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1 2018 年 5 月 3 日, 20:47:21 File Name : NIKE_FW_PASS_KID_PASS_ADULT_Yuncheng Chemical Industrial Co. Ltd_Synthetic Leather/T_ pdf SAMPLE SUBMITTER INFORMATION Sample Submitter Name: Sample Submitter Sample Submitter Phone: Mr. Wang hsueh Chen ycchem@ms17.hinet.net Business ID: LAB INFORMATION Testing Lab: Lab Contact Name: Lab Contact CTI (Shenzhen) Ltd. Kevin Lu Kevin.lu@cti-cert.com RSL Version: RSL: JANUARY 2017 Lab Reference: A BRAND INFORMATION Brand: NIKE Product Type: Footwear Licenses: Licensee Name: Brand Liaison Office (LO): FACILITY INFORMATION Other Manufacturer Factory Factory Location Code: Factory Name: NIKE FW & Converse FW (Shared)- TAICHUNG CITY, Taiwan Vendor Vendor Location Code: Vendor Name: Ink/Dye Ink/Dye Manufacturer Code: Ink/Dye Manufacturer Name: Other Manufacturer Other Manufacturer Name: Yuncheng Chemical Industrial Co., Ltd

2 SAMPLE INFORMATION Retest: Previous Lab Reference #: Previous RSL Submit #: Sample Description: Style/ltem :PAI IAN HUA(CC.CCR.DD)/LIGHT CALCIUM CARBONATE Season: Year: Sample Type: FAHO 2018 Production-ready material Sample Country of Origin: Date Sample Made: Date Sample Submitted: Taiwan, Province of China Apr MATERIAL/PRODUCT INFORMATION Material or Item Number: Product or Style Number: Material Type: Material Name: MATERIAL COLOR INFORMATION Synthetic Leather/Thermoplastics/Polymers White: Color Name 1: Color Code 1: Color Name 2: Color Code 2: Yes WHITE GCW#: 10A GCW# Color Description: COLOR SYSTEM TESTING (INKS/PAINTS) Base Name: Base Color: Pigment Name 1: Pigment Color 1: Pigment Name 2: Pigment Color 2: Pigment Name 3: Pigment Color 3:

3 INDIVIDUAL TESTS Is this submission for research and development (R&D) testing, non-standard testing, or a material requiring a unique multiple test package as directed by Nike? OVERALL TEST RESULTS Overall Test Result: Test/Report Date: RSL Submit #: Pass May Partial Result: Testing Delayed: Reason for Delay: Remarks TEST PACKAGE SUMMARY Test Package PASS FAIL WARNING Remarks Synthetic X Leather/Thermoplastics/Polymers SUMMARY OF FAILURES Class Name FAIL (KIDS) FAIL (ADULT) WARNING

4 ANALYTE TESTS Class Chemical Name CAS Number Alkylphenol Ethoxylates (NPEO, OPEO) Alkylphenol Ethoxylates (NPEO, OPEO) Sum of Alkylphenol Ethoxylates (NPEO, OPEO) nylphenol Ethoxylate (NPEOs) Octylphenol Ethoxylate (OPEOs) NPE0 OPEO Specific Limit Description (age ranges, screening) Required Laboratory Reporting Limit 20 (Sum of NPEO and OPEO) 20 (Sum of NPEO and OPEO) Sum of NPEO & OPEO Sum_NPEO_OPEO 20 (Sum of NPEO and OPEO) Nike Limit 100 (Sum of NPEO and OPEO) 100 (Sum of NPEO and OPEO) Sum of NPEO and OPEO: <=100 - Pass >100 and <=250 - Warning >250 - Fail Formaldehyde Formaldehyde (Adults and children) 16 (Infant/toddler) Unit of Measure Result Pass/Fail Nike RSL ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect Metals - Total Arsenic (As) ppm ND n Detect Metals - Total Cadmium (Cd) Adults<br>Children and Infant/toddler 5 75 (adults) 40 (children and ppm ND n Detect infant/toddler) Metals - Total Lead (Pb) ppm ND n Detect Metals - Total Mercury (Hg) ppm ND n Detect Di(C6-C8 alkyl) phthalate (DIHP), branched, C7 rich Di(C7-C11 alkyl) phthalate (DHNUP), linear + branched Dihexylphthalate, branched + linear Di(2-methoxyethyl) phthalate (DMEP) (each) (each) (each) (each) 1000 ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect

5 Class Chemical Name CAS Number Butylbenzylphthalate (BBP) Specific Limit Description (age ranges, screening) Required Laboratory Reporting Limit Nike Limit (each) 1000 Diisobutylphthalate (DIBP) (each) 1000 Diisodecylphthalate (DIDP) (each) 1000 Di-n-hexylphthalate (DnHP) Di-n-octylphthalate (DNOP) Di-n-pentylphthalate (DPP) Di(2-ethylhexyl)-phthalate (DEHP) (each) (each) (each) (each) 1000 Dibutylphthalate (DBP) (each) 1000 Diethylphthalate (DEP) (each) 1000 Di-Iso-nonylphthalate (DINP) Diisopentylphthalate (DIPP) (each) (each) 1000 Dimethylphthalate (DMP) (each) 1000 Unit of Measure Result Pass/Fail Nike RSL ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect ppm ND n Detect

6 Class Chemical Name CAS Number 1,2-Benzenedicarboxylic acid, dipentylester, branched + linear n- Pentylisopentylphthalate (NPIPP) Specific Limit Description (age ranges, screening) Required Laboratory Reporting Limit Nike Limit (each) (each) 1000 Sum of Sum_Phthal Polyvinylchloride (PVC) Tin Screening Polyvinyl-chloride (PVC) PVC 10% (Due to complexity of analysis, Nike defines detection limit as 10%) Tin Screening (all materials) If Tin> 0.1, Organotin Compounds analysis required I Certify that the information provided on this form is correct and accurate: Yes (if Tin > 0.1, Organotin Compounds analysis required) Unit of Measure Result Pass/Fail Nike RSL ppm ND n Detect ppm ND n Detect ppm ND n Detect t Detected % Absent n Detect ppm ND n Detect Title: Name: Date: Technical Manager Hill Zheng May

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