Document k9Q9nzy4pZvjZvjVMJQ3dmyrV

BFGoodrich The BFGoodrich Company 3925 Embassy Parkway Akron. Ohio 44313-1799 September 27, 1988 Program Director National Sanitation Foundation P.0. Box 1468 Ann Arbor, Michigan 48106 Dear Gentlereader: I am submitting a completed Material Formulation Confidential Report for Geon 85856 white 138 on the behalf of Sta-Rite Industries, Inc. The composition of Geon 85845 white 138 is confidential to the BFGoodrich Company and therefore subject to the generic secrecy agreement signed by BFGoodrich and the National Sanitation Foundation October 24, 1979. Sincerely, W. C. Bachtel Toxicologist jp 80927-4 cc: J. Kelley H. Forsyth BFG12958 Tuotzrrz Mppw4-n9n National Sanitation Foundation NSF 3475 Plymouth Road, P.O. Box 1468 Ann Aitoor, Michigan 48106 U.S.A. Telephone: (313) 769-8010 f__L * - 1 . -- KECtONAL CM BC USE ONLY QfdodZZoona Splash Zor.e Norwood Zona Q Smooth Q Textured MATERIAL FORMULATION CONFIDENTIAL REPORT Mail to: Program Director NSF P. O. Box 1468 Ana Arbor, Michigan 48106 Date. August 1, 1988 Standard. #50 T*t Required: JUCham_______ T a O____ Clean _______ Impact Stood _ Heet _ um a Ww. Evaluated by _ i Program Participant. Sta-Rite Industries, Inc. Address__________ 293 S. Wright Street Delavan, WI 53115 &AData Evaluatad Co. No. 43155 ll Equipment Model Numbers Posi-Flo Description of Equipment _ Cartridge Filters ill Description of Parts_______ Flange Part Numbers_____________ WC61-3P Fabricated by_____________ Waterford Surface area of part (sq. in.) 159 Surface area in contact (sq. in.) _ 50 1/2 Temperature of Food/Wat*iZlec JDi F. GcootiKJ4 IV Basic Material Supplier Type Material______ Tver Formulation Identification Geon 85856 pool. spa> Hot tub Pigment Supplier__________ Color__________White 138 Formulation Identification COMPOSITION OF FORMULATION AND PERTINENT DATA -- USE REVERSE SIDE IF NEEDED Chemical Description of Ingredient (Do NOT Use Trade Nemesl Parts by Weight Supplier Section of the Code of Federal Regulations under which accepted. Polyvinyl chloride 100 BFGoodrich Prior Sanctioned Butyl acrylate-methyl meth acrylate-butadiene copolym ir 8 i&T Chemicals 178.3790 Dimethyltin/monomethyltin isooctylmercaptoacetate 2 4orton-Thioko1 178.2010 Titanium dioxide 15 fitco GRAS Ethylene bis stearamide 2 forton-Thiokol Prior Sanctioned Manganese,zinc,chromite spinel 0.9 larshaw Nickel,antimony titanate- rutile 0.334 SCM Black masterbatch* 0.065 BFGoodrich Prior sanction, GRAS,177.2600 * PVC-62.5 [see other side) It is herein certified that the above listed material is intended for the specific end use application. It is further certified that in the cas8 of materials intended forfood contact application, the material meets the requirements of the Federal Food, Drug, and Cosmetic Act as amended. 0 BASIC MATERIAL SUPPLIER / PIGMENT SUPPLIER Use Reverse Side if Needed.. Do not attach additional sheets unless signed by bQ^Qf^Q\\^llpigment supplier Company BFGoodrich Signature W b* Lo S o c AUG 10 ;GL-NE Title ______ Tmrf rnl ngf ah Date_____ Sept. 27, 1988 FornVFormu(/JnurY 198-1 BFG12959