Fda 20210310

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Test Report. No. CANML2103046101 Date: 10 Mar 2021 . Page 1 of 4.

SHENZHEN GENVAN SILICONE MATERIALS CO., LTD .


DONGGUAN GENVAN SILICONE TECHNOLOGY CO., LTD
NO.29 SHAKENG ROAD,BILING,PINGSHA,SHENZHEN CHINA
B3 BUILDING,2ND DISTRICT,XICHENG INDUSTRIAL ZONE HENGLI TOWN,DONGGUAN,CHINA
.

.
The following sample(s) was/were submitted and identified on behalf of the clients as : GA-1053 .

SGS Job No. : GZIN2103010413PC - GZ .


Tested Sample Info. : . GA-1053.
Client Ref. Info. : . Please See Remark .
Date of Sample Received : . 04 Mar 2021.
Testing Period : . 04 Mar 2021 - 10 Mar 2021 .
Test Requested : . Selected test(s) as requested by client. .
Test Method : . Please refer to next page(s). .
Test Results :. Please refer to next page(s). .

Result Summary : .
Test Requested. Conclusion.
FDA 21 CFR 177.2600–Total extractive residues .. PASS.

Signed for and on behalf of


SGS-CSTC Standards Technical Services Co., Ltd. Guangzhou Branch.

Ivy Ren.
Approved Signatory . . .
Test Report. No. CANML2103046101 Date: 10 Mar 2021 . Page 2 of 4.

Test Results :.

Test Part Description : .

Specimen No.. SGS Sample ID. Description. Material


(claimed by the client).
SN1. CAN21-030461.001 Transparent silicone sheet . Silicone.

FDA 21 CFR 177.2600–Total extractive residues.

Test Method : . With reference to US FDA 21 CFR 177.2600. .

Simulant Used. Time. Temperature. Max. Permissible Result of 001 Comment.


Limit.
Distilled Water .. 7.0hr(s).. Reflux 20mg/inch². <0.5mg/inch² .. PASS..
temperature..
Succeeding Extraction .. 2.0hr(s).. Reflux 1mg/inch². <0.5mg/inch² .. PASS..
temperature..
n-Hexane.. 7.0hr(s).. Reflux 175mg/inch². 9.8mg/inch².. PASS..
temperature..
Succeeding Extraction .. 2.0hr(s).. Reflux 4mg/inch². <0.5mg/inch² .. PASS..
temperature..

Notes :.
mg/inch²= milligram per square inch .
Test Report. No. CANML2103046101 Date: 10 Mar 2021 . Page 3 of 4.

Remark:

GA-10 series/GA -11 series/GA-12 series/GA-13 series/GA -14 series/GA-15 series/

GA-16 series/GA -17 series/GA-18 series/GA-19 series/ GA20 series/ GA21 series/

GA22 series/ GA23 series/ GA24 series/ GA2 5 series/GA26 series / GA27 series/

GA28 series/ GA29 series/GA -30 series/GA-31 series/GA -32 series/GA-33 series/

GA-34 series/GA -35 series/GA-36 series/GA-37 series/GA -38 series/GA-39 series/

GA-51 series/GA -52 series/GA-53 series/GA-54 series/GA -55 series/GA-56 series/

GA-57 series/GA -58 series/GA-59 series/GA-60 series /GA -61 series /GA-62 series /

GA-63 series /GA -64 series /GA-65 series /GA-66 series /GA -67 series /GA-68 series /

GA-69 series /GA -70 series/GA-71 series/GA-72 series/GA -73 series/GA-74 series/

GA-75 series/GA -76 series/GA-77 series/GA-78 series/GA -79 series/ GA-80 series/

GA-81 series/ GA -82 series/ GA-83 series/ GA-84 series/ GA -85 series/ GA-86 series/

GA-87 series/ GA -88 series/ GA-89 series/GA-90 series /GA -91 series /GA-92 series /

GA-94 series /GA-95 series /GA-96 series /GA-97 series /GA -98 series /GA-99 series
Test Report. No. CANML2103046101 Date: 10 Mar 2021 . Page 4 of 4.

Sample photo: .

CANML2103046101

CAN21-030461.001 .

SGS authenticate the photo on original report only .

*** End of Report *** .

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