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BFGoodrich The BFGoodrich Company Specialty Polymers & Chemicals Division 9911 Brecksville Road Cleveland,Ohio44141-3247 216-447-5000 Specialty Polymers & Chemicals Division June 30 19 93 ' Dr. Gwen Ball Toxicology Services NSF International P.O. Box 130140 Ann Arbor, MI 48113-0140 Dear Dr. Ball: I am enclosing the confidential composition of Geon compound 7994 NATP 021. This formulation is Company confidential and therefore subject to the generic Secrecy Agreement signed by BFGoodrich and the National Sanitation Foundation, October 24, 1979. If you have any question, please call me at 216/447-5182. Sincerely, THE BFGOODRICH COMPANY CjywJjU YI.QsUlr*-- Connie N. Dillon Regulatory and Data Systems Specialist CND/rm NSF.RM 21715001 BFG16224 ?-z> iiwr iiiic.wihiiunML nsf international MATERIAL FORMULATION CONFIDENTIAL REPORT Document Control Code Regional Office 02 FM00315-0Q2 company Number 20000 Issue Date 06/22/93 RESUBMITTAL r * DO NOT DUPLICATE Standard Number 51 CBI Code __ ________ __ I. PROGRAM PARTICIPANT B F GOODRICH MS. CONNIE N. DILLON 6100 OAK TREE BLVD. CLEVELAND, OH 44131 Plant At: CLEVELAND, OH 44131 II. SUPPLIER Basic Material Supplier Material Type Complete Formulation Id THE GEON COMPANY PVC 7994 NAT 021 [ ] Natural [ 1 Precolored: [ J See Form? ^ ! III. TYPE OF FOOD CONTACT (Chech ail that I ] Dry Solids p[ ) Aqueous ( ) Acidic *pH < or b.0> [ ] Dair^^duc^ ] oil *U^j Beverages >6. butj t 1 Beverages > 8% alc<j Sftes^aeh ,.,Jooe k * % alcohol IV. TEMPERAT&&(Check one) [ 3 < or5'p ' t ] 100`F maximum maximum [] XT*' | j >21i2|5| (specify maxi limk V. C0MPOSIT|O^|dF formulation and PERTINENT data - use reverse To Be CoR^lpted By Basic Naterial/Pigoient Supplier. VI. CERTIFICATION TM~----- iMMsj1 It is herein certified that this material is intended for the specific end use application(s) . It is further certified that the information provided Is accurate and complete and, in the case of materials intended for food zone application the material meets the requirements of the Federal Food, Drug, and Cosmetic Act as amended. Company Th BASIC MATERIAL SUPPLIER Signature Title-- Regulatory and Ibafca (Systems specialist Date 6/30/93 4,iai - __________________________________ Seal in the BLUB envelope provided. Insert in an outer envelope and MAIL TO: Toxicology Services nsf international PO BOX 130140 Ann Arbor, MI 48113-0140 Page (1) 21715002 BFG16225 JUN 22 '93 02i 16PM NSF INTERNATIONAL P.7/7 v ' COMPOSITION OF FORMULATION AND PERTINENT DATA Chemical Description of Ingredient (Do NOT Use Trade Names) % Parts by Weight Supplier Section of the U.S. Code of Federal Regulations (21 CFR)* under which accepted. Please verify the material type/color and formulation identification referenced in Section IV on the reverse. 7994 NATP 021 FVC Resin Nitw^Polyiter (CAS.No. 9003-18-3) Styrene - Acrylonitrile Copolymer (Cas.No. 9003-54-7) 12.46 8.69 1.45 BFGoodrich Prior Sanction ' _ , Zeon Chemical . 175.105 ,7 177.2600 -s;;t 4< ^ - Zeon Chemical 175.105T|fc .'-,175.300 '175.320 176*180 .177.1300 177.1210 181.321:) V Dimethyl Tin Bis 2Ethyl hexyl thioglycolate Limestone (Cas.No. 1317-65-3) Calcium Stearate 0-72 -#fPr " Hone 14.50 . ,.1/43" - fe'Genstfgr Synthetic Products Norac Company Witco Chemical 182.5191 177.2600 178.2010 181.29 Paraffin Wax $s. ^ 0.72.,, ` % Rheochem Mfg. Co. 172.886 178.3710 t- ' i ;ii!> - BFG16226 . PLEASE PROVIDE SIGNATURE/CERTIFICATION ON REVERSE SIDE. Available fromHhe Superintendent of Documents. U. S. Government, Printing Office. Washington, D.C. 20402 (202-783-3238) or youraiocaf U. S. Government Printing Office outlet. Title 21 s^ood and Drugs), Parts 1-99: General information and color additives (direct). H Ul o '(Food and Drugs), Parts 170-199 Direct and indirect food additives, including ingredients for use In food contact materials. bCC : Doug Wetzig BFG16227 1/ v o o f lilt f NSF International MATERIAL FORMULATION CONFIDENTIAL REPORT ioS' ' HOC Document Control Code FM0Q315-002 Company Number 20080 Standard Number 51 regional office 02 Issue Date 06/22/93 CBI Code 07994 Regional Representative WESTMEIER DO NOT DUPLICATE I. PROGRAM PARTICIPANT B F GOODRICH MS. CONNIE N. DILLON 100 OAK TREE BLVD. CLEVELAND. OH 44131 Plant At: CLEVELAND, OH 44131 II. SUPPLIER Basic Material Supplier Material Type Complete Formulation Id THE GEON COMPANY PVC 7994 BAT: 021 [X] Natural [ ] precolored. t ) See Form: III. TYPE OF POOP CONTACT (Check all that apply) [ ] Dry Solids [ ] oil [ ) Aqueous | } Beverages > 0, but < or - 8% alcohol [ ] Acidic {pH <or - 5.0). t 5 Beverages > 8% alcohol [ ] Dairy products t 1 Splash Zone [X] Other I. FOOD ZONBsREFRIGBRATOR AND FREEZER BOOR BREAKER STRIPS IV. TEMPERATUBS (check one) [ ) < or * 45'F [ ] > 21>'P maximum IX] 100`p maximum [ 1 1B0*F maximum [ ] >212`F {specify maximum -"P) V. FORMULATION REVIEW NON-ACCBPTANCE. We are unable to accept this component of your equipment because: The formulation Information provided by the supplier is not sufficient to permit complete review. Chemical description: The complete chemical name of each ingredient should be provided. Please toe specific. Trade names, abbreviations, and chemical classes (e.g. fatty oil, metal oxide) are not acceptable. An appropriate section of the U.s. Code of Federal Regulations. Title 21 (Food and Drugs) Is not cited for each ingredient. Specific Title 21 citations are generally required for a food zone material. PLEASE SUBMIT A PLAQUE OR PART FOR INSPECTION ALONG WITH UPDATED FORMULATION INFORMATION. Please resubmit on the enclosed form. G BALL Toxicology Services 21715004 BFG16228 .TUN 22 '93 02: 14PM NSF INTERNATIONAL NSF International MATERIAL FORMULATION CONFIDENTIAL REPORT P.5/7 F lets' <3 * 9 ot5~ Document control Code FM00315-002 Company Number 20060 Standard Number 51. Regional Office 02 Issue Date 06/22/93 CBI Code 07994 egional Representative WESTMEIER DO NOT DUPLICATE * * * \/ PROGRAM PARTICIPANT B F GOODRICH MS. CONNIE N. DILLON 6100 OAK TREE BLVD. CLEVELAND. OH 44131 Plant At: CLEVELAND, OH 44131 II. SUPPLIER Basic Material supplier Material Type Complete Formulation Id THE GEON COMPANY PVC 7 994 NAT 021 [X] Natural [ j Precolored$| j ] See Fotibi ^ III. TYPE OF poop CONTACT (Cheerlc all that.'apply) [ ] Dry SOtlds T ' t } Oil [ ] Aqueous ,k i V' t I leverages > 0, but sSSfor - 8% alcohol [ j Acidic (pH t'ksoi1 5.0) [ ] Beverages > 8% alcohol C 1 Dairy,>Jr?oduc S;L . : t i .Sple'ah -'.sa<e ' [X] Other] FOOD ZOBB KBFRIGBRATOR AND FRESZER'DOOR BREAKER STRIPS ............ TEMPERATURE (Check one) [ ) < or * `F [ j > 212 `JF maximum !<V<IX1 lOa^K&nexlmum ijjlff [ ] t3yP maximum ^li.'^1'(specify maxlpaaf____ *P) FORMULATI9EMIEVIEW DCH-A^MMia. IMP'1 CHI Me are unable to accept this component o your equipment because: The formulation Information provided by the supplier is not sufficient to permit complete review. Chemical description: The complete chemical name of each ingredient should be provided. Please be specific. Trade names, abbreviations, and chemical classes (e.g. fatty oil, metal oxide) are not acceptable. An appropriate section of the u.S. Code of Federal Regulations, Title 21 (Food and Drugs) is not cited for each ingredient. Specific Title 21 citations are generally required for a food zone material. PLEASE SUBMIT A PLAQUE OR FART FOR INSPECTION ALONG WITH UPDATED "T* FORMULATION INFORMATION. Please resubmit on the enclosed form. G BALL Toxicology Services 21715005 BFG16229 P103R60 PRODUCTION RECIPE INQUIRY PAGE 1 M10360 PRODUCT NO. 77994 1000 0214 LOC 47 DEPT 5613 ISSUE S93 DESCRIPTION 7994NATP021 SBC 13C1 INT. RM. ITEM RM NUMBER DESCRIPTION QUANTITY USE 001 961 000114 110 X 334 73.942029 002 942 711737 1430 X 20 OFF GR 8.873043 003 941 711736 2301 OFF GRADE 1.478841 004 912 00S086 MARK 1900 , .739420 005 925 710684 CAMEL-CAL ST 14.788406 006 943 00L034 CA STEARATE-FUSE 1.478841 007 943 O0L040 PARAFFIN 165 FMP .739420 USERID: N50CND1A TERMID: PV120002 CO. CODE: G TOTAL 102.040000 TO MAKE 100.000000 END OF INQUIRY P103R60 PRODUCTION RECIPE INQUIRY PAGE 1 USERID: N50CND1A M10360 TERMID: PV120002 PRODUCT NO. 77994 000 0214 LOC 47 DEPT 5613 ISSUE 008 DESCRIPTION 7994NATP021 SBC 13C1 INT. RM. CO. CODE G ITEM RM NUMBER DESCRIPTION QUANTITY 001 961 000114 110 X 334 100.000000 002 JlOll73f~^ 1430 X 20 OFF GR 12.000000 003 . 941 711736'. 2301 OFF GRADE 2.000000 004 "912 00S086 MARK 1900 005 925 710684 CAMEL-CAL ST ' , 1.000000 '4- ;20.000000 006 "943 00L034 CA STEARATE-FUSE^ 2.000000 007 943 00L040 PARAFFIN 165 FMP 1.000000 "7 1.-3-7 y.<J ' 7'j n> i 7- . END OF INQUIRY , ) tjOG TOTAL r '/ / 21715006 / BFG16230
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