Document ZJOwy4X0x61my0dmEXb5Q1eVJ

Goodrich The BFGoodrich Company 500 South Main Street Akron, Ohio 44318 July 8, 1986 /jAy -3 // Address Reply To: Dept. 0020 24-B Program Director National Sanitation Foundation P.0. Box 1468 Ann Arbor, Michigan 48108 Dear Gentlereader: Enclosed is a Material Formulation Confidential Report for BFGoodrich compounds 22-485 and 62-265. These reports are being sent at the request of Jeans Extrusions on the behalf of the G. Schmidt Company. By copy of this cover letter I am informing Jeans Extrusions of their submittal. The composition of BFG compounds 22-485 and 62-265 are confidential and therefore subject to the Generic Secrecy Agreement signed by the National Sanitation Foundation and the BFGoodrich Company 10-24-78. Sincerely, JP cc: R. B. Jean, Jean's Extrusions W. C. Bachtel Toxicologist T0089TT2 BFG11144 National Sanitation Foundation 3475 Plymouth Road, P.O. Box 1468 Ann Arbor, Michigan 48106 U.S.A. Telephone: (313) 769-8010 Page of REGIONAL OFFICE USE ONLY Food Zone Splash Zone Nonfood Zone Resin Pigment Smooth Textured MATERIAL FORMULATION CONFIDENTIAL REPORT Mail to: Program Director NSF P. 0. Box 1468 Ann Arbor, Michigan 48106 Date_____ 5-28-86 Standard F-7 Tests Required: Chem _ T & O ___ Clean Abr Impact Blend Heat Use & Wear_________________ Evaluated by_________________ I Program Participant____C. Schmidt Company Address 11400 Grooms Road_______________ _______ Cincinnati, Ohio 45014_______ Date Evaluated ________________ Co. No. ______________________ Equipment Model Numbers WB, RWU, RWU-A,.SI Description of Equipment___ UaH--in ijpfri gp.raf nrs Description of Parts_________ Door Gasket Part Numbers_______________ #5-1135 Fabricated hy Jean Manufacturing NOTE: Complete the following if part is used in food contact application: Temperature of Food ___0-50- Type of Food WalV-fn Rpfrigprafnr/Trppzpr Surface area in contact (sq. in.)__ 685 IV Basic Material Supplier B< F. GeoPB/ctJ fc>. Type Material____ Pl'C Pigment Supplier B. F. Goodrich Color Grey Formulation Identification - 1LS t ZZ- Formulation Identification To be sent by B.F.Goodrit (Walley Bachte^ V COMPOSITION OF FORMULATION AND PERTINENT DATA -- USE REVERSE SIDE IF NEEDED Chemical Description of Ingredient (Do NOT Use Trade Names) 22-485 Polyvinyl chloride Calcium carbonate Dioctyl phthalate Epoxidized soybean oil Zinc stearate stabilizer Polyethyl ene Stearic acid Titanium dioxide Silica Carbon black-polyolefin Parts by Weight 100 55 73 5 2 0.5 0.25 2 0.08 0.042 Supplier BFGoodrich Section of the Code of Federal Regulations under which accepted. Information required when in food contact applications. Prior sanction Georgia Marble Eastman Chem. Prior sanction Rohm & Haas Prior sanction Vanderbilt GRAS, 178.2010 Allied 177.1510, 177.2600 Emery GRAS DuPont GRAS G1 idden GRAS Ciba-Geigy 177.2600 21188002 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, Cosmetics, and Drug Act as amended. [X] BASIC MATERIAL SUPPLIER / PIGMENT SUPPLIER Use Reverse Side if Needed. Do not attach additional sheets unless signed by basic materiallpigment supplier. Cnmpany.BFGoodri Ch_ __ '_____ Signatur > Title Dn ate Toxicologist____________ __ 7-3-86 BFG11145 Form/Formul/January 1984 V COMPOSITION OF FORMULATION AND PERTINENT DATA -- Chemical Description of Ingredient (Do NOT Use Trade Names) Parts by Weight 62-265 Polyvinyl chloride 92. 00 Acrylic modified-Acryloid KM334 8. 00 Methyl methacrylate-ethyl acrylatel. 00 Calcium carbonate 35. 00 Dialkyl Phthalate 25.00 Calcium stearate Diemthyl tin bisisooctyl 1.00 T.5 thioglycolate *Toner 1.062 *Titanium dioxide 1.0 Si1icon dioxide 0.04 Chrome yellow dispersion 0.0060 Carbon black dispersion 0.0235 Supplier BFGoodrich Rohm & Haas Rohm & Haas Georgia Marbl Monsanto Dart/Witco Carstab Section of the Code of Federal Regulations under which accepted. Information required when in food contact applications. Prior sanction 178.3790 GRAS Prior sanction 178.2010 BFGoodrich Trioxide G1idden Wilson Hercules GRAS GRAS 177.2600 21188003 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, Cosmetics, and Drug Act as amended. Do not attach additional sheets unless signed by basic materiallpigment supplier. ] BASIC MATERIAL SUPPLIER / Q PIGMENT SUPPLIER Company Signature Title____ Date____ BFGoodrich Toxicologist 7-i=a& BFG11146 Porm/Formul/January 1984 National Sanitation Foundation 3475 Plymouth Road, P.O. Box 1468 Ann Arbor, Michigan 48106 U.S.A. Telephone: (313) 769-8010 MATERIAL FORMULATION CONFIDENTIAL REPORT Mail to: Program Director NSF P. 0. Box 1468 Ann Arbor, Michigan 48106 nata November 4, 198 5 Standard. F-7 I Program Participant Address Kolp^k Industries, Inc Psga -_____ ot -- -------- REGIONAL Of FtCE USE ONLY Food Zone [^SpUsh Zone Nonfood Zone Resin Pigment Smooth Textured Tests Required: . Chem Tormula T&O Clean. Abr Impact Blend Heat Use & Wear . Evaluated by _ review O I Date Evaluated________ Co. No. ?67_02_ U Cn s Equipment Model Numbers Description of Equipment _ Freezhrs and refrigerators III Description of Parts Part Numbers Fabricated by NOTE: Complete the following if part is used ], Temperature of Food Surface area in contact (sq. in.) IV Basic Material Supplier__ BFGoodri, Type Material PolyvinylChlp^lde Formulation Identification ^2-48 COMPOSITION OF FORMULATION AND PERTINENT DATA -- USE REVERSE SIDE IF NEEDED Chemical Description of Ingredient (Do NOT Use Trade Names) Polyvinyl chloride Calcium carbonate Dioctyl phthalate Epoxidized soybean oil Zinc stearate stabilizer Polyethylene Stearic acid Titanium dioxide Silica Carbon black-polyelefin Parts by Weight 100 55 73 5 2 0.5 0.25 2 0.08 0.042 Supplier Section of the Code of Federal Regulations under which accepted. Information required when in food contact applications. BFGoodrich Prior sanction Georgia Marbl|e GRAS Eastman Chem. Prior sanction Rohm & Haas Prior sanction Vanderbilt GRAS, 178.2010 Allied 177.1510, 177.2600 Emery GRAS duPont GRAS Glidden GRAS Ciba-Geigy 177.2600 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 I PIGMENT SUPPLIER *0 Use Reverse Side if Needed. Do not attach additional sheets unless signed by basic materiallpigment supplier. Company__BFGoodrich ^Signature __ Title Toxicologist Date_____ -hi3-8*.... -- **v V, .. I BFG11147 GO 8 FormfFormuVJanuary 1984 INational Sanitation Foundation jj 3475 Plymouth.Road, P.O. Box 1468 Ann Arbor, Michigan 48106 U.S.A. Telephone: (313) 769-8010 PB6______of ____ _____ REGIONAL-Of F1CE USE ONLV 0 Food Zone Q^Spl.ish Zor.e 0 No/ food Zone 0 Resin Q Pigment 0 Smooth Q Textured MATERIAL FORMULATION CONFIDENTIAL REPORT Mail to: Program Director NSF P. 0. Box 1468 Ann Arbor, Michigan 48106 Date November 4, 198 5 Standard, F-7 I Program Participant. Address----------------- Kolpak Industries, Florida Avenue Parsons, TN 38363 Inc. / Tests Required; _ Chem formula review r&o Clean .. - ___________ Abr Impact Blend Heat Use & Wear . Evaluated by . Date Evaluated Co. No. 26702 'd* 0 '3I* 0u1 fSa Equipment Model Numbers _A___ll__Listed Description of Equipment _ Freezers ana refrigerators 111 Description of Parts_______ Door gaskets" Part Numbers_____________ Fabricated by. NOTE: Complete the following if part is.dsed in food-contact application: Temperature of Food 35-Aff Hp F Surface area in contact (sepin.) JZ_ IV Basic Material Supplier-- Type Material Polwinvl Type of Food --Various. Pigment Supplier Color___ Gray----- Formulation Identificatioi Formulation Identification COMPOSITION OF FORM TINENT DATA -- USE REVERSE SIDE IF NEEDED Chemical Description of Ingredient (Do NOT Use Trade Names) Parts by Weight Polyvinyl chloride 92.00 Acrylic modified-Acryloid K3 1334 8.00 Methyl methacrylate-ethyl ai trylate 1.00 Calcium carbonate 35.00 Dialkyl Phthalate Calcium stearate Dimethyl tin bisisooctyl 25.00 1.0 1.5 thioglycolate *Toner 1.062 *Titanium dioxide Silicon dioxide Chrome yellow dispersion Carbon black dispersion 1.0 0.04 .0060 .0235 Supplier BFGoodrich Rohm & Haas Rohm & Haas Georgia Marble Monsanto Dart/Witco Carstab Section of the Code of Federal Regulations under which accepted. Information required when in . food contact applications. Prior sanction 1 i78.3790 GRAS Prior sanction 178.2010 BFGoodrich Trioxide Glidden Wilson Hercules GRAS GRAS 177.2600 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. Use Reverse Side if Needed. Do not attach additional sheets unless signed by basic materiallpigment supplier. BASIC MATERIAL SUPPLIER / Q PIGMENT SUPPLIER Company Signature BFGoodrich Company.. 'If $ Title Date. Toxicologist 1-13-86 v\ I BFG11148 Form/FormuUJanuary 1984 *0 CD V\ Jeans9 Extrusions, Inc. y 1 ..-/ / /" - j9 I7~." ^ ^V3 A-5o-kt ^_ J?/~ CS- ^ /'^/i m ^ a: 62-Z&S dMd ZZ~ 4 fS' M&JUaJjLL &PdL>, -ps-03- 0) -e- BFG11149 ^008S T T 2 Attached is a final copy of your Material Formulation Confidential Report form. Please forward it to your Material Supplier for completion of Section V and signature. The completed form should then be returned to our Program Director, in the blue Confidential Business Information envelope, as indicated at the top of the form. Please note that each ingredient must be identified in Section V with appropriate reference to the U.S. Code of Federal Regulations by part, sub-part, and section number. The most frequently used volume is "Title 21, Food and Drugs, Parts 170 to 199", available from the Superintendent of Documents, U. S. Government Printing Office, Washington, D.C. 20402. NOTE: A $170.00 fee for review will be invoiced upon recei^i^^ of the completed formulation report. A $60.00 will be invoiced for incomplete formulations report^!'* ' NATIONAL SANITATION FOUNDATION, REGIONAL OFFICE BFG11150 National Sanitation Foundation 3475 Plymouth Road, P.O. Box 1468 Ann Arbor, Michigan 48106 U.S.A. Telephone: (313) 769-8010 Pag* REGIONAL OFFICE USE ONLY Food Zone Splash Zone Nonfood Zone Re$in Pigment Smooth Textured MATERIAL FORMULATION CONFIDENTIAL REPORT Mail to: Program Director NSF P. O. Box 1468 Ann Arbor, Michigan 48106 Date. May 28. 1986__ Standard____F-Z_ Tests Required: Chem T0 Clean Abr Impact Blend Heat Use & Wear Evaluated by I Program Participant C Schmidt Company Address H400 Grooms Road Cincinnati, Ohio 45014 Date Evaluated Co. No. Equipment Model Numbers WB. RWU. RWU-A. SI Description of Equipment _ Walk-in Refrigerators III Description of Parts____ Door Gasket_____________ Part Numbers______________ #5-1135_________________ Fabricated hy Jean Manufacturing________________ NOTE: Complete the following if part is used in food contact application: Temperature of Food 0-50 Type Of Food Walk-in Refrigerator/Freezer Surface area in contact (sq. in.) 085 IV Basic Material Supplier B* Type Material PVC Goodrich Formulation Identification 02-265 & 22-485 Pigment Supplier Color__!_________ Formulation Identification COMPOSITION OF FORMULATION AND PERTINENT DATA -- USE REVERSE SIDE IF NEEDED Chemical Description of Ingredient (Do NOT Use Trade Names) Parts by Weight Supplier Section of the Code of Federal Regulations under which accepted. Information required when in food contact applications. 8O0S8TT2 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, Cosmetics, and Drug Act as amended. BASIC MATERIAL SUPPLIER / PIGMENT SUPPLIER Use Reverse Side if Needed. Do not attach additional sheets unless signed by basic materiallpigment supplier. BFG11151 PnrmfFnrmiilf.lanuarv 1QA4