SGS Test Report no. ILSAM CO.,LTD 1249, Jeongwang-dong Siheung-si, Gyeonggi-do Korea 3901 01/LF-CTSAYSA21-15142 Date: 2021. 10.01 The following sample(s) wasiwere submitted and identified by client as: Report on the submitted sample said to be: ‘Sample Description 3 ‘Amount of Sample Buyer's Name / Division ‘Summary of Test Result Failure Test lems ‘Age Group Material Name / Code Color Name / Code Supplier Name Country of Origin Country of Destination Material Component ‘Sample Classification Test Required Key Code No. Report Type Full test report No. PO. No. ‘Additional Information ‘Sample Received Date ‘Sample Tested Date 'SGS Job No. ‘SU BROWN CF-5 1 Adidas Footwear PASS All Ages SU BROWN CF-5 BROWN PU SYNTHETICS (300) Key code 300 under Adidas A-O1 Test Standard 2021 ‘Separate Colors (SC*) F690101/LF-CTSAYSA21-15139 2021. 09. 24 2021. 09. 24 ~ 2021. 10.01 AYSA21-15142 Page 1 of 8 Note: (SC*) mark the full test reports No. (NUI*) mark the full test reports No.; (RT*) this application just for T1 shoes factory; (SI*) its for supplier only and wil don't acceptable for adidas; tore nin or appen Tos kas Cots | 222 Ths Oty To LS Dangers rena Orson eres 1107 {ao soso ao So naSGS Test Report no. resotomr-ctsavsazt.asia2 Date: 2021. 10.01 Page 2 of 8 Summary of Test Result: (Detail test results on next page) ‘Conclusion Test Parameter Test Method (recral, pH Value DIN EN ISO 3071:2020, Pass Others: DIN EN 16711-2:2076 eames eae Leather: DIN EN ISO 17072-1:2019 eee Others: DIN EN 16711-1:2016. Total Cadmium Polymers: EN 1122:2001 Pass Leather: DIN EN ISO 17072-2:2019. Others: DIN EN 16711-1:2016.ICP /AAS noe Ueee Leather: DIN EN ISO 17072-2:2019. ICP / AAS: ene ‘Organatin Compounds. ISOMS 16179:2012 Pass Disperse Dyes and Dyestuffs DIN 54231:2005 Pass Dimethyiforamide (OMFA) DINEN 16778: 2016 Pass Component List / List of Materia ‘Attic No. | Material No. Component Material K 7 SU BROWN CF-5 z ‘rer "Seskars Cota] 202Tha0 aor To vese, Omgang. Anas Gromit 417 {Gato Jeon ote on Sen mwaSGS Test Report no. resotoir-ctsaysazt-15142 Date: 2021.10.01 Page 3 of 8 Picture of Samp! ed: | ~AYSA21-15142 SGS Korea Co., Ltd. ‘Tommy Oh/ Chemical Lab Mgr a dacanana, eet em se Conon fr cre Deena 9 hse contest Sota tara Ay bola Sf We Sonam W aoead it es angst io trast os ets bo hens econ an The Company te magenta emus ln gan anger tt "ni tine Company Any unre rt nope in coment SoshacaCo,lis | 22.Tha vay 70S, Copan yang Gray ates 1117 ao) St on os ota Werte em S65 Gra (ac Gris Sanat)SGS Test Report no. resoto1r.ctsavsazt-15142 Date; 2021. 10.01 Page 4 of 8 Detail Test Results: H N Test Method: With reference to DIN EN ISO 3071:2020, ‘CASNo. 1 H valve = 62 ‘Conclusion = PASS Note: Extraction medium KCI solution BH value of extraction medium 50-75 Temperature of the extraction solution 22.2 c “= Exceeds the TLV Requirement: 40-75 Metal Test Method: Others: With reference to EN 16711-2:2016. Analysis was performed by ICP-OES / ICP-MS Result No. sft ‘Cadmium (Ca) 7440-43-89 nd, ‘Chromium (Cr) 7440-47-3 nd, Lead (Pb) 7439-92-1 nd, Mercury (Ha) 7439-97-6, nd. ‘Conclusion = PASS Note: nd. = not detected mg/kg = ppm coeds the TLV result over 1/2 of 1/3 of client requirement. There Is a possibilty of failure on one or more ‘Components. Retesting on individual component is recommended to determine the compliance of each component to the requirement Requirement: Infants Adult Reporting limit (maka) {mayka) {mayka) cadmium 04 of 0.03 Chromium 10 20 03 Lead 02 10 0.06 Mercury 02 0.02 0.006 cong ith ana anion of ai pe orn rao gn ot coe esa am thet mansoni ee nn <= cumin ises mperer enon ‘ny Tostores Go ta] 2. Tna ety Te LS Dungurgs Ayana yen Rre 1417 ao cas st 80 0 ts nonSGS Test Report no. resoto1r.ctsaysazt-15142 Date: 2021.10.01 Page 5 of 8 | Cadmium Test Method: Others: With reference to DIN EN 16711-1:2016, Analysis was performed by ICP-OES or AAS Resuil Cadmium (C3 7480-43-8 nd Conclusion = PASS N nnd. = not detected ot e ‘mg/kg = ppm Exceeds the TLV 4# = result over 1/2 oF 1/3 of client requirement. There is a possibilty of failure on one or more components. Retesting on individual component is recommended to determine the ‘compliance of each component to the requirement Reporting limit = 5 mg/kg Requirement: 40. mglkg ‘Total Lead Test Method: Others: With reference to DIN EN 16711-1:2016. Analysis was performed by ICP / AAS CAS Lead (Pb) 7439-92-41 nd. ‘Conclusion = PASS Note: nd. = not detected pm # = result over 1/2 or 1/3 of client requirement. There is a possibility of failure on one or more: Components, Retesting on indvidual component is recommended to determine the compliance of tach component o the requirement Reporting tint = 5 mg/kg Requirement: 40 mgikg Tos kvn ots” | 92 Tha aay ToS Corgugy anergrs.Opsngen Kee 4117 {aa oh acount es toss manasa7 SGS Test Report no. resotovr-ctsavsazt-15142 Date: 2021. 10.01 Page 6 of 8 ‘Qraanotin Compounds Test Method: — With reference to ISO/TS 16179:2012. Analysis was performed by GC-MS. Resul Trbut e) nd, Tr 7) nd, Dibutyitin (BT) nd, (DOT) nd. tin (MBs nd. Mor in (MOT) nd. Tr (On) nd. Conclusion PASS Note: sult over 1/2 or 1/3 of client requirement. There is a possibilty of failure on one or more ‘components. Retesting on individual component is recommended to determine the compliance of ‘each component to the requirement Reporting limit TBT = 0.05 mghkg Others = 0.1 mg/kg (for individual compound) Requirement: TET Not Detected (0.05 mg/kg) TPHT 0.5 mgkg DET 1mgikg DoT 4 mg/kg MBT 1 mgikg MoT 41 markg ToT AmgikgSGS Test Report no. resotovmr-ctsavsazt-15142 Date: 2021. 10.01 Page 7 of 8 Disperse Dyes and Dyestuffs Test Method: With reference to DIN 54231:2005, Analysis was conducted with HPLC-DAD-MSD. Rosult Disperse Blue 1 sete, ee Disperse Blue 3 2475-46-9 nd. Disperse Blue 7 3170-00-6 nd. Disperse Blue 26 '3860-63-7 ng Disperse Biue 35. 12222.75-2 nd. Disperse Blue 102 12222-97-8 nd Disperse Blue 106 12223.01-7 nd. Disperse Blue 124 61951-51-7 nd, Disperse Brown 1 23355-64-8 nd. Disperse Yellow 1 119-15-3 nd Disperse Yellow 3 2832-40-8 nd. Disperse Yellow 9 6373-735 nd. Disperse Yellow 23 6250-23-3 nd. Disperse Yellow 39 12236.20-2 nd. Disperse Yellow 49 54824-37-2 nd. Disperse Orange 1 2581-69-3 nd Disperse Orange 3 730-405, nd ‘Orange 11 82-28-0 nd Disperse Orange 37/59/76 72223-3551 1330-61-67 51811428 n.d Disperse Orange 149 85136-74-9 nd Disperse Red 1 2872-528 nd. Disperse Red 11 2872-48-2 nd. Disperse Red 17 3179-89-3 nd. ‘Acid Red 26 3761-533 nd. Basic Red 9 569-61-9 nd. ‘Acid Red 114 6459-94-5 ng Basic Violet 14 632-99-5 nd. Direct Black 38 1937-37-7 ng. Direct Blue 6 2602-46-2 ng. Direct Blue 15 2429-74-5 nd. Direct Red 28 573-58-0 ng. Direct Brown 95 16071-86-6 nd. Basic Blue 26 2580-565 nd. Basic Violet 3 '548-62-9 nd. ‘Yellow 7 6300-374 nd. Disperse Yellow 56 54077-16-6 nd. Disperse Red 151 61968-47-6 nd. ‘Solvent Reed 23 85-86-9 nd Navy Blue = nd. Basic Green 4 (Free) 10309-95-2 Basic Green 4 (Chloride) '569-64-2 nd. Basic Green 4 (Oxalate)* 2A37-29-8, 18015-76-4 ‘Conclusion = ones Note: nd. = not detected een de nites ee Seeger coos Tosvana ce, ta) a. Tobe Gaowng ram Pom ‘aa sion cs a eaeSGS Test Report no. resoto1nF-ctsavsaz1-15142 Date: 2021.10.01 Page 8 of 8 mg/kg = ppm Exceeds thei + = result was ba 10309-95-2) ‘#= result over 1/2 or 1/3 of client requirement. There is a possibility of failure on one or more: components. Retesting on indvidual component Is recommended to determine the compliance of teach component to the requirement Reporting limit = 15 mg/kg (for individual compound) calculated based on the worst-case scenario of Basic Green 4 cation (CAS Requirement: ‘50 mg/kg (for individual compound) Dimethylforamide (OMFA) Test Method: With reference to DIN EN 16778: 2016. Analysis was performed by GC-MS. Result SAS-No, 4 Dimethyiformamide (OMFA) 68-12-2 nd. ‘Conclusion = PASS Note nd. = not detected mg/kg = ppm * = Exceeds the TLV # = result over 1/2 or 1/3 of client requirement. There is a possibilty of failure on one or more ‘components, Retesting on individual component is recommended to determine the compliance of ‘each component to the requirement Reporting limit = 50 mg/kg **" End of Report *** enareace a) 32, TmOvaey Te LSm Oogurg, Aang Gyengaen Fre 14117 {aon aan eon ta 5 nd