Document XzM9M0vzZe5QangkzvD9EMjrB
BFGoodrich
The BFGoodrich Company 3925 Embassy Partway Akron, Ohio 44313-1799
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October 22, 1991
Toxicology Services National Sanitation Foundation p.o. Box 1468 Ann Arbor, MI 48106
RE: DCC#SW00543--001
Dear Sirs:
I am enclosing a completed Material Formulation Confidential Report for Geon 85796 Black 288.
The composition of Geon 85796 Black 288 is confidential to BFGoodrich and therefore subject to the generic secrecy agreement signed by BFGoodrich and the National Foundation, October 24, 1979.
Sincerely,
THE BFGOODRICH COMPANY
-----
Connie N. Dillon Environmental Database Specialist Environment, Health and
Safety Management Systems
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cc: J. C. Kelley - CL-OTM-3
BFG52288
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i NSF International MATERIAL FORMULATION`CONFIDENTIAL REPORT
^cument Control Code SW00543-001 Company Number 21600 Standard Number 50
gional Office 03
Issue Date 10/04/91 CBI Code
Regional Representative CINDY HEESAK'ER
* * * DO NOT DUPLICATE***
I. PROGRAM PARTICIPANT
HAYWARD POOL PRODUCTS INC MR. SAMUEL TOBIAS
900 FAIRMOUNT AVENUE
P.O. BOX 18 ELIZABETH, NJ 07207
Plant At: ELIZABETH, NJ
II. MODEL(S) Equipment Model Number(s) SP740DE Description of Equipment MULTIPORT VALVES
HI. PART(S)
Description of Part(s) VALVE BODY COVER/FITTINGS
Part Number(s) SP740A.B.
Fabricated by HAYWARD
Surface Area of Part(s) (sq. in.) 500
Contact Area (sq. in.) 300
Part is [X] Pool Water Contact
Temperature (Range) Part(s) Exposed to 32-100 F
IV. SUPPLIER
4gment Supplier C'FO
,lor
I VC
Complete Formulation
)DRICH i79f-2.il
C ] Dfigment [ ] Lftjfid Disperjion Let-Down RatiotiSI........-
V. COMPOSITI! N OF FOR
ION AND PERTINENT TATA
To Be Completed By
Material/Pigment SupplTIfl
*** NOTE: 21 CFR
in dll other documentation
verse 'mm
VI. CERTIFICATION It is herein certified tfidt this pigment is intended for th|j||ecif end use application. It is further certified that tne infon$liion
provided is accurate and complete and, that I, and the company 1 represent, know of no reason this pigment should not be used in
pool/spa/hot tub water contact.
Company___
&n ^mPIGMENTiSUfPPL,IER
Signature^
Title
i teckkuui\cCa*(( $4,1/iy<T
Address_____L__(D__O____O/^KIk^i. A(Ay. Cftr*!**/--
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Telephone iff, -ntf*)
fax -xJl - wy * Weil-
Date
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)
07207
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BFG52289
V. COMPOSITION OF FORMULATION AND PERTINENT DATA
Chemical Oescnption ol Ingredient (Do NOT Use Trade Namesi
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Please'venfyTne maienal type/color and
formulation identiHcation referenced m
Section iv on the reverse.
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Supplier
Section of the U.S. Code of Federal Regulations (21 CFR)a under which accepted.
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' Available tram the Superintendent ot Documents, U. S. Government, Printing Office. Washington, D.C.'J20402 (202-783-3238) or your local u. S. Government Printing Office outlet
"Mftfle 21 (Food and Drugs), Parts 1*99:
General information and color additives (direct).
Tide 21 (Food and Orug, Parts 170-199: Direct and indirect food additives, including ingredients tor use in food contact materials.
(2) BfG52290
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HAYWARD POOL PRODUCTS, INC.
900 FA1RMOUNT AVENUE P.O. BOX 18 ELIZABETH, NEW JERSEY 07207
October 10, 1991
(201) 351-5400 TELEX 13-8819 FAX (201) 351-5675
B. F. Goodrich, Inc.
Geon Vinyl Division
6100 Oak Tree Blvd.
Cleveland, OH
44131
Attention: Mr. Joe Kelly
Dear Mr. Kelly:
Subject: N.S.F. Material Formulation Report
As per our telephone conversation, please find enclosed an N.S.F. Material Formulation Report form for your PVC Compound. 85796-288. Please complete Sections IV through VI and forward to N.S.F in the blue confidential envelope enclosed.
Please call if you have any questions.
Thank you for your cooperation.
Very truly yours
Project Engineer
/cc
ends. (2)
cc: J. Maresca S. Tobias
A HAYWARD INDUSTRIES COMPANY
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1030326
C.i03F326 GEON PROD
B F C U D R 1 :; H U U N V I N V L... D I V .1. F 1N RECIPE INQUIRY
EFT:!,, ; 'R; 4 C-i-: FRIilD ; FVi 200 7 5
PRODUCT NBRs 85796 GOO 2880 85796 BLACK 288 LUC: .17 ORPIN; 06,: / TRSN-N; G; T;
SBC; 13C3
EFFECTIVE DATE: 880112
INTERMEDIATE RM N5R
I OTAL LBS RM:
119.OOOOOo LBS PRODUCT:
119.000000 RECIPE TYPE r 2
3EQ 110
10 310
410 510
RAW MATL.
DESCRIPTION ry.
961-000114 110 X 334
p->
94-1 --710700 2301 X 36 912^209isDTHERMOLITE 137
925~715^-<iLTRAPFLEX H 922SSSil02^LACK PEARLS 880
610 943-00L034 CA STEARATE-FtJS 620 943--00L016 MINERAL OIL IJSP
QUANTITY 100 -OOOOOO
3 oOOOOOO 1.500000 0 ,, OOOOOO i.OOOOOO 1,,500000 7. . OOOOOO
LC 12
PACE PERCENT CUNHENT! 84.0336
1,,2601 8 4034
O,,8403
1 682)2
OF
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NEXT RESPONSE: 10016 RECIPE INQUIRY OK
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