Document BRXBgGXE307a2G8LpaBmaoDQo

No.: EG1512331019V02MVer.1.0 Test Report Date: Jan. 07, 2016 Applicant Address : Changzhou Xingcheng Polymer Materials Co.,Ltd. : No. 110 Caoshang, Dingyan Town, Changzhou, China Page 1 of 3 Sample Name Quantity Model Lot No. Supplier : PTFE White Staple Fiber : 1pc :/ :/ :/ Received Date Test Period : Dec. 31, 2015 : Dec. 31, 2015 ~ Jan. 07, 2016 Test Summary No. Test Item Test Conclusion Total Extractives, 1 N/A Fluoride Extractives calculated as Fluorine RemarkPassMeet the requirement; FailDo not meet the requirement; N/ADo not evaluate or provide only test results Signed for and on behalf of EMTEKSUZHOUCo., Ltd Prepared by: Xu qiwen, Cody Assistant Engineer Reviewed by: Zhang Jing, Jane Technical supervisor Approved by: Yuan Qi, Mickey Authorized signatory Jan. 07, 2016 No.: EG1512331019V02MVer.1.0 Summary of Test Results Test Report Date: Jan. 07, 2016 1.1 Test MethodFDA 21CFR 177.1550 1.2 Test Result No. Test Item Unit 1 Total extractives at refluxing temperature for 2 hours mg/in2 with distilled water 2 Total extractives at refluxing temperature for 2 hours mg/in2 with 50% ethanol 3 Total extractives at refluxing temperature for 2 hours mg/in2 with N-heptane 4 Total extractives at refluxing temperature for 2 hours mg/in2 with Ethyl acetate 5 Fluoride extractives calculated as fluorine mg/in2 (Distilled water,refluxing temperature,2 hours) Page 2 of 3 Result 0.103 0.064 0.129 0.077 0.03 Limit 0.2 0.2 0.2 0.2 0.03 *** To next page *** No.: EG1512331019V02MVer.1.0 Sample Photo Test Report Date: Jan. 07, 2016 Page 3 of 3 *** End of Report ***