Document O1JbYEmw23bMrgrbdMkaKyqme
No.: EG151231019V01MVer.2.0
Test Report
Date: Mar. 14, 2016
Applicant Address
: Changzhou XCF Polymer Materials Co., Ltd. : No.15 Dongcheng Road, Dingyan Town, Changzhou, China
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Sample Name Quantity Model Lot No. Supplier
: PTFE Green Sewing Thread : 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 Mar. 14, 2016
No.: EG151231019V01MVer.2.0 Summary of Test Results
Test Report
Date: Mar. 14, 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)
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Result 0.090 0.077 0.116 0.090 0.03
Limit 0.2 0.2 0.2 0.2 0.03
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No.: EG151231019V01MVer.2.0 Sample Photo
Test Report
Date: Mar. 14, 2016
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