Document M7ZQXQbabe2MzZodkx5qx8D7

BFGoodrich Tha BFGoodrich Company 500 South Main Straat Akron. Ohio 44318 October 3, 1985 Jjl'u 'r. < Addftu RpV To: D*pt 0020 Bldg. 5-H Program Director National Sanitation Foundation P.O. Box 1468 Ann Arbor, Michigan 48106 Dear Sir: I am enclosing a completed "Material Formulation Confidential Report" for BFGoodrich Geon 87241 white 120. This is being submitted at the request of Jacuzzi Bros. Division, Little Rock, Arkansas. The composition of Geon 87241 white 120 is confidential and therefore subject to the generic secrecy agreement signed by the National Foundation and BFGoodrich October 24, 1979. By copy of this cover letter, I am informing Mr. Puckett of Jacuzzi Bros, of this submission. Sincerely, W. C. Bachtel Toxicologist DIP cc: Joe Puckett bcc: H. Forsyth, ALTC G. Talley, Cleveland Chemical n 0953001 BFG08370 National Sanitation Foundation 3475 Plymouth Road, P.O. Box 1468 Ann Arbor, Michigan 48106 U.S.A. Telephone: (313) 769-8010 pb . *t .... REGIONAL Of BCE USE ONLY Food Zoo* Spilth lor * Not food Ion* O Resin Q Pigmoot Q Smooch Q Textured MATERIAL FORMULATION CONFIDENTIAL REPORT Mail to: Program Director NSF P. O. Box 1468 Ann Arbor, Michigan 48106 Date_____ 24 ' 1985 Standard 50 (11) Tecti rtequlred: CHem_______________________ T&O Cleen __________ __ _________ Abr Impect _____________________ 8(eod____________ _________ Heet___________ ___________ Uee $t Wear___________ __ Evelueted by__ __________ I Program Participant Address_________ _ Jacuzzi Bros. Division________ 12401 Interstate 30, P.O.Box 8903 Little Rock, AR 72209 8903__________ Dete Evelueted _________ co. no. 24300 II Equipment Model Numbers SV ^kimmer________ Description of Equipment Sf><u ^__________ III Description of Parts__________________ Discharge Plate Part Numbers___ ____43 ! tO 5 _____ _____________ Fabricated by_______________________________________________________________ NOTE: Complete the following if part is used in food contact application: Temperature of Food ________________ Type of Food---------------- Surface area in contact (sq. in.)__2*7*2. IV Basic Material Supplier__ B.F. Goodrich______ Pigment Supplier---------- Typa Material PVC 87 241 Geon C.nlnr __ /3-0 Formulation IdentificationFormulation Identification V COMPOSITION OF FORMULATION AND PERTINENT DATA -- USE REVERSE SIDE IF NEEDED o o1 OS U 2 Chemical Description of Ingredient (Do NOT Use Trade Names1 Polyvinylchloride Parts by Weigh; Supplier 100 BFGoodrich Section of the Code of Federel Regulations under which accepted. Information required when in food contact applications. Prior sanction- Acrylonitrile-butadienestyrene copolymer 15 Borg-Warner Prior sanction: 181.32 Styrene-acrylonitrile copolymer 3 BFGoodrich Prior sanction Dimethyltin/monomethyltit L isoctylmercaptoacetates i 2 Carstab Corp. 178.2010 Calcium carbonate 5 Pfizer GRAS It is herein certified that the above listed material is intended for the specific end use application. It is further certified that in the case of materials intended for food contact application, the material meets the requirements of the Federal Food, Drug, and Cosmetic Act as amended. K) BASIC MATERIAL SUPPLIER / Q PIGMENT SUPPLIER Use Reverse Side if Needed. Do not attach additional sheets unless signed by basic materiallpigment supplier. Company _BFGopdrich_______ Signature 'jtftJX. <- Title Toxicologist Oat 10-3-8S BFG08371 v COMPOSITION OF FORMULATION AND PERTINENT DATA -- Clismical Description of Ingredient IDo NOT Us* Trad* Names) Parts by Weight Supplier Titanium dioxide Ultramarine blue Calcium stearate Mineral oil 5 0.144 2 2 *V Trioxide America Whitaker Clark and Daniels Akron Chemical Wit co Jhemical Witco 'Chemical Section of the Code of Federal Regulations under which accepted. Information required when in food contact applications. GRAS 178.3970 Prior sanction - 178.2010 178.3620 cmS6os: i It is herein certified that the above listed material is intended for the specific end use application. It is further certified that in the case of materials intended for food contact application, the material meets the requirements of the Federal Food.Drug , and Cosmetic Act as amended 0 BASIC MATERIAL SUPPLIER / PIGMENT SUPPLIER Do not attach additional sheets unless signed by basic materiallpigment supplier. Company BFGoodrich Signature ^ 0. Title Date ... . Toxicologist_____ ____ 10-3-85 BFG08372