TEST REPORT Report No: FCL/4119N/2021 Date: 08/06/2021 Page 1 of 2

Customer Address: EMPOL LTD LLC

PO BOX # 78174, UMM RAMOOL
DUBAI, UNITED ARAB EMIRATES
TEL: +97142855253 FAX NO : +97142856797

The following samples were submitted by the customer and Identification is declared by the customer;

1. Plastics Closure – Clear

SGS Job No : 1011021400

Invoice No : 10021952
Sample Received on : 16/05/2021
Test commencement Date : 16/05/2021
Test Result Reporting Date : 08/06/2021

Test Requested : Please refer the test result

Test Method & Results : Please refer the next page(s)

This report has been electronically signed and stamped under the control of Laboratory Manager.

Result Summary
Test Requested Conclusion.
1. European Commission Regulation (EU) No. 10/2011 of 14 ---
January 2011
Overall migration PASS

Signed for and on behalf of

SGS Gulf Limited

_____________________
Tina Sanan
Laboratory Manager

This document is issued by the Company subject to its General Conditions of Service, (refer; www.sgs.com/terms_and_condition.htm) and terms
and condition for Electronic Documents, (refer; www.sgs.com/terms_and_condition.htm). Attention is drawn to the limitations of liability,
indemnification and jurisdictional issues established therein. Any holder of this document is advised that information contained hereon reflects
the company’s findings at the time of its intervention only and within the limits of customer instruction, if any. The company’s sole responsibility is
to its customer and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the
transaction documents. Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are
retain for 30 days from the date of receipt. This document cannot be reproduced except in full, without prior written approval of the company.
FCL/F/C/060 Rev: 03, Dated: 13/05/2019

SGS Gulf Ltd Street No. N 203, Jebel Ali Free Zone, P.O. Box: 18556, Dubai, U.A.E. t +9714 8832222 f +9714 8831161 e me.gcc@sgs.com w www.sgs.com
Member of the SGS Group (Société Généralé de Surveillance)
 TEST REPORT Report No: FCL/4119N/2021 Date: 08/06/2021 Page 2 of 2

Test Results:

EUROPEAN COMMISSION REGULATION (EU) No 10/2011

a) Overall Migration

Method: With reference to EN 1186-1:2002 for selection of conditions and test methods;
EN 1186-3:2002 aqueous food simulant by Total immersion method;

Test Condition Results Reporting Permissible

Simulant Used (mg/dm2) Limit Limit
Sample No (mg/dm2) (mg/dm2)
34791
3% Acetic Acid D 10 Days at 400C <5.0 5.0 10
10% Ethanol D 10 Days at 400C <5.0 5.0 10
Deionized water 10 Days at 400C <5.0 5.0 10
Comment --- PASS -- -- -- --
D
are accredited by DAC

1. Sample No 34791 = Plastics Closure – Clear

Note 1. mg/kg = Milligram per kilogram

2. oC = degree Celcius
3. ND= Not Detected

Note: The test data is based on first migration result only.

*** End of Report ***

This document is issued by the Company subject to its General Conditions of Service, (refer; www.sgs.com/terms_and_condition.htm) and terms
and condition for Electronic Documents, (refer; www.sgs.com/terms_and_condition.htm). Attention is drawn to the limitations of liability,
indemnification and jurisdictional issues established therein. Any holder of this document is advised that information contained hereon reflects
the company’s findings at the time of its intervention only and within the limits of customer instruction, if any. The company’s sole responsibility is
to its customer and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the
transaction documents. Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are
retain for 30 days from the date of receipt. This document cannot be reproduced except in full, without prior written approval of the company.
FCL/F/C/060 Rev: 03, Dated: 13/05/2019

SGS Gulf Ltd Street No. N 203, Jebel Ali Free Zone, P.O. Box: 18556, Dubai, U.A.E. t +9714 8832222 f +9714 8831161 e me.gcc@sgs.com w www.sgs.com
Member of the SGS Group (Société Généralé de Surveillance)