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1 Live Safer TM NSF International 789 N. Dixboro Rd. Ann Arbor, MI 8105, USA NSF.MARK TEST REPORT Send To: L10 Mr. Colman Dungan Precision Associates Inc. 800 Washington Avenue North Minneapolis, MN 5512 Facility: C00921 Precision Associates Inc. 800 Washington Avenue North Minneapolis MN 5512 United States Result PASS Report Date 25-APR-2016 Customer Name Precision Associates Inc. Tested To NSF/ANSI 61 Description 2761 Black rubber plaques Trade Designation Test Type Job Number 2761 Annual Collection A Project Number W02901 Project Manager Cortney Scruggs Thank you for having your product tested by NSF International. Please contact your Project Manager if you have any questions or concerns pertaining to this report. Report Authorization Date 2-APR-2016 Amanda Phelka - Director, Toxicology Services Page 1 of 7
2 General Information Standard: NSF/ANSI 61 DCC Number: IA1615 Lot Number: 680A Monitor Code: A Physical Description of Sample: Black rubber plaques Trade Designation/Model Number: 2761 Sample Id: S Description: Sample exposed at 82C and ph 8 Sampled Date: 0/1/2016 Received Date: 0/0/2016 Normalization Information: Date exposure completed: 1-MAR-2016 Calculated N1: 0.07 Field Exposure Time: 16 hours Lab Exposure Time hours Field Surface Area: 2 in2 Lab Surface Area: 1. in2 Calculated N2: 1.00 Calculated N: Constant N2: 1 Misc. Factor: 1 Field Static Volume: 1 L Lab Static Volume: 0.70 L Calculated NFm: 1.00 Compound Reference Key: TAC Chemistry Lab Polynuclear Aromatic Hydrocarbons by GCMS Acenaphthene Acenaphthylene Anthracene Benzo(a)Anthracene Benzo(a)Pyrene (PAH) Benzo(b)Fluoranthene Benzo(g,h,i)Perylene Benzo(k)Fluoranthene Chrysene Dibenzo(a,h)Anthracene Fluoranthene Fluorene Indeno(1,2,,-c,d)Pyrene Naphthalene Phenanthrene Pyrene BASE/NEUTRAL/ACID EPA METHOD 625 Scan for Tentatively Identified Compoun (Butoxyethoxy) ethanol Bisbutoxyethoxyethyl adipate Dihydrodimethylacridine O cmpd MW>191 Scan Control TRUE Semivolatile Compounds, Base/Neutral/Acid Target 625, Data Workup Pyridine Page 2 of 7
3 Nitrosodimethylamine (N-) N-Nitrosomethylethylamine 5-Methyl-2-hexanone (MIAK) 1-Methoxy-2-propanol acetate 2-Heptanone Cyclohexanone Nitrosodiethylamine (N-) Isobutylisobutyrate Aniline Phenol Di(chloroethyl) ether 2-Chlorophenol 2,-Benzofuran 1,-Dichlorobenzene 1,-Dichlorobenzene -Cyclohexene-1-carbonitrile 2-Ethylhexanol 0.2 Benzyl alcohol 1,2-Dichlorobenzene bis(2-chloroisopropyl)ether 2-Methylphenol (o-cresol) N-Methylaniline Acetophenone 0.2 N-Nitrosodi-n-propylamine N-Nitrosopyrrolidine - and -Methylphenol (m&p-cresol) Hexachloroethane 2-Phenyl-2-propanol 5 5 N-Nitrosomorpholine Nitrobenzene 2,6-Dimethylphenol N-Vinylpyrrolidinone N-Nitrosopiperidine Triethylphosphate Isophorone 2-Nitrophenol 2,-Dimethylphenol bis(2-chloroethoxy)methane 2,-Dichlorophenol Trichlorobenzene (1,2,-) Naphthalene -Chloroaniline 1,1,,,-Tetramethyl-2-thiourea ND() ND() ND() ND() Hexachlorobutadiene Page of 7
4 Benzothiazole N-Nitrosodi-n-butylamine -Chloro--methylphenol p-tert-butylphenol 2-Ethylhexyl glycidyl ether 2,6-Di-t-butyl--methylphenol(BHT) Methylnaphthalene, 2- Cyclododecane 2,,5-Trichlorophenol 2,,6-trichlorophenol 1(H)-Isobenzofuranone 2-Chloronaphthalene 2-Nitroaniline 1,1'-(1,-Phenylene)bis ethanone 2,6-Di-tert-butylphenol Dimethylphthalate 1,1'-(1,-Phenylene)bis ethanone Acenaphthylene Benzenedimethanol, a,a,a',a'-tetramethyl-1,- 2,6-Dinitrotoluene 2,-Dinitrotoluene Benzenedimethanol, a,a,a',a'-tetramethyl-1,- 2,-Di-tert-butylphenol Dimethyl terephthalate Acenaphthene Dibenzofuran Ethyl--ethoxybenzoate -Nitrophenol Cyclododecanone Diethyl Phthalate p-tert-octylphenol Fluorene -Chlorophenylphenylether -Nitroaniline -Nitroaniline Nitrosodiphenylamine (N-) Azobenzene -Bromophenylphenylether Hexachlorobenzene Pentachlorophenol Phenanthrene Anthracene Diisobutyl phthalate Dibutyl phthalate Page of 7
5 Diphenyl sulfone Hydroxymethylphenylbenzotriazole Fluoranthene Pyrene Butyl benzyl phthalate Di(2-ethylhexyl)adipate,-Dichlorobenzidine Benzo(a)anthracene Di(2-ethylhexyl)phthalate Chrysene Di-n-octylphthalate Benzo(b)fluoranthene Benzo(k)fluoranthene Benzo(a)Pyrene (PAH) Dibenzo(a,h)anthracene Indeno(1,2,-cd)pyrene Benzo(g,h,i)perylene Volatile Organic Compounds (Ref: EPA 52.2) Dichlorodifluoromethane Chloromethane Vinyl Chloride Bromomethane Chloroethane Trichlorofluoromethane Trichlorotrifluoroethane Methylene Chloride 1,1-Dichloroethylene trans-1,2-dichloroethylene 1,1-Dichloroethane 2,2-Dichloropropane cis-1,2-dichloroethylene Chloroform 0.0 Bromochloromethane 1,1,1-Trichloroethane 1,1-Dichloropropene Carbon Tetrachloride 1,2-Dichloroethane Trichloroethylene 1,2-Dichloropropane Bromodichloromethane Dibromomethane cis-1,-dichloropropene trans-1,-dichloropropene 1,1,2-Trichloroethane Page 5 of 7
6 1,-Dichloropropane Tetrachloroethylene Chlorodibromomethane Chlorobenzene 1,1,1,2-Tetrachloroethane Bromoform 1,1,2,2-Tetrachloroethane 1,2,-Trichloropropane 1,-Dichlorobenzene 1,-Dichlorobenzene 1,2-Dichlorobenzene Carbon Disulfide ND(0.07) Methyl-tert-Butyl Ether (MTBE) tert-butyl ethyl ether Methyl Ethyl Ketone ND() Methyl Isobutyl Ketone ND() Toluene Ethyl Benzene m+p-xylenes ND(0.07) o-xylene Styrene Isopropylbenzene (Cumene) n-propylbenzene Bromobenzene 2-Chlorotoluene -Chlorotoluene 1,,5-Trimethylbenzene tert-butylbenzene 1,2,-Trimethylbenzene sec-butylbenzene p-isopropyltoluene (Cymene) 1,2,-Trimethylbenzene n-butylbenzene 1,2,-Trichlorobenzene Hexachlorobutadiene 1,2,-Trichlorobenzene Naphthalene Benzene Total Trihalomethanes 0.0 Total Xylenes Page 6 of 7
7 Testing Laboratories: All work performed at: Id NSF_AA Address NSF International 789 N. Dixboro Road Ann Arbor MI 8105 References to Testing Procedures: NSF Reference Parameter / Test Description C01 Polynuclear Aromatic Hydrocarbons by GCMS C202 BASE/NEUTRAL/ACID EPA METHOD 625 Scan for Tentatively Identified Compounds (TICs) C202 Semivolatile Compounds, Base/Neutral/Acid Target 625, Data Workup C662 Volatile Organic Compounds (Ref: EPA 52.2) Test descriptions preceded by an asterisk * indicate that testing has been performed per NSF International requirements but is not within its scope of accreditation. Page 7 of 7
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