REPORT ... ,., Technical Report: (8512) Page 1 of 10 JAN 16, ,, ' BUHEAU VERITAS .'11
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1 BUHEAU VERTAS REPORT Technical Report: (8512) Page 1 of 10 JAN C;\lJ Vc t i l;l ~ Sl("m' llcl1 Co. Ltd tjr Ulu: k r{ 1.~llllid (l nrlu '> lri[l1 UUl1dllU 'lililulle OlllunV!iLlll1l[llwlu... ltiili r;lrf; Xiii 10'.'.11 l-.!wl Dis tri ct SWlll hc ll Gl illl[jdol!. P.RC. 1 r.:1 :811 7!)~ 8( OOa!" 1 f<l ~: 86 n s lhlo(lo 1 t!) \"\'/\''.l ll/ccl '.'' fjl i1!.r \Jill/CP S " '.... \ '. H ". r ' : ~ r 1. ii." ;'. " 1.':li " ".'11. ' 'i " ' " J ' " ~" ' ' ''. /' r ". 0'
2 8UREAU VERTAS TEST REPORT MONDAY BEAUTY LTD /F PAUL Y CENTRE HUNG TO ROAD~UNTONGHONGKONG ATTN: C.C.: EMAL: TONY/SHNGO/KAY/STEPHEN CANDY tony@mondaybeauty.com shingo@mondaybeauty.com kay@mondaybeauty.com stephen@mondaybeauty.com candy@mondaybeauty.com LAB LOCATON: LAB NUMBER: CLENT NO.: DEPARTMENT: DATE N: DATE OUT: MOD. LOG N: REVSED DATE: PAGE: SHENZHEN (8512) JAN JAN of 10 SUBMSSON PROCESS Sample Collection: o nitial Sample Collection (DC's 1/5 Only) o Second Sample ~~lection (DC's 2/3/4/6/7/8/9) PASS SATSFACTORY OVERALL RATNG x o Single Sample Collection (All DC's - 50% of Entire Quantity Produced) o Random Sampling of Failure (All DC's - 90% of Entire Quantity Produced) o Random Sampling of Failure w Prop 65 (DC 4/9 & Non-DC 4/9-90% of Entire Quantity Produced) o Vendor Direct CORRECTVE ACTON REQURED FAL UNSATSFACTORY RANDOM SAMPLNG REQURED "VENDOR PLEASE NOTE RANDOM SAMPLNG S REQURED ON ALL FALED REPORTS" TESTNG FOR PLASTC FOOD CONTACT ARTCLE (V5) Sample Description: Final Packaging: Submitter: Country of Origin: Country of Sale: Color: Department Number: Sub-Department No. 16CT X'MAS PLASTC CE CUBES Yes (submitted for review) No (not submitted for review) X MONDAY BEAUTY Vendor Number: LTD CHNA Style: USA SKU Number(s): G91147 P.O. Number(s) (USA): 4714
3 . -~ U U\'.. ~.N~ 6... UKEAU VEKTAS (8512) Page 3 of 10 Previous Report No.: Revised Report: Charge Vendor: Reason For Revision: Ves: Additional PO No (USA): No: X P.O. Number(s) (Canada): Ves: x No: Additional PO No (Canada): Vendor tem Number: TEST PROPERTV PASS SATSFACTORV CAR FAL DATA COMMENTS Labeling Physical Characteristics Construction Qualities Performance Colorfastness Flammability Analytical X REMARK(S): 1. See enclosed prolocol(s) for the test results. 2. As per request only the FDA 21 CFR was conducted in this report. 3. No applicable CPSC rules bans or standards were tested in this report. Therefore no GCC was generated.
4 (8512) Page 4 of 10 UHEAU VERTS f there are questions regarding above report please contact the appropriate lab personnel. Technical questions please contact: John Hong 1 Kris Wan (86) (Ext ) John.hong@cn.bureauveritas.com Kris.wan@cn.bureauveritas.com Administrative questions please contact: Cassie Zhu 1 Tina Xie (+86) (Ext 6619/6248) Cassie.zhu@cn.bureauveritas.com Tinaaxie@cnbureauveritas.com BUREAU VERTAS SHENZHEN CO. L TO ~ >' ".-; " BRAN lam MANAGER - HARDLNES DVSON
5 BV Lab Number: (8512) Test Date: JAN Reviewed BylDate: JAN BUREAU Page 5 of 10 VERTAS BUREAU VERT AS TEST PROTOCOL FOR... r.. k7... & &... & r.... &.... '". Evaluation No. of Citation Method Criteria Results R2ting Samples SCOPE: This protocol covers the food grade tests for articles. whieh are made ofplastie. intended to contact with food and bevera~e. SUPPLEMENTAL PROTOCOLS The sample should be reviewed against the requirements of California Proposition 65 to determine if additional testing or labeling is required. # California Proposition 65 CPSD-AN-PTCL- For samples that fall under the scope ofcaprop US requirements with testing limit(s) but does not contain NT 1 appropriate labeling (refer to labeling section for detail). actual testing will be conducted. OthCtWise. actual testing is not required and report as "Pass" if the sample contains appropriate labelin~. ANALYTCAL. Resinuous and polymeric coating Shall comply with FDA 21 CFR requirements. FDA21 CFR CPSD-AN No test for dry food. Dry food means no free fat or oil on NA 1 Shall comply with FDA 21 CFR requirements. FDA21 CFR Acrylic and modified acrylic plastic 1 CPSD-AN NA 1 - No test for dry food. Dry food means no free fat or oil on the surfacc KW
6 BUREAU li '... Evaluation Citation Method... ft.;)\...fvvv\...v ' "'\...'.A\...LL V;'J No. of Samples BV Lab Number: (8512) Test Date: JAN Reviewed BylDate: ' JAN Pa~e 6 of 10 Criteria Results Rating Closure-scaling gasket of closures shall comply with FDA 21CFR requirements. Closures with scaling gaskets FDA 21 CFR No test for dry food. Dry food means no frec fat or oil on CPSD-AN NA - Gaskets arc only tested according to gasket requirements of FDA 21 CFR Vendor shall be responsible for the compliance of the material requirements. unless testing of material is requested. Shall comply with FDA 21 CFR requirements. FDA 21 CFR Ethylene vinyl acctate copolymers CPSD-AN Apply tests stated in 2lCFR section (b)( ) only. NA - No test for dry food. Dry food means no free fat or oil on Shall comply with FDA 21CFR requirements. FDA21 CFR Melamine-fonnaldehyde resins in CPSD-AN NA molded articles - - No test for dry food. Dry food means no free fat or oi l on the surfaec. FDA21 CFR Nylon resins or polyamide CPSD-AN Shall comply with FDA 21CFR requirements. - Applicablc to nylon resins stated in FDA 21 CFR section (b) table. except Nylon 6/ 12 resins in point 13.1 and Nylon 6/69 resins in point 14 and Nylon resin PA 6-3-T in point 16. NA <W
7 ~~ = ~ "- 78 :;> ~ BUREAU...:11:... BV Lab Number: Test Date: Reviewed BylDatc: (8512) JAN / JAN Page 7 aflo Evaluation Citation Method OJ...'" ""... ' 'oj No. of Samples Criteria Results Rating Shall comply with FDA 21 CFR requirements. Olefin polymers FOA21 CFR M / CPSO-AN Applicable to olefin polymers. including but not limited to SEE A T ACHED polypropylene (PP) homopolymer. polypropylene (PP) PASS copolymer and polyethylene (PE). Polycarbonatc resins Shall comply with FDA 21CFR requirements. FOA21 CFR / CPSO-AN NA / MTHO - Apply tests stated in 21 efr section (c)(2) only. Shall comply with FDA 21 CFR requirements. Polyethylene phthalate polymers FDA 21 efr / CPSO-AN Applicable to article with condition of use stated in 21CFR section (f). (g) and (i) only. NA Shall comply with FDA 21CFR requirements. FOA21 CFR Polystyrene or rubber-modified / CPSO-AN-OO polystyrene - Apply tcsts stated in 21 CFR section (c) only. NA / FOA21 CFR Shall comply with FDA 2 1CFR requirements. Styrene block polymer section (e)(3) / CPSO- - - Apply solubility and maximum extractable fraction tests NA / AN only. Styrene-methyl methacrylate copolymer - No tcst for dry food. Dry food means no free fat or oil on Shall comply with FDA 21CFR requirements. FOA21 CFR / CPSO-AN No test for dry food. Dry food means no free fat or oil on NA /!<W
8 fj'~:'~ - '" p = ~ \. 78:16 BUREAU ":W ;"'.~'" Evaluation Citation Method BV Lab Number: (8512) Test Date: JAN Reviewed BylDatc: JAN P3.gc8of l 0 l:"j...t1>03 11'-- rvvv -un.1"... ftal.\ e \ v;; No. of Samples Criteria Results Rating Shall comply with FDA 21CFR requirements. Urea-formaldehyde resins in molded articles FDA 21 CFR CPSD-AN-Q No test for dry food. Dry food mc:ljls no free fat or oil on NA Polyvinyl chloride: Phenolic resins in molded articles FDA 21 CFR (draft) CPSD-AN FDA 21 CFR CPSD-AN-Q0427- Shall comply with FDA 21CFR (draft) - requirements. NA Shall comply with FDA 21CFR requirements. - NA - Applicable to repeated use articles in contact with non-acid food (ph above 5.0) only. Shall comply with FDA 21 CFR requirements. Crosslinked polyester resins FDA 2 CFR CPSD-AN-Q Applicable to repeated usc articles or components of articles intended to contact with food. - No test for dry food. Dry food means no free fat or oil on NA Shall comply with FDA 21 CFR requirements. Polyoxymcthylene copolymer FDA 21 CFR CPSD-AN-QOO Applicable to both finished product and raw material. - Applicable to repcated usc articles or components ofanicles intended to contact with food. but use temperature shall not exceed 250 OF. NA. No test for dry food. Dry food means no free fat or oil on the surface.. Apply tests stated in 21 CFR section (d) only _- t<!n
9 r r~ ~ 7 o 0 \ UREAU * i ~ Evaluation Citation Method BY Lab Number: Test Date: Reviewed BylDatc: (8512) JAN JAN Page 9 aflo r.. d...::>... ' v V.L ~...t""". 1-'l.n ". " N o. of Criteria. Results luting ~ Samples Shall comply with FDA 21 CFR requirements. FDA 21 CFR Polyoxymcthylcnc homopolymer 1 CPSD-AN Applicable to both finished product 3nd raw material. - Applicable to repeated use articles or components of articles intended to contact with food. but use temperature shall not exceed 250 of. - No test for dry food Dry food means no free fat or oil on - Apply tests stated in 21CFR section (c)(3-4) and (d) only. - For finished product. apply density melting point and soluble extractive tcsts only. - For raw material. apply density. melting point. formaldehyde release and soluble extractive tests only. NA 1 FDA 21 CFR Shall eomply...vith FDA 21 CFR requirements. Rubber intended for repeated usc 1 CPSD-AN-OOOO2- - NA 1 - Not applicable to rubber nursing-bottle nipples. Shall eomply...vith FDA 2 1 CFR requirements. FDA 21 CFR Acrylonitrile copolymer and resins CPSD-AN-OO55- - NA 1 - Test acry)c;mitrilc copolymer and resins...vith acrylonitrile less than 30% only. -- Note 1: Testing charge per material per color. ><:on
10 ". ~ "!...e::2~ ' BUREAU VERTAS BV Lab Number: Test Date: Reviewed BylDatc: (8512) JAN JAN Page 100f i0 Key: # Result Kev: C R M NM NA NT Rating Kev: PASS FAlL Additional Charge For This Test Mandatory Requirement By Request Only Claimed Recorded Meets Docs Not Meet Not Applicable Not Tested Pass Fail No. OfSampics Required for Complete Testing No. Of(Ful~Packcd) Cartons For Transit Testing: No. Of Working Davs For CO1]J?lctc Testing: 4 Additional sample may be requested if insufficient Client Approval: Creation Date: - Last Revision Date: 7 Pricing Review Date: Technical Review Date: FEBRUARY MARCH MAY <W
11 Bureau Veritas Shen Zhen Co. LTD Report No: (8512) Prepared By: JeTY Liao Checked By: Cyrus Code: SZA107 Date: Jan Date: Jan Effectiw~ date: 9/ U.S. FDA 21 CFR part Olefin polymer Client claimed material: Polyethylene Test tem Density (g/cc) n-hexane extractives (%) Xvlene extractives i%) Conclusion PASS PASS PASS 4 Requirements PASS Tested tem 1: Tested tem 2: Tested tem 3: Tested tem 4: Transparent plastic (ice cube) Red plastic (ice cube) Green plastic (ice cube) Yellow plastic (ice cube) < = less than Page of
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