Report No: BSTDG1503312211YRR-4 Date: Mar 27, 2015 Page 1 of 7 Applicant Address :FOSHAN BANGLISHI TRADING CO, LTD :No27, Shunsi Road, Ronggui Town, Shunde District, Guangdong Province The following sample(s) was /were submitted and identified on behalf of the clients as: Sample Name :Hydration Sample Model :301 Sample Received Date :Mar 23, 2015 Testing Period :Mar 23, 2015 To Mar 27, 2015 Test Requested :As specified by client, for compliance with Food and Drug Administration Regulations for repeated use Test Method :Please refer to next page(s) Test :Please refer to next page(s) Signed for and on behalf of Andy Zheng/ Technical Director This report shall not be altered,increased or deletedthe results shown in this test report refer only to the sample(s) tested Without written approval of BST, this test report shall not be copied except in full and published as advertisement BST Physical & Chemical Lab Dongguan BST Testing Co, Ltd Http://wwwbst-labcom
Report No: BSTDG1503312211YRR-4 Date: Mar 27, 2015 Page 2 of 7 Sample Description: No Description Name 1 Blue PP Cap 2 Blue PP Connector 3 Blue TPU Hydration 4 Transparent PVC Pipe 5 Transparent Silicone Washer 6 Blue Silicone Nozzle Test : No1 Test Method: As specified in FDA 21 CFR 1771520 Test item Test method Density ASTM D1505-68 0899 g/cm 3 0880-0913 g/cm 3 Melting Point ASTM D2117-82 163 160-180 Total Migration (%) Maximum Permissible (%) 12 64 Dimethylbenzene 25 28 98 Note: % = percent by weight This report shall not be altered,increased or deletedthe results shown in this test report refer only to the sample(s) tested Without written approval of BST, this test report shall not be copied except in full and published as advertisement BST Physical & Chemical Lab Dongguan BST Testing Co, Ltd Http://wwwbst-labcom
Report No: BSTDG1503312211YRR-4 Date: Mar 27, 2015 Page 3 of 7 Test : No2 Test Method: As specified in FDA 21 CFR 1771520 Test item Test method Density ASTM D1505-68 0901 g/cm 3 0880-0913 g/cm 3 Melting Point ASTM D2117-82 167 160-180 Total Migration (%) Maximum Permissible (%) 24 64 Dimethylbenzene 25 33 98 Note: % = percent by weight Test :No3 Test Method: As specified in FDA 21 CFR 1772600 1 First 7 hours of extraction 158 175 35 20 This report shall not be altered,increased or deletedthe results shown in this test report refer only to the sample(s) tested Without written approval of BST, this test report shall not be copied except in full and published as advertisement BST Physical & Chemical Lab Dongguan BST Testing Co, Ltd Http://wwwbst-labcom
Report No: BSTDG1503312211YRR-4 Date: Mar 27, 2015 Page 4 of 7 2 Succeeding 2 hours of extraction 06 4 004 1 Test :No4 Test Method: As specified in FDA 21 CFR 175300 24 hours at 120 F 38 18 Test : No5 Test Method: As specified in FDA 21 CFR 1772600 1 First 7 hours of extraction 168 175 This report shall not be altered,increased or deletedthe results shown in this test report refer only to the sample(s) tested Without written approval of BST, this test report shall not be copied except in full and published as advertisement BST Physical & Chemical Lab Dongguan BST Testing Co, Ltd Http://wwwbst-labcom
Report No: BSTDG1503312211YRR-4 Date: Mar 27, 2015 Page 5 of 7 45 20 2 Succeeding 2 hours of extraction 04 4 008 1 Test : No6 Test Method: As specified in FDA 21 CFR 1772600 1 First 7 hours of extraction 236 175 52 20 This report shall not be altered,increased or deletedthe results shown in this test report refer only to the sample(s) tested Without written approval of BST, this test report shall not be copied except in full and published as advertisement BST Physical & Chemical Lab Dongguan BST Testing Co, Ltd Http://wwwbst-labcom
Report No: BSTDG1503312211YRR-4 Date: Mar 27, 2015 Page 6 of 7 2 Succeeding 2 hours of extraction 08 4 01 1 This report shall not be altered,increased or deletedthe results shown in this test report refer only to the sample(s) tested Without written approval of BST, this test report shall not be copied except in full and published as advertisement BST Physical & Chemical Lab Dongguan BST Testing Co, Ltd Http://wwwbst-labcom
Report No: BSTDG1503312211YRR-4 Date: Mar 27, 2015 Page 7 of 7 Sample Photo: No4 No6 No1 No5 No2 No3 *** End of Report *** This report shall not be altered,increased or deletedthe results shown in this test report refer only to the sample(s) tested Without written approval of BST, this test report shall not be copied except in full and published as advertisement BST Physical & Chemical Lab Dongguan BST Testing Co, Ltd Http://wwwbst-labcom