Document QgG3EKBLKOn5mjLY9Kw1rGeYk
BFGoodrich
The BFGooOricn Company 3925 Embassy Parkway Akron, Ohio 44313-1799
July 13, 1990
Toxicological Services National Sanitation Foundation P.O. Box 1468 Ann Arbor, Michigan 48106
Dear Gentlereader:
I am enclosing a completed^ Material Formulation Confidential
Report (DCC #SW00228-001) for Geon 87546 Nat 021 on behalf of Jacuzzi Brothers.
The composition of Geon 87546 Nat 021 is confidential to the BFGoodrich Company and therefore subject to the generic secrecy agreement signed by the National Sanitation Foundation and BFGoodrich, October 24, 1979.
Sincerely,
,
THE BFGOODRICH COMPANY
W. C. Bachtel Toxicologist Environmental Health and
Safety Management Systems
0713-1/jp
cc: J. C. Kelley - CL-OTM-3
BFG07556
NATIONAL SANITATION FOUNDATION MATERIAL FORMULATION CONFIDENTIAL REPORT
Document Control Code SW00228-001 Company Number 24300
Regional Office 04
Issue Date 03/02/90
Regional Representative RMC
* * * DO NOT DUPLICATE
Standard Number 50 CBI Code ___________
* **
I. PROGRAM PARTICIPANT
JACUZZI BROTHERS DIVISION MR. JEFF ROUSSEL 12401 INTERSTATE-30 PO BOX 8903 LITTLE ROCK, AR 72219-8903
Plant At: LITTLE ROCK, AR 72219-8903
II. MODEL(S) Equipment Model Number(s) MFM & ST SERIES FILTERS Description of Equipment SAND FILTERS
III. PART(S) Description of Part(s) Drain Bushing, Fill Plug & Adapters
Part NumberC*)'"-; Fabricated by f$UZZI BROTHERS
Surface Area &*&tet(s) (sq. itk+$ 30 Part is [X} t&otipfater Contact'
'w
Contec$t^Area (sq.f'In.
Temperature {R*nge^'fart(s) Exposed to
104 'F
IV. SUPPLIED '
Basic Materiel Supplier' B.F. GOODRICH
Material Type' '
PVC/MTSRAL
Complete Formulation Id GEON 87546 Nat 021
. Natural^ * Precolored: ____
*U See Po** ________
COMPOSITION OF FORMULAJT08'AND PERTINENT DATA - US&JHSVERSE SIDE.
To Be (Semple ted By Basic Haterial/Rifmant SupplimafeiTV
f'-,L
*** NOTE: 21 CFR citation or other documentsiOSl "required! ?**
VI. CERTIFICATION It is herein certified that this material is intended for the specific end use application. It is further certified that the information provided is accurate and complete and, that I, and the company I represent, know of no reason this material should not be used in pool/spa/hot tub water contact.
Company__ Signature Title____ ^ Address__ Telephone Date
BASIC MATERIAL SUPPLIER _________________
If (Of) 7/6 -
( (***/
<r fsoA/e> r*/jf
FAX JJA- `ikn
11
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Seal in the BLUE envelope provided, insert in an outer envelope and MAIL TO:
Toxicological Services National Sanitation Foundation
P.0. Box 1468 Ann Arbor, MI 48106
Page (1)
BpG07557
V. COMPOSITION OF FORMULATION AND PERTINENT DATA
Chemical Description of Ingredient (Do NOT Use Trade Names)
Please verify me material type/color and formulation identification referenced in Section IV on the reverse.
Parts by Weight
Supplier
Section of the U.S. Code of Federal Regulations <21 CFR)" under which accepted
Geon 87546 Nat 021
Polyvinyl Chloride
Butyl Acrylate Methylmethacrylate Butadiene copolymer
Dimethyl /Moncmethyltin Isooctylmercaptoacetates
Calcium Stearate
100.00
8.0 2.0 2.0
N ,N ' Di-Stearyolethylene Diamine
2.0
BFG M&T
Prior Sanctioned
%
4y// *,
178.3790, m.Mjaro
...m.
Wv:
Argus
J*B.201*
*
Synthetic , ,^78.2010 Products '
Mallinkrodt Witco
*
Carstab
Inte^stab
'f \
Srior Sanction, 177.1200
g
^
,
3
J00S980
.. ,-!v
/sC-
PLEASE PROVIDE SIGNATURE/CERTIFICATION ON REVERSE SIDE.
Available (tom the Superintendent of Documents, U. S. Government, Printing Office, Washington, D C. 20402 (202-783-3238) or your local U. S Government Printing Office outlet.
' ,, Title 21 (Food and Drugs), Parts 1-99:
General information and color additives (direct).
*We 21 {^>od and Drugs). Parts 170-199: Direct and indirect food additives, including ingredients for use in food contact materials.
(2)
BFG07558