Document Qk9px4867gaj1Y2kw9DBvJNa5
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BFGood fich
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Specialty Polymers & Chemicals Division
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The BFGoodrich Company Specialty Polymers & Chemicals Division
9911 Brecksville Road Cleveland, Ohio 44141-3247 216-447-5000
September 13, 1993
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 87453-002. The composition is being submitted to support our customer. Excaliber.
The Geon Compound is used in the fabrication of a chemical feeder manufactured by Rainbow Plastics.
This 'formulation is company confidential and therefore subject to the generic Secrecy Agreement signed by BFGoodrich and the National Sanitation Foundation, October 24, 1979.
Please call me at 216/447-5182 if additional data is needed.
Sincerely,
THE BFGOODRICH COMPANY FOR THE GEON COMPANY
Connie N. Dillon Regulatory and Data System Specialist
CND/amc
21719001
bcc: Doug Wetzig - CL-0TM"2
BFG16248
CONFIDENTIAL COMPOSITION THE GEON COMPANY
GEON 87453-002
INGREDIENT
%WT.
SUPPLIER
21 CFR
Dimethyl tin/monomethyl tin
1.743
Witco
isooctylmerca^ptoacetates
(Cas. No. 26636-01-1 & Cas. No. 54849 -38-6)
178.2010
C.I. Pigment Violet 15 (Cas. No. 12769-96-9)
0.026
Whittaker Clark
178.3297
Epoxidized Soybean Oil (Cas.No. 8013-07-08)
0.435
/
crylic Processing Aid,'. ^(Cas. No.^rr^'^'-Z
r,/a P (BD/MMA/STY) no Ml
Stearic Acid
/ \l.525
ny
8.021
0.165
Viking
Elf Atochem Rohm & Haas Henkel/ Quantum
181.27; 175.105; 175.300; 177.1210
178.3790
178.3790
GRAS
Pentaerythritoladipate Stearate & Castor Oil
0.165
Henkel
178.3280 (4%) ;
178.3690 (0.4%)
Glycerol Monostearate
0.584
Lonza
176.200; 184.1324; 184.1505
Oxidized Polyethylene Hompolymer (Cas. No. 68441-17-8)
PVC Resin
0.087
Allied
87.19
Shintech Chemical
172.260; 175.105; 175.125; 176.180; 176.200; 176.210;
177.1200; 177.1620 Prior Sanction
87640-000-4302 P(BD/MMA/Sty)
0.052 88.451
178.3790
Epoxidized Linseed Oil
@2as. No. 8016-11-3)
C.I. Pigment 15
2.653 8.845
178.3740
Whittaker,
177.2600;
Clark,Daniels 178.3297
21719002
BFG16249
1 .I
NSF International MATERIAL FORMULATION CONFIDENTIAL REPORT
Document Control Code SW00253-003 Company Number 26431
Regional Office 01 Regional Representative K. Clouse
Issue Date 05/12/93
*** DO NOT DUPLICATE
Standard Number 50 CBI Code _____________
***
I. PROGRAM PARTICIPANT
RAINBOW PLASTICS MR. KENNETH E. PRICE 3242 MEEKER AVENUE P.O. BOX 4127 EL MONTE, CA 91732
Plant At: EL MONTE, CA 91734 -
II. MODEL(S) Equipment Modftl/Number(s) -Ml,HlnjflJuJATflXiflA'/^QQG I
Description
Equipment rilLL4"".fei Puulu^ftwcLifiwiiKCyttTMXO*) L.
III. PART(S) /;; ,
;/
Description 6\axt.Pipe fair jiousingfe?ftady, stand pipe '
Part Number (sj ' ", ,
Fabricated by -'Excaliher
",
Surface Area of: Part (fij <sq. ir)*J 000-1806'
Contact Area
Part is [X] ^as/Hot Tub Water jCoutact
^
Temperature ($kpge) Partes) Ex^aaed to 40-110 degF'F
(sq.
in.)
fft&/yff
uOD 1860
IV. SUPPLIER
' , I:,'
pp
?'
Basic Mater ial-'-Supplier EXCAbIKE
("'} Natural
Material Typ<f' /
GEQN PVC/YELLOW.,;/{'/l Precoloyed:
,
Complete Form/1 /u. l'ation Id
8741>3:
-
f,* ,y , i See Form _______ \!i >;T! " %,',
V. COMPOSITION OF FORMULATION*AND PERTINENT .DATA ~ 'USE'REVERSE SIDE.
To Be Completed By Basic Material/Pigment Supplier.
*** NOTE: 21 CFR citation or other documentation 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.
BASIC MATERIAL SUPPLIER
CompanyBF Goodrich
,_____________________
Signature-
l
~~
Title Regulatory and Data Systems Specialist
Address' 9911 Brecksville Roadt Cleveland, OH 44141^3247
Telephone 447^5000
FAX 447-5710
Da t e__a=OS=&3_________________________
Seal in the BLUE envelope provided, insert in an outer envelope and MAIL TO:
Toxicology Services NSF International
PO Box 130140 Ann Arbor, MI 48113-0140
Page (1)
21719003
BFG16250
n*fi *v
-t.-r--
---
110 E. CROWTHER AVEN^LACENTI
X\\
(714) 528-8834 FAX\(714) 52/
OUTSIDE CA (800) 648-66
Douglas Wets eg Geon Co. P..Q. Bax 122 Avon I.. a L e Oh i o 44012
vlUNE^ry^993
RE National Sanitation Foundation (NSF) Listing.
: Dear Douglass
In order for our customer to maintain the NSF 1isting on our , .-.product, it is necessary' for you to complete the enclosed form y'L ^-and forward (in the blue envelope) to the address indicated at.
the bottom of the form. Please da this as soon as possible. If you have any questions or for some reason you cannot comply. ; please notify me immediately.
;Sincerely,
Sc/vO
/tfe <=*
oJhen)
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ooctyQ
'fcxwCj
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fOOGTtTZ
QUALITY SERVICE
BFG16251
P103R60
j PRODUCTION RECIPE INQUIRY
PAGE 1
M10360 PRODUCT' NO. 87453 (300 0028
LOC 16
DEPT 5135
ISSUE S93
DESCRIPTION 87453TRNPEL 002 SBC 13C4 INT. RM.
ITEM 110
RM number 961 000475
DESCRIPTION 86X1 FG
QUANTITY 87.120219
USE 16
210 942 710849 PARALOID BTA 733
7.840820
220 941 709256 PARALOID K-120ND 310 912 710493 MARK 1984 I 320 935 00P031 VIKOFLEX 7170
1.524604 1.742404
.217801
410 961 000592 87640-000-4302 420 921 00B273 VIOLET 5012 (RS-
.046174 .022651
510 943 710339 GLYCOLUBE 825 BE
520 943 710138 LOXIOL HOB-7107 530 943 710867 AC-316A POLYETHY
.583705 .522721 .108900
USERID: "NbUCND1A TERMID: PV120016
CO. CODE G
END OF INQUIRY P103R60
TOTAL
99.729999 TO MAKE 100.000000
PRODUCTION RECIPE INQUIRY
PAGE 1 USERID: N50CND1A
S00GTZ.T2
TOTAL
114.690000 TO MAKE 114.690000
END OF INQUIRY
P103R60
PRODUCTION RECIPE INQUIRY
PAGE
USERID: N50CND1A
M10360
TERMID: PV120016
PRODUCT NO. 87453 030 0028 LOC 16 DEPT 5135 ISSUE 002
DESCRIPTION 87453TRNSP002
SBC 13C4 INT. RM.
CO. CODE G
ITEM 001 002
RM NUMBER
DESCRIPTION
912 710493^ MARK 1984 I ^
921 00B273w-^ VIOLET 5012 (RS-^7
QUANTITY 2/000000
.030000
USE
/.7</3
0, Q-lC*
003 004 005 006
JHUKt VIKOFLEX 7170v^ IJQ88T~> METABLEN P-550
71M49f: PARALOID BTA, 733 43 OOLO-a2^< STEARIC"AclD
.500000 1.750000 9.200000
.19000^
0. 1.G'zA
Ot'f
007 710j^i^ LOXIOL HOB-7107
008 .0339 GLYCOLUBE 825 BE 009 AC-316A POLYETHY 010 -961 0010T4a SE650A BOTTLE RE Oil 961 '000592 87640-000-4302
.190000 .670000. .100000 100.000000 .060000
o,
o, o. Ot'l O oSA,
(f *f-
BFG16252
,' 1
TOTAL
114.690000 TO MAKE 114.690000
END OF INQUIRY
P103R60
PRODUCTION RECIPE INQUIRY
PAGE 1 USERID: N50CND1A
M10360
TERMID: PV120016
RODUCT NO. 87640 000 4302 LOC 16 DEPT 5135 ISSUE S93
DESCRIPTION 87640BLUE PD430 SBC 13PM INT. RM. 961000592
CO. CODE G
ITEM
RM NUMBER
DESCRIPTION
QUANTITY USE
110 942 710849 PARALOID BTA 733
88.451327 16
210 935 00P057 EPOXOL 9-5
2.653540
310 921 00B272 BLUE 5006
8.845133
END OF INQUIRY
TOTAL
99.950000 TO MAKE 100.000000
7 !0&</?. B fso fa- 7b. S0/3-Vht) 7u.^osi'or
21719006
BFG16253