Number : VNMT21007715 Date : Mar 08, 2021 TEST REPORT Applicant : HANG TAI (VIETNAM) CO.,LTD. NO.E8(B4 AREA) ROAD D9, RACH BAP INDUSTRIAL PARK, AN TAY VILLAGE, BEN CAT TOWN, BINH DUONG PROVINCE,, VIET NAM Attn : MR. JEFF Sample Description One (01) Group Of Submitted Sample Component Of Shoe: PU Foam Material Style No. PO Number Color Country of Origin Date Received : Date Confirmation Received : Feb 25, 2021 : : : : : White Vietnam Feb 25, 2021 AUTHORIZED BY FOR INTERTEK VIETNAM LTD.
TEST REPORT Number : VNMT21007715 Date : Mar 08, 2021 Conclusion : Test Item Result SVHC Screening Test Pass (THIS REPORT SHALL NOT BE REPRODUCED WHOLLY OR IN PARTS WITHOUT WRITTEN APPROVAL FROM THE LABORATORY) Intertek Vietnam Ltd. Page 2 of 10 Hochiminh office: 5th,6th,7th floor, Lobby D, S.O.H.O Biz Office Building, No. 38 Huynh Lan Khanh St., Ward 2, Tan Binh District, Ho Chi Minh City, Vietnam. Tel: (84-28) 62971099 Fax: (84-28) 62971098 Email: consumergoods.vietnam@intertek.
TEST REPORT Number : VNMT21007715 Date : Mar 08, 2021 TEST CONDUCTED (AS REQUESTED BY THE APPLICANT) 1. SVHC Screening Test By A Combination Of X-Ray Fluorescence Spectroscopy , Inductively Coupled Argon Plasma Spectrometry And Gas Chromatographic – Mass Spectrometry Techniques (1) NO Chemical Substances EC No. CAS No. Results %(w/w) 1 &REDOW GLFKORULGH ¨ 231-589-4 7646-79-9 <0.
TEST REPORT Number : VNMT21007715 Date : Mar 08, 2021 29 7ULOHDG GLDUVHQDWH ¨ 222-979-5 3687-31-8 <0.01 30 &DOFLXP DUVHQDWH ¨ 231-904-5 7778-44-1 <0.01 31 $UVHQLF DFLG ¨ 231-901-9 7778-39-4 <0.01 32 3HQWD]LQF FKURPDWH RFWDK\GUR[LGH ¨ 256-418-0 49663-84-5 <0.01 33 Potassium hydroxyoctaoxodizincatediFKURPDWH ¨ 234-329-8 11103-86-9 <0.01 34 'LFKURPLXP WULV FKURPDWH ¨ 246-356-2 24613-89-6 <0.01 35 /HDG ,, ELV PHWKDQHVXOIRQDWH ¨ 401-750-5 17570-76-2 <0.
TEST REPORT Number : VNMT21007715 Date : Mar 08, 2021 67 &DGPLXP QLWUDWH ¨ 233-710-6 10022-68-1 1032594-7 <0.01 68 &DGPLXP FDUERQDWH ¨ 208-168-9 513-78-0 <0.01 69 &DGPLXP K\GUR[LGH ¨ 244-168-5 21041-95-2 <0.01 70 'LVRGLXP RFWDERUDWH ¨ 234-541-0 12008-41-2 <0.01 71 /HDG ¨ 231-100-4 7439-92-1 <0.01 72 Anthracene 204-371-1 120-12-7 <0.01 73 4,4'-Diaminodiphenylmethane (MDA) 202-974-4 101-77-9 <0.01 74 Dibutyl phthalate (DBP) 201-557-4 84-74-2 <0.
TEST REPORT Number : VNMT21007715 Date : Mar 08, 2021 100 Phenolphthalein 201-004-7 77-09-8 <0.01 101 2,2'-Dichloro-4,4'-methylenedianiline 202-918-9 101-14-4 <0.01 102 N,N-dimethylacetamide 204-826-4 127-19-5 <0.01 103 Bis(2-methoxyethyl) ether 203-924-4 111-96-6 <0.01 104 1,2-Dichloroethane 203-458-1 107-06-2 <0.01 105 4-(1,1,3,3-tetramethylbutyl)phenol, (4-tertOctylphenol) 205-426-2 140-66-9 <0.01 106 2-Methoxyaniline, o-Anisidine 201-963-1 90-04-0 <0.
TEST REPORT Number : VNMT21007715 Date : Mar 08, 2021 125 Diazene-1,2-dicarboxamide (C,C'-azodi (formamide)) 204-650-8 123-77-3 <0.01 126 Cyclohexane-1,2-dicarboxylic anhydride, cis- 201-604-9, 236-086- 85-42-7, 13149-00-3, cyclohexane-1,2-dicarboxylic anhydride, 3, 238-009-9 14166-21-3 trans-cyclohexane-1,2-dicarboxylic anhydride <0.
TEST REPORT Number : VNMT21007715 Date : Mar 08, 2021 158 Disodium 3,3'-[[1,1'-biphenyl]-4,4'-diylbis(azo)] 209-358-4 bis(4-aminonaphthalene-1-sulphonate)/ C.I. Direct Red 28 573-58-0 <0.01 159 Disodium 4-amino-3-[[4'-[(2,4-diaminophenyl) 217-710-3 azo][1,1'-biphenyl]-4-yl]azo] -5-hydroxy-6(phenylazo)naphthalene-2,7-disulphonate/ C.I. Direct Black 38 1937-37-7 <0.01 160 Imidazolidine-2-thione/ 2-imidazoline-2-thiol 202-506-9 96-45-7 <0.01 161 Trixylyl phosphate 246-677-8 25155-23-1 <0.
TEST REPORT Number : VNMT21007715 Date : Mar 08, 2021 178 p-(1,1-dimethylpropyl)phenol 80-46-6 <0.01 179 Perfluorohexane-1-sulphonic acid and its salt (PFHxS) 201-280-9 - <0.01 180 Dodecachloropentacyclo [12.2.1.16,9.02,13.05,10]octadeca-7,15-diene (“Dechlorane Plus”TM) [covering any of its individual anti- and syn-isomers or any combination thereof] - <0.01 181 Benz[a]anthracene 200-280-6 56-55-3 1718-53-2 <0.01 182 Chrysene 205-923-4 218-01-9 1719-03-5 <0.
TEST REPORT Number : VNMT21007715 Date : Mar 08, 2021 205 2-benzyl-2-dimethylamino-4'morpholinobutyrophenone 404-360-3 119313-12-1 <0.01 206 Dibutylbis(pentane-2,4-dionato-O,O')tin 245-152-0 22673-19-4 <0.01 207 Butyl 4-hydroxybenzoate 202-318-7 94-26-8 <0.01 208 2-methylimidazole 211-765-7 693-98-1 <0.01 209 1-vinylimidazole 214-012-0 1072-63-5 <0.01 210 Dioctyltin dilaurate, stannane, dioctyl-, bis 293-901-5,222-883-3 91648-39-4,3648-18(coco acyloxy) derivs.
