Document b5Bmb3819aybjVqeJ80BgKRXZ

Report No. A2200090001101001 Test Report Page 1 of 4 Applicant CHANGZHOU XCF POLYMER MATERIALS CO., LTD. Address NO.999 DINGJIAN ROAD, DINGYAN TOWN, CHANGZHOU, 213025 CHINA The following sample(s) and sample information was/were submitted and identified by/on the behalf of the client Sample Name PTFE White Sewing Thread Part No. 1200Denier Sample Received Date Apr. 14, 2020 Testing Period Apr. 14, 2020 to Apr. 28, 2020 Test Conducted: As requested by the applicant. For details refer to next page(s). Tested by Reviewed by Approved by Hill Zheng Technical Manager Date Apr. 28, 2020 No. R187211363 Centre Testing International Group Co.,Ltd. CTI Building, Xing Dong Community, Xin'an Sub-district, Bao'an District, Shenzhen City, Guangdong Province, P.R. China Report No. A2200090001101001 Executive Summary: Test Report Page 2 of 4 TEST REQUEST Refer to FDA 21CFR 177.1550 Perfluorocarbon resins - Total extractives - Fluoride extractives CONCLUSION PASS PASS PASS (FAIL) means that the results shown on the report (do not) comply with the required limits. ************* For further details, please refer to the following page(s) ************* Test Report Report No. A2200090001101001 Refer to FDA 21CFR 177.1550 Perfluorocarbon resins Total extractives Test Method: Refer to FDA 21CFR 177.1550 Test Item(s) Distilled water extractives 50% ethanol extractives N-heptane extractives Ethyl acetate extractives Result 001 1.0 0.7 1.7 2.1 MDL 0.5 0.5 0.5 0.5 Fluoride extractives Test Method: Refer to FDA 21CFR 177.1550 Test Item(s) Fluoride extractives in distilled water Fluoride extractives in 50% ethanol Fluoride extractives in n-heptane Fluoride extractives in Ethyl Acetate Result 001 N.D. N.D. N.D. N.D. MDL 0.05 0.05 0.05 0.05 Page 3 of 4 Reference Limit 3.1 3.1 3.1 3.1 Unit mg/dm mg/dm mg/dm mg/dm Reference Limit 0.46 Unit mg/dm 0.46 mg/dm 0.46 mg/dm 0.46 mg/dm Remark: - MDL = Method Detection Limit - N.D. = Not Detected (<MDL) Sample/Part Description 001 White plastic thread Note: - The testing data and result(s) in this report is(are) just for scientific research, education, internal quality control and product development etc. Report No. Test Report A2200090001101001 Photo(s) of the sample(s) Page 4 of 4 *** End of Report *** Statement: 1. This report is considered invalid without approved signature, special seal and the seal on the perforation; 2. The sample(s) and sample information was/were provided by the client who should be responsible for the authenticity which CTI hasn't verified; 3. The result(s) shown in this report refer(s) only to the sample(s) tested; 4. Without written approval of CTI, this report can't be reproduced except in full; 5. In case of any discrepancy between the English version and Chinese version of the testing reports (if generated), the Chinese version shall prevail.