth culture) at -80C (ultra-deep freezer MDF291, Sanyo). * Purity ^ 99.0%, Lot No. CF103, Dojindo Laboratories -4 - C 02013 KOl-1802 2.3 Characterization of the strains 1) Characteristics of the strains__________________________________ _ Mutation on Mutation on Membrane R-factor Strains synthesis of excision mutation (pKMIOl) _______________________amino acid repair_______(LPS)______________ Salmonella typhimurium TA1535 hisG46 AuvrB rfa - TA1537 TA98 TA100 hisC3076 AuvrB rfa - hisD3052 AuvrB rfa + hisG46 AuvrB rfa + Escherichia coli WP2 uvrA trp AuvrA + The amino acid requirement for growth was demonstrated by using histidine for S. typhimurium strains and tryptophan for E. coli strain. The presence of R- factor, membrane mutation and mutation on the ability to repair DNA lesions were confirmed by ampicillin resistance, sensitivity to crystal violet and UV sensitivity, respectively. 2) Date of characterization_____________________________________________ Salmonella typhimurium TA1535 July 18, 1996 TA1537 June 7, 1996 TA98 June 7, 1996 TA100 March 6, 1996 Escherichia coli WP2 uvrA April 18, 1996 3. MEDIUM AND S9 MIX 3.1 Medium 1) Minimal glucose agar plate (prepared in our Laboratories) Components Amount included in one litre 20 x Vogel-Bonner E 50 ml 40 w/v% Glucose 50 ml Agar 15 g (1) Agar: Bacto-Agar (Lot No. 84707AJA, Difco Laboratories) (2) Manufacturing date: dose finding test on August 29, 1996 main test on September 5, 1996 C02014 - 5- KOl-1802 2) Soft agar The solution containing 0.5 mM histidine and 0.5 mM biotin for S. typhimurium strains or 0.5 mM tryptophan for E. coli strain was added to the soft agar solution containing 0.6 w/v% agar (Bacto-Agar, Lot No. 71892AJB, Difco Laboratories) and 0.5 w/v% NaCl in a ratio o f 1 : 10. 3.2 S9 Mix 1) Rat liver S9 (Kikkoman Co., Ltd.) Induction method: SD male rats, 7-week-old (203-254 g), were intraperitoneally administrated phnobarbital (30 mg/kg x 1 time, 60 mg/kg x 3 times) and 5,6-benzoflavone (80 mg/kg x 1 time). Lot No.: RAA-350 (manufactured on August 23, 1996, Storage: purchased on September 4, 1996) -80^3 (ultra-deep freezer MDF-291, Sanyo) 2) Cofactor for S9 Mix (Oriental Yeast Industries, Ltd.) Lot No.: 999601 Storage: -20C (bio-freezer GS-2603, Nippon Freezer Ltd.) 3) Composition of S9 Mix One ml of S9 Mix contained 8 pmol MgCL, 33 pmol KC1, 5 pmol G-6-P, 4 pmol NADPH, 4|imol NADH, 100 pmol of 0.2 M sodium-phosphate buffer (pH 7.4) and 0.1 ml S9. 4. PRE-CULTURES From the stock cultures, 20 pi of bacterial suspension was inoculated to L-tube containing 10 ml nutrient broth No.2 (Lot No. 194 56443, OXOID Ltd.), the bacterial culture was incubated at 37 0.5C for 8 h with shaking at 50 times/min by the Monod shaker (MONOSIN- II A, Taitec Co., Ltd.) The viable cell counts calculated from the values which were determined at 660 nm by spectrophotometry (Novaspec, LKB Japan) at the end of incubation are shown below. No. o f Dose viable cells finding test (x l0 9/ml) Main test TA100 1.9 1.9 TA1535 WP2 uvrA 2.2 3.4 2.1 3.6 TA98 2.4 2.3 TA1537 2.1 2.0 C02015 -6- K01-1802 5. PREPARATION OF TEST SUBSTANCE AND POSITIVE CONTROLS 5.1 Test substance 1) Preparation The test substance was dissolved in DMSO (Lot No. CF103) to make 5 w/v% concentration and diluted with the same solvent to give appropriate concentrations. 2) Stability of the test solution No denaturation of the test solution was observed to a color and exothermic reaction until 2 hours after preparation. 3) Preparation time Prepared immediately before use and used within 0.5 h at room temperature. 5.2 Positive controls 1) Preparation NaN3 was dissolved in distilled water (Distilled water for injection, Lot No. K6B74, Otsuka Pharmaceutical Factory). AF-2, ICR-191 and 2AA were dissolved in DMSO (Lot No. CD069). 2) Preparation time and storage condition Prepared on every 3 months and stored at -80C (ultra-deep freezer MDF-291, Sanyo). 6. METHODS The test was carried out for S. typhimurium strains TA1535, TA1537, TA98, TA100 and a E. coli strain WP2 uvrA using the pre-incubation method both with and without metabolic activation system. The plating was done in triplicate for the negative control and in duplicate for the test substance and positive controls. 6.1 Procedures After 0.1 ml of the test substance solution, 0.5 ml of 0.1 M sodium phosphate buffer (pH 7.4) or S9 Mix, and 0.1 ml o f the bacterial culture were added to a tube, the mixtures were incubated for 20 min at 37 0.5C. Two ml of the soft agar was then added to each tube and poured onto a minimal glucose agar plate. After incubation for 48 h at 37 0.5C, the number o f revertant colonies were counted. C02016 -7 - K01-1802 As the sterility test, each 0.1 ml of each bacterial suspension, test substance solution, S9 Mix or 0.1 M sodium phosphate buffer (pH 7.4) were smeared on a minimal glucose agar plate and incubated at 37 0.5C for 48 h, and then checked the bacterial contamination. DMSO was used as a negative control, and the following positive controls were used for each bacterial strains. S9 Mix (-) S9 Mix (+) TA100 AF-2 0.01 2AA 1 TA1535 NaN3 0.5 2AA 2 WP2 uvrA AF-2 0.01 2AA 10 TA98 AF-2 0.1 2AA 0.5 TA1537 ICR-191 1 2AA 2 (pg/plate) 6.2 Dose selection 1) Dose finding test The test was carried out at the highest dose of 5,000 pg/plate and 6 doses of 1,000, 500, 100, 50, 10 and 5 pg/plate. As a result, growth inhibition observed at doses of more the 1,000 pg/plate for S. typhimurium strains TA100, TA1535, TA1537 and E. coli strain WP2 uvrA and 5,000 pg/plate for S. typhimurium strain TA98 without S9 Mix. Growth inhibition observed at dose of 5,000 pg/plate for S. typhimurium strains TA100, TA1535, TA1537 a n d coli WP2 uvrA with S9 Mix. 2) Main test Based on the results of the dose finding test, a main test with S9 Mix was performed at the highest dose of 5,000 pg/plate and 5 lower doses diluted with a geometric progression of 2. Without S9 Mix, a maximum dose was decided 1,250 pg/plate in the case of S. typhimurium strains TA100, TA1535, TA1537 and E. coli strain WP2 uvrA and 5,000 pg/plate in the case of S. typhimurium strain TA98 and 5 lower doses were decided in each bacterial strain by dilution with a geometric progression of 2. 7. MICROSCOPIC OBSERVATION AND COLONY COUNTING 7.1 Microscopic observation The state of revertant colonies (size and number of colonies), deposition of the test substance and the growth inhibition were examined with a stereo microscope. C02017 - 8- K01-1802 7.2 Colony counting The number of colonies were counted with a manual counter or a colony analyzer (CA-9, Toyo-sokki Co., Ltd). Correction for counting errors was made for measurements with the colony analyzer. Each plate was measured three times, and the average of these three measurements was adopted as the number of revertant colonies on the plate. The average for each dose was calculated from the values of the plates used. Decimals of the average figures were rounded off. 8. INTERPRETATION OF RESULTS The test substance was judged to be positive, when the number of revertant colonies was twice or more of the negative control, and the dose-relationship and the reproducibility were obtained. Any statistical procedures were not used. RESULTS The numbers of their revertant colonies for all strains in groups which were treated with the test substance were less than tw ee that of each negative control with and without S9Mix. The growth inhibition was observed at more than 1,000 pg/plate in S. typhimurium strains TA100, TA1535, TA1537 and. coli strain WP2 uvrA and at 5,000 pg/plate in S. typhimurium strain TA98 without S9 Mix. The growth inhibition was noted at 5,000 pg/plate in S. typhimurium strains TA100, TA1535, TA1537 and E. coli strain WP2 uvrA with S9 Mix. The positive controls showed the distinct increase of revertant colonies, and the positive controls and the negative control were within a range o f the background data in our laboratories. There were no fluctuations which affected the test results since the sterility test confirmed the absence of any micro-organisms. 002018 -9 K01-I802 CONCLUSION In conclusion, T - l was judged to have no reverse mutagenic potential under the present test conditions. REFERENCES 1. Ministry of Labor (1991) Guidebook on Mutagenicity Tests using Micro organisms, New Edition (in Japanese) published by Japan Industrial Safety and Health Association, 2. Green M.H.L. and W.J. Muriel (1976) Mutagen testing using Trp+ reversion in Escherichia coli, Mutation Res., 38: 3-32. 3. Maron, D.M., and B.N. Ames (1983) Revised methods for the Salmonella mutagenicity test, Mutation Res., 113: 173-215. -10- C0019 Dose finding test KOl-1802 Test substance: r --1 With(+) or without(-) S9 Mix Test substance concentration (ug/plate) negative control Number of revertants (number o: colonies/plate) Base-pair substitution type Framesh] ft type TA 100 104 97 ( 98) 94 TA 1535 9 9 ( ID 16 WP2tfwii 19 21 ( 20) 21 TA 98 20 25 ( 23) 23 TA 1537 12 14 ( 13) 13 S9 Mix (-) 5 * 98> M6 ( 10) 19 < 22> u { 21) 9 ) 10 u ! * io) 16 1 "> S < z) 22 < 2) 2 i n) 50 2 < 94) 10 < 10> 3 ( 18) 28 ZZ) 12 ( 9) 100 S < 85) u 1 111 3 ( 2i) 3 ( 21) 12 ( ID 500 2 ( 95) " ( 17) 2 < 245 " t lfl) 1000 < 5*) p i8*) 3 < 21) i 10*) 5000 negative control <- 85*) 94 94 ( 98) 107 3 < *) 17 9 ( ID 7 m i 16*) 29 24 ( 29) 33 ! f . ( is>) S i *) 34 20 30 ( 35) 15 ( 18) 42 18 S9. M i x (+) 5 94 < 95) " < 12) " < 35 i 37) u t 17> 10 85 < 9) " t ^ 3 i Z9) 3 i Z9) p i 19) 50 S < 85> S ( 11] 23 < 27> 'S < ) 2 ( i4) 100 2 ( ^ 1! < 3 < 29) a 500 3 < 9?) " t io) 3 < Z5> 40 (. 3Z) 22 < 18) 1000 105 < "> " i a) 5 ( zfi) 38 ( 34) 12 1 111 5000 S * 90*) 7*) > S i 29) 3< 6*) Positive control not requiring S9 Mix Name AF-2 Concentration (ug/plate) 0.01 Number of colonies/plate S <*) NaNa 0.5 290 i 302) AF-2 0.01 157 <147) AF-2 ICR-191 0.1 1 S! i ) 3 S i2417) Positive control requiring S9 Mix Name Concentration (ug/plate) Number of colonies/plate 2AA 1 m t 666) 2AA 2 S ( i) Notes Parenthesis shows the mean of each plate. * : Observed bacterial growth inhibition. AF-2: 2-(2-Furyl)-3-(5-nitro-2-furyl)acrylamide 2AA 10 S ( fi" ) 2AA 0.5 m t 287) 2AA 2 UR t 1" ) NaN3: Sodium azide ICR-191: 2-Methoxy-6-chloro-9-(3-(2-chloroethyl)-aminopropylamino) acridine-2HCl 2AA: 2-Aminoanthracene CO2020 1 Main test Test substance: t -- 1 K01-1802 Nith(t) oi without(-) S9 Mix Test substance concentration (lig/plate) negative control Number of revertants (number o colonies/plate) Base-pair substitution type Framesh: ft type TA 100 TA 1535 WP2yrri TA 98 TA 1537 93 6 21 26 9 84 ( 94) 14 ( 10) 18 ( 21) 28 ( 27) 9 ( 10) 105 11 25 28 11 39.1 S < 90> ( 14) 5 < l9> "i 78.1 }5 ( 112) S ( 16> S< 12 ( 10) S9 M ix (-) 156 B < 97> ( 17> ( " > S ( 21) n < 15> 313 B 19 ( 10) t 2j 29 t 2?) 11 " ) 625 S t ) " ( 9) S a > S t 23) ( 9> 1250 < 91*> 16*> S t 18*) a < W St 8*) 2500 23 ( 22) 5000 negative control 102 84 ( 98) 109 8 8 ( 8) 8 31 30 ( 33) 37 S t 18*) 36 21 38 ( 37) 20 ( 22) 38 24 156 m <103> 1 < 1) S t ) S ( 34> 1 2D S9 M ix (+) 313 U3 ( 101> 11 ( 9) 27 t 89) S ( 30) S t 18) 625 106 t 97> < " 1 S t 33) S t 31) S ( 14) 1250 92 < 86> ( 101 " t BJ 1 " ) 2t 2D 2500 m ( 97) !< 16 t *> S t 30) 5! 1 15> Positive control not requiring S9 Mix 5000 Name Concentration (ug/plate) Number of colonies/plate SJ* - AF-2 0.01 m (W 5< *> 30*t 36*) < NaNa AF-2 AF-2 0.5 0.01 0.1 , S t io*> ICR-191 1 387 ( 37) iS t m S! 579> SS <1886> Positive control requiring S9 Mix Name Concentration 2AA 1 2AA 2 dumber of coloniem/plate m <728> m ( 127) Notes Parenthesis shows the mean of each plate. * : Observed bacterial growth inhibition. AF-2: 2-(2-Furyl)-3-(5-nitro-2-furyl)acrylamide 2AA 10 S! t 861) 2AA 0.5 S t 27) 2AA 2 1I5543 (( i1m54i) NaNa: Sodium azide ICR-191: 2-Methoxy-6-chloro-9-(3-(2-chloroethyl)-aminopropylamino) acridine*2HC1 2AA: 2-Amirioanthracene C0?0?1 - 2- ~ 3- C-0022 Revertant colonies per plate Revertant colonies per plate KOI--1802 Dose finding test Dose finding: test K01-1802 Revertant colonies per plate Revertant colonies per plate 0:TA 98 :TA 1537 Fig. 4 Dose-re s p o n s e curve wit h S9 Mix ~ 4- (g/plate) 02023 - 5- 02024 Revertant colonies per plate Revertant colonies per plate K01-1802 Main test --6-- C02025 Revertant colonies per plate Revertant colonies per plate M a i n test K01-1802 FINAL REPORT AMENDMENT Hita Research Laboratories, Chemical Biotesting Center Chemicals Inspection & Testing Institute, Japan 1. Title (Study code) Bacterial reverse mutation test of T - l (K01-1802) 2. Amendment (Items) CAS No. and structural formula or rational formula (Annex 1) 3. Authorization Study Director Signed in original Shozo Ogura November 27. 1996 - 1- C0 2 0 2 6 Annex 1 Before changes: 1) (Information provided by the sponsor) Page 2 Name Reaction products of perfluorodimethylcyclohexylsulfonyl fluoride,perfluoroalkyl (C=0-2) cyclohexylsulfonyl fluoride, potassium carbonate and sulfuric acid Other name: T-1 CAS No.: 67584-42-3 4) Structural formula or rational formula (Outline o f manufacturing method, in case both were unknown) CnF2n+l F )-- S 0 3K (n=0-2) CmF2mHS03K (m=8) K2S 0 4 (molecular formula --) -2 - After changes: 1) Name Reaction products of perfluorodimethylcyclohexylsulfonyl fluoride,perfluoroalkyl (C=0-2) cyclohexylsulfonyl fluoride, potassium carbonate and sulfuric acid Other name: T - l CAS No.: 67584-42-3 (the main component A(n=2i) 4) Structural formula or rational formula (Outline of manufacturing method, in case both were unknown) A CnF2n+l B CF3 s o 3k cf3 C CmF2mflS03K (m=8) D K2SO4 Others (molecular formula --) 76% 20% 0.4% M% Reason for changes: To document new information supplied by the sponsor. Date effective: November 13,1996 - 3 - C-03028