Test Report

Report No.: HLF14006224E

Date: Jul 03, 2014

Page 1 of 2

Applicant

Shenzhen Zhongtuofu technology co., LTD

Address

Building B, Longqu industrial Park, Dashuikeng, Guanlan Town, Baoan District, Shenzhen
City, Guangdong Province, China

The following sample(s) and sample information was/were submitted and identified by/on behalf of
the client
Sample Name

Menstrual cup

Sample Model

Sample Lot

Sample Received Date

Jun 26, 2014

Test Completed Date

Jul 03, 2014

Test Method

Refer to US FDA 21 CFR 177.2600

Test Results

Refer to the next page(s).

Test Requested

Conclusion

US FDA 21 CFR 177.2600 (Rubber Articles) Determination of Amount of

Extractives

Reviewed by:

PASS

Authorized Signature:
Lab Senior Engineer

Technology Manager

In no circumstances shall the Companys responsibility extend beyond inspection, testing and reporting upon the samples actually drawn from the
bulk and inspected, tested and surveyed by the Company and any inference to be drawn from the results of such inspection or survey or testing
shall be entirely in the discretion and at the sole and exclusive responsibility of the Principal. This test report cannot be reproduced except in full.

FLION TESTING SERVICE

Add:Gangzi Industrial Park, Furong Industrial Area, Xinqiao Village, Shajing Town, Bao'an District, Shenzhen City
Tel: 86-0755-2724 8885 Fax:86-0755-2746 0090
Http://www.sz-fts.com

Test Report
Report No.: HLF14006224E

Date: Jul 03, 2014

Page 2 of 2

Test Results:
Result
Test Item

Unit

RL

Regulation
Limit

Conclusion

A
Deionized water extract, reflux temperature
in first 7 hours
Deionized water extract, in reflux
temperature for the succeeding 2 hours
after 7 hours
Note:
(1) N.D. = Not Detected
(2) RL = Reporting Limit
(3) mg/inch2 = milligram per square inch

mg/inch2

0.1

0.26

20

PASS

mg/inch2

0.1

N.D.

PASS

Test Part Description:

A: White silicone
Sample Photo

HLF14006224E

Note: The results shown in this report refer only to the sample(s) tested.
* * * * * End of the report * * * * *

In no circumstances shall the Companys responsibility extend beyond inspection, testing and reporting upon the samples actually drawn from the
bulk and inspected, tested and surveyed by the Company and any inference to be drawn from the results of such inspection or survey or testing
shall be entirely in the discretion and at the sole and exclusive responsibility of the Principal. This test report cannot be reproduced except in full.

FLION TESTING SERVICE

Add:Gangzi Industrial Park, Furong Industrial Area, Xinqiao Village, Shajing Town, Bao'an District, Shenzhen City
Tel: 86-0755-2724 8885 Fax:86-0755-2746 0090
Http://www.sz-fts.com