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SGS

  Test report

  No.:CANEC2308505308
  Date: July 4, 2023 Page 1 of 3
  Customer Name: Guangzhou volfmen hose  Co., Ltd.
Customer address: Part of the first and second floors of Building B, No. 53, Yongning Road, Ningxi Street, Zengcheng District, Guangzhou City, Guangdong Province
  Sample Name:
  Silicone steel wire tube
  The above samples and information are provided by customers.
  SGS Job Number: CP23－024208－GZ
  Sample receipt date:   June 27, 2023
  Detection cycle:   June 27, 2023 - July 4, 2023
  Testing requirements:   Test according to customer requirements
  Detection method:   See next page
  Test results:   See next page
SGS工作编号： CP23－024208－GZ 样品接收日期： 2023年06月27日 检测周期： 2023年06月27日－2023年07月04日 检测要求： 根据客户要求检测 检测方法： 请参见下一页 检测结果： 请参见下一页| SGS工作编号： | CP23－024208－GZ | | :--- | :--- | | 样品接收日期： | 2023年06月27日 | | 检测周期： | 2023年06月27日－2023年07月04日 | | 检测要求： | 根据客户要求检测 | | 检测方法： | 请参见下一页 | | 检测结果： | 请参见下一页 |
  Summary of test results:
  Testing requirements   in conclusion
FDA 21 CFR 177.2600 Total extracts   conform to
检测要求 结论 FDA 21 CFR 177．2600 一总提取物 符合| 检测要求 | 结论 | | :--- | :---: | | FDA 21 CFR 177．2600 一总提取物 | 符合 |
  SGS-CSTC Standards Technical Services Co., Ltd. Guangzhou Branch
  Authorized Signature

  Cai Jinfeng

  Kim Cai蔡金丰
  Approving Signatory
  Test results:
  Test sample description:
  Sample number   SGS Sample ID   describe   Material
SN1 CAN23－085053．002   Translucent silicone tubing with white textile
(Customer provided) Silicone + Textile
（客户提供） 硅胶 + 纺织物| （客户提供） | | :---: | | 硅胶 + 纺织物 |
样品编号 SGS样品ID 描述 材质 SN1 CAN23－085053．002 带白色纺织物的半透明硅胶管 "（客户提供） 硅胶 + 纺织物"| 样品编号 | SGS样品ID | 描述 | 材质 | | :---: | :---: | :--- | :---: | | SN1 | CAN23－085053．002 | 带白色纺织物的半透明硅胶管 | （客户提供） <br> 硅胶 + 纺织物 |

FDA 21 CFR 177.2600—Total Extracts

Test method: Refer to US FDA 21 CFR 177.2600.
  Simulated fluid   time   temperature   Maximum allowable limit   Total amount of sample 002 extract   Comment
  distilled water 7.0 hr ( s ) 7.0 hr ( s ) 7.0hr(s)7.0 \mathrm{hr}(\mathrm{s})   Reflow temperature 20 mg / 20 mg / 20mg//20 \mathrm{mg} / inch 2 2 ^(2)^{2} < 0.5 mg / < 0.5 mg / < 0.5mg//<0.5 \mathrm{mg} / inch 2 2 ^(2)^{2}   conform to
  After extraction 2.0 hr ( s ) 2.0 hr ( s ) 2.0hr(s)2.0 \mathrm{hr}(\mathrm{s})   Reflow temperature 1 mg / 1 mg / 1mg//1 \mathrm{mg} / inch 2 2 ^(2)^{2} < 0.5 mg / < 0.5 mg / < 0.5mg//<0.5 \mathrm{mg} / inch 2 2 ^(2)^{2}   conform to
  n-hexane 7.0 hr ( s ) 7.0 hr ( s ) 7.0hr(s)7.0 \mathrm{hr}(\mathrm{s})   Reflow temperature 175 mg / 175 mg / 175mg//175 \mathrm{mg} / inch 2 2 ^(2)^{2} 14.4 mg / 14.4 mg / 14.4mg//14.4 \mathrm{mg} / inch 2 2 ^(2)^{2}   conform to
  After extraction 2.0 hr ( s ) 2.0 hr ( s ) 2.0hr(s)2.0 \mathrm{hr}(\mathrm{s})   Reflow temperature 4 mg / 4 mg / 4mg//4 \mathrm{mg} / inch 2 2 ^(2)^{\mathbf{2}} 1.3 mg / 1.3 mg / 1.3mg//1.3 \mathrm{mg} / inch 2 2 ^(2)^{2}   conform to
模拟液 时间 温度 最大允许限值 样品002提取物总量 评论 蒸馏水 7.0hr(s) 回流温度 20mg// inch ^(2) < 0.5mg// inch ^(2) 符合 萃取后 2.0hr(s) 回流温度 1mg// inch ^(2) < 0.5mg// inch ^(2) 符合 正己烷 7.0hr(s) 回流温度 175mg// inch ^(2) 14.4mg// inch ^(2) 符合 萃取后 2.0hr(s) 回流温度 4mg// inch ^(2) 1.3mg// inch ^(2) 符合| 模拟液 | 时间 | 温度 | 最大允许限值 | 样品002提取物总量 | 评论 | | :--- | :--- | :--- | :--- | :--- | :--- | | 蒸馏水 | $7.0 \mathrm{hr}(\mathrm{s})$ | 回流温度 | $20 \mathrm{mg} /$ inch $^{2}$ | $<0.5 \mathrm{mg} /$ inch $^{2}$ | 符合 | | 萃取后 | $2.0 \mathrm{hr}(\mathrm{s})$ | 回流温度 | $1 \mathrm{mg} /$ inch $^{2}$ | $<0.5 \mathrm{mg} /$ inch $^{2}$ | 符合 | | 正己烷 | $7.0 \mathrm{hr}(\mathrm{s})$ | 回流温度 | $175 \mathrm{mg} /$ inch $^{2}$ | $14.4 \mathrm{mg} /$ inch $^{2}$ | 符合 | | 萃取后 | $2.0 \mathrm{hr}(\mathrm{s})$ | 回流温度 | $4 \mathrm{mg} /$ inch $^{\mathbf{2}}$ | $1.3 \mathrm{mg} /$ inch $^{2}$ | 符合 |
  Remark:
(1) mg / mg / mg//\mathrm{mg} / inch 2 = 2 = ^(2)=^{2}= mg/square inch
Note: The test results and photos in this report are quoted from report CANEC2308505306.
Unless otherwise noted, compliance is determined using the binary rule of simple acceptance ( w = 0 w = 0 w=0w=0 ) in accordance with ILAC-G8:09/2019. Unless otherwise noted, this report is solely responsible for the sample tested. This report may not be reproduced in part without the written permission of our company. This report is for internal reference only, for research, teaching, internal quality control, and product development purposes.
  Sample photos:
  This photo is only for use with the original SGS report

  End of report