SGS Test Report no. reso101nr-ctsaysazt-15188 Date: 2021.10.01 Page 1 of 8 ILSAM CO.,LTD 1249, Jeongwang-dong Siheung-si, Gyeonggi-do Korea ‘The following sample(s) wasiwere submitted and identified by client as: Report on the submitted sample said to be: Sample Description SU GREEN BG-2 ‘Amount of Sample 1 Buyer's Name / Division Adidas Footwear Summary of Test Result PASS Failure Test items & ‘Age Group AlAges Material Name / Code ‘SU GREEN BG-2 Color Name / Code GREEN Supplier Name Country of Origin - Country of Destination a Material Component = Sample Classification PU SYNTHETICS (300) Test Required Key Code No. : Key code 300 under Adidas A-01 Test Standard 2021 Report Type ‘Separate Colors (SC) Fal test report No. F690101/LF-CTSAYSAZ1-15139 PO.No. = ‘Additional information = Sample Received Date 2 2021.09, 24 Sample Tested Date 2 2021.09, 24 2021. 10. 01 SGS Job No. 2 AYSA21-15188 Note: (SC*) mark the full test reports No. (NUI*) mark the full test reports No.; (RT*) this application just for T1 shoes factory; (S'*) its for supplier only and will don’t acceptable for adidas; 7 sue ot Gaara Candin of rc pad eve, abo in ot cen cna oo icanan, naj sar td Constant Gecroe Desens © hus Sngaagasanniensonesee aa ‘n'ont compen Any rasborndmraon hg rhauhear of ne creo tparinc fn Smart ste hn nua oie Gna omaraas as be ma oem et mp ob am Sesnantca tu | 2c Teo 7m brown nomgn Ouest? 12 Sc cos Sos enaSGS Test Report no. resoto1nr-ctsavsazt-15188 Date: 2021. 10.01 Page 2 of 8 Summary of Test Result: (Detail test results on next page) Conclusion Test Parameter Test Method ea priVaue DIN EN ISO 3071:2020 Pass. Others: DIN EN 16711-2:2076 eee ee eee Leather: DIN EN ISO 17072-1:2019 a ‘Others: DIN EN 16711-1:2016, Total Cadmium Polymers: EN 1122:2001 Pass Leather: DIN EN ISO 17072-2:2010 ‘Cihers: DIN EN 16711-1:2016, ICP / AAS RouaLees Leather: DIN EN ISO 17072-22019. ICP / AAS eee ‘Organotin Compounds ISO/TS 16179:2012 Pass Disperse Dyes and Dyestuffs DIN 54231:2005, Pass Dimethyiforamide (OMFA) DIN EN 16778: 2016 Pass Component List / List of Material ‘Acie No. | Material No, ‘Component Material A 1 ‘SU GREEN BG-2 a ‘rte "Sos aes Cot | 371 ThaO aby Yo LS, Open Ayan rere Hove 1107 ‘Soak ane sane Monbero S65 Gap (sabe Gh ce Satan)SGS Test Report no. resot01F-ctsavsaz1-15188 Date: 2021.10.01 Page 3 of 8 Picture of Sample as Recelved : ———————————— heel nlelriodeeatiomibedabeisled AYSA21-15188 GS Korea Co., Ltd. Te ‘Tommy Oh/ Chemical Lab Mgr ora Coons of Srvca pt ove aio int of ccsub ssa comin ‘irs ees Conan or Beare OostSGS Test Report no. resoto1r-ctsaysazt-15188 Date: 2021. 10.01 Page 4 of 8 Detail Test Results: H Value (Né Test Method: With reference to DIN EN ISO 3071:2020 CAS: 4 value: = 62 ‘Conclusion. = PASS. Note: Extraction medium KC! solution H value of extraction medium 50-75 Temperature of the extraction solution 22 +2 Exceeds the TLV Requirement: 40-75 Motals Prete tn reference to EN 16711-2:2016. Analysis was performed by ICP-OES / ICP-MS Result CASINO. 1 ‘Cadmium (Cd) 7440-43-9 nd. ‘Chromium (Cr). Tad0-a7-3 nd ead (Pb) 7A39-92-1 nd Meroury (Fg) 7439.97-6 nd Conclusion S PASS Note: mg/kg = ppm + = Exceeds the TLV #= result over 1/2 oF 1/3 of client requirement. There is a possibility of failure on one or more ‘components. Retesting on individual component is recommended to determine the compliance fof each component to the requirement Requirement: jofants Adults Reporting limit (maka) Amalka) (maka) Cadmium O41 O41 0.03 Chromium. 10 20 0.3 Lead 02 1.0 0.08 Mercury 0.02 0.02 0.006 ima approval of Company hy anashorng waren. aN re ertcentes a” Gnas vnrsce ede recs shown nape oro te me asus Corte] 22 Tm Ovatey 70 LSra Depa gs Aor Grenada Kors 1117 Ral 0 aol sot oo ameSGS Test Report no. resiomr.ctsavsazt.ts108 Date: 2021.10.01 Page 5 of 6 Test Method: — Others: With reference to DIN EN 16711-1:2016. Analysis was performed by ICP-OES or AAS Result CAEN. 1 Cadmium (Cd) 7440-43-9 nd. Conclusion = PASS N 1nd. = not detected ot e mg/kg = ppm *Zexceeds the TLV ##= result over 1/2 of 1/9 of cent requirement. There isa possibilty of failure on one or ‘more components. Relesting on Individual component is recommended to determine the Compliance of each component tothe requirement Reporting limit = 5 mg/kg Requirement: 40 mg/kg ‘Total Lead Test Method: Others: With reference to DIN EN 16711-1:2016, Analysis was performed by ICP / AAS. Result TASNo. 1 Toad (Pop 7430-02-4 nd. Conclusion = PASS" Note: nd. = not detected # 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 = 5 mg/kg Requirement 40 mg/kgSGS Test Report no. resoto1r-ctsavsazt-15188 Date: 2024.10.01 Page 6 of 8 Qrganotin Compound: Test Method: With reference to ISO/TS 16179:2012. Analysis was performed by GC-MS, Tabutyltin “Triphenyitin (TPR Dibutytin (OBT) Dioctyitin (007) ‘Monobutyltin (MBN Monooctyitin (MOT) “Trioctyttin (TOT) Conclusion. Note: nid. = not detected mg/kg = ppm * = Exceed the TLV #= result over 1/2 or 1/3 of client requirement. There is a possibilty of fail ‘components. Retesting on individual component is recommended to determi each component to the requirement ‘on one or more the compliance of Reporting limit TBT = 0.05 mg/kg Others = 0.1 mg/kg (for individual compound) Requirement: Tar Not Detected (0.05 mg/kg) TPhT 0.5 mghkg DBT mg/kg DoT Amgikg MBT Amg/kg MOT smoke Tor 1mgiKg Sonneencaus | Mi Toon oti seo odaSGS Test Report no. reso101uF-ctsavsaz1-15188 Date: 2021.10.01 Page 7 of 8 isperse Dyes and D) Test Method: — With reference to DIN 54231:2005. Analysis was conducted with HPLC-DAD-MSD. Result CASH. 1 Disperse Blue 7 2476-45-6 nd Disperse Blue 3 2475-46-9 nd. Disperse Blue 7 3179.00-6 nd. Disperse Blue 26 3860-63-7 nd. Disperse Blue 35. 12222-75-2. nd. Disperse Blue 102, 12202-97-8 nd Disperse Blue 106 412223-01-7, nd. Disperse Blue 124 61951-51-7 nd. Disperse Brown 1 23355-64-8 nd. Disperse Yellow 1 419-15:3 nd Disperse Yellow 3 2852-40-8 nd Disperse Yellow 9 6373.73:5 nd Disperse Yellow 23 6250-23-83 nd Disperse Yellow 39 42236-29-2 nd Disperse Yellow 49 34826-37-2 ng Disperse Orange 1 2581-69-3 nd. Disperse Orange 3 730-405 nd. Disperse Orange 17 8228-0, nd Disperse Orange 37159776 $2E2S-33-5 115901-61-6 / S1BTA2S nd Disperse Orange 149, 85136-74-9| nd Disperse Red 1 2872.52-8 nd Disperse Red 17 2872-48-2 nd Disperse Red 17 317980:3, nd ‘Acid Red 26: 3761-533 nd. Basic Red 9 569-51-9 nd ‘Acid Red 114 6459-06-5 nd. Basic Violet 14 632-99-5 nd. Direct Black 38 4987-37-7 nd. Direct Blue 6 2602-46-2 nd. Direct Bive 15 2429-74-5 nd. Direct Red 28 573-580 nd. Direct Brown 95 16071-86-6 nd. Basic Blue 26_ 2580-56-5 nd. Basic Violet 3 548-62-9. ng. Disperse Yellow 7 6300-37-4 nd. Disperse Yellow 56 54077-1656, nd Disperse Red 151 61968-47-6 nd. ‘Solvent Red 23, 8586-9 nd Navy Blue = nd. Basic Green 4 (Free) 70308-95.2 Basic Green 4 (Chioride)+ 569-64-2 nd. Basic Green 4 (Oxalate)+ 2437-29-8, 18015-76-4 Conclusion = PASS ‘alo Son nose ot Ses ee nen© ses Test Report no. reso1omnr-ctsavsazt-15188 ai 2021.10.01 Page 8 of 8 ‘scenario of Basic Green 4 cation (CAS ibility of falure on one or more ‘components. Retesting on individual component is recommended to determine the compliance of ‘each component to the requirement Reporting limit = 15 mg/kg (for individual compound) Requirement: ‘50 mg/kg (for individual compound) Dimethylforamide (OMFA) Test Method: With reference to DIN EN 16778: 2016. Analysis was performed by GC-MS. formamide (OMFA) (68-12-2, ‘Conclusion = Note: nd. = not detected mg/kg = ppm *= Exceeds the TLV 4# = result over 1/2 oF 1/9 of client requirement. There is a possibilty of fallure on one or more components. Retesting on individual component is recommended to determine the compliance of ‘each component tothe requirement Reporting limit = 50 mg/kg "*" End of Report ***