Document jjZ7LQ1LoqzZngrvJDrNEBgN

BFGoodrich Th* BFGoodrich Company 500 South Main StrMt Akron. Ohio 44316 a s /ff Addmu RaplyTo: D*pt. 0020 Bldg. 5-H March 18. 1985 Program Director National Sanitation Foundation P.0. Box 1468 Ann Arbor, Michigan 48106 Dear Sir: Attached is a(completed Material Formulation Confidential Report for Geon 82611 Black 290 submitted at the request of Fernco, Inc.^ The composition of Geon 82611 Black 290 is confidential and subject to the generic secrecy agreement signed by BFGoodrich and the National Sanitation Foundation, October 24, 1979. Sincerely W. C. Bachtel Toxicologist v cc: J. Simmons (cover letter only) W. Sharey, Fernco Corp. (cover letter only) T006Z60' BFG08228 National Sanitation Foundation 3475 Plymouth Road. P.O. Box 1468 Ann Arbor, Michigan 48106 U.S.A. Telephone: (313) 769-8010 Pag* 1 at 1 KCtONAL OFFICE USE ONLY (2 Food Zoo* Sptaaft Zoo* Q Nonfood 2on QR**m Pigment Q Smooth Q Textured MATERIAL FORMULATION CONFIDENTIAL REPORT Program Director NSF P. 0. Box 1468 Ann Arbor, Michigan 48106 Date. October 17, 1984 Standard. F-3 tao Clmtn Abe _______________ __________ Impact Bland Heat Um a Wear KK Evaluated by _ Program Participant. Address___________ Hobart Corporation World Headquarters Troy, OH 45374 D*t* Evaluated _____ ,, 22250 Co. No. ____________ Equipment Model Numbers ET 20 LT20 ET40 Description of Equipment_ Dishmachine LT40 III Description of Parts_______ Coupling Part Numbers_____________ 186385 Fabricated by_____________ Fernco. Inc. NOTE: Complete the following if part is used in food contact application: Temperature of Food F___ _________ Type of Food Surface area in contact (sq. in.) _ 16 N/A IV t r*jytf4<? BFfinndrich- Pigment Supplier Type Material_______________ E-VC_____ Color Black Geon 82611 Black 290 Formulation Identification V COMPOSITION OF FORMULATION AND PERTINENT DATA -- USE REVERSE SIDE IF NEEDED Chemical Description of Ir. gradient (Do NOT Us* Trad* Nat ' ii polyvinyl chloride Di(C79-ll) allkyl phthalate epoxidized soybean oil 10,10'oxy bisphenoxarsine barium, cadmium, zinc stabilizer Parts by Weight 36.80% 37.91 1.84 1.84 0.87 Supplier BFGoodrlch Section of the Code of Federal Regulations under which accepted. Information required whan in food contact applications. prior sanction Monsanto - Argus;FMC Corp prior sanction 7entron - Synthetic Prod i. Argus calcium carbonate carbon black" 22.08 0.37 Sen Star Georgia Marble Cities Service 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 forfood contact application, the material / the requirements of the Federal Food, Cosmetics, and Drug Act as amended. does not meet ?oo6zeoz Use Reverse Side if Needed. Do not attach additional sheets unless signed by basic materiallpigment supplier. BASIC MATERIAL SUPPLIER I PIGMENT SUPPLIER BFGoodrlch Company __ Title______ Date_____ Toxicologist 3/18/85 _ BFG08229