SGS Test Report no. resotomr-ctsavsa2t-15135 Date: 2021.10.01 Page 1 of 8 LSAM CO.,LTD 4249, Jeongwang-dong Siheung-si, Gyeonggi-do Korea ‘The following sample(s) was/were submitted and identified by client as: Report on the submitted sample said to be: ‘Sample Description SU PINK 88. Amount of Sample 1 Buyer's Name / Division Adidas Footwear ‘Summary of Test Result PASS Failure Test ters - ‘Age Group All Ages ‘Material Name / Code SU PINK 88. Color Name / Code : PINK ‘Supplier Name : Country of Origin po Country of Destination - ‘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*) Full test report No. F690101/LF-CTSAYSA21-15139-— PO. No. p= ‘Additional Information = ‘Sample Received Date : 2021.09, 24 Sample Tested Date 2021, 09. 24-2021. 10.01 SGS Job No. 2 AYSA21-15135 Note: (SC*) mark the full test reports No. (NUI*) mark the full test reports No.; (RT) this application just for T1 shoes factory; (SI) itis for supplier only and will don't acceptable for adidas; sozvova costs | 5 nese On Ss ASGS Test Report no. reso1o1F-ctsavsazt-15135 Date: 2021.10.01 Page 2 of 8 Summary of Test Result: (Detail est results on next page) Test Parameter Test Method (eaatan, paiva DINEN 180 30712020 Pass Sean ean Te ‘Others: DIN EN 16711-2.2076 ae Leather: DIN EN |S 17072-1:2019 ‘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 Vorleas Leather: DIN EN ISO 17072-2:2019, ICP / AAS: Eee ‘Organotin Compounds ISO/TS 16179:2012 Pass Disperse Dyes and Dyestuffs IN 54231:2005 Pass Dimethylforamide (OMFA) DIN EN 16778: 2016 Pass ‘Component List / List of Materials ‘ticle No. | Malerial No ‘Component Material A 1 ‘SU PINK 8B si Sostoms Ga ts | Santa uy ce Gots gn Orem MITSGS Test Report no. resoto1r-ctsavsazt-15135 Date: 2021. 10.01 Page 3 of 8 Picture of Sample as Received : =. Undated AYSA21-15135 SGS Korea Co., Ltd. Lee ‘Tommy Oh/ Chemical Lab Mgr Dos Kare Go| 3% Ta0 vey Tee Oongungs feeder teSGS Test Report no. resoto1/F-ctsaysa21-15135 Date: 2021.10.01 Page 4 of 8 Test Method: — With reference to DIN EN ISO 3071:2020 Result 62 PASS Note: Extraction medium KCI solution DH value of extraction medium 50-75 ‘Temperature ofthe extraction solution 2242 °C += Exceeds the TLV Requirement: 40-75 t Test Method: Others: With reference to EN 16711-2:2016. Analysis was performed by ICP-OES / ICP-MS Result CASNo, 4 ‘Cadmium (Ca) 7440-43-9 nd (Chromium (Cr) 7440-473 nd Lead (Pb) 7439-92-41 nd. Mercury (Hg) 7439-976 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 possibilly of failure on one or more ‘components. Retesting on individual component is recommended to determine the compliance cof each component to the requirement Requirement: Anfants Adults Reporting limit {ma/ka) (malka) {ma/ka) Cadmium of 4 0.03 Chromium 10 20 0.3 Lead 02 1.0 0.06 Mercury 0.02 0.02 0.006 prorat Campary Ary arasorse saan, oreo ern of coin or appre fn Socom ‘finean” Ges mars sae mn shown het pat ne cyt a Toston nu Ova Tec. eens mr Ones fom 7 1 ao aon 60 aso Yess RoamSGS Test Report no. res0101F-ctsavsaz1-15135 Date: 2021.10.01 Page 5 of 8 Total Cadmium ‘Test Method: Others: With reference to DIN EN 16711-1:2016. Analysis was performed by ICP-OES or AAS ‘Cadmium (Cd 7440-43-95 nd. ‘Conclusion = PASS. N nd. ot not detected mg/kg = ppm sxceeds 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 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 CAS-No, 1 Lead (Pb) 7439-92-1 ni ‘Conclusion = PASS. Note: nd. = not detected mg/kg = ppm ‘Exceed 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 = 5 mg/kg Requirement: 40 mg/kg reece | eT a Techn ge gn Operant 7 {21 sos 601s Sm 0 enoneSGS Test Report no. reso101F-ctsavsa21-15135 Date: 2021.10.01 Page 6 of & Qraanotin Compounds Test Method: With reference to ISO/TS 16179:2012. Analysis was performed by GC-MS. Resi 1 Tributyitin (TST) rial Triphenyttin (TPT) nd. Dibutyitin (OBT) nd. Dioctyitin (DOT) nd. ‘Monat (MBT) nd. Mor in (MOT) nd. “Trioctytin (TOT) nd. ‘Conclusion PASS Note: nd. = not detected mg/kg = ppm Exceed 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 TBT = 0.05 mgikg Others = 0.1 mg/kg (for individual compound) Requirement: Tet Not Detected (0.05 maka) TPhT 05 mokkg DBT 4'mgikg DoT mg/kg MBT 1 mg/kg MOT 1 mg/kg ToT 4monks company stjct ote Goer Condon of Srvce pre ova! waa on eqn or ccna eens cman TS te fre rates Ses er ky ae a oct en tain fac. ert, dens aCe anchors ay, The Compan tol afonay J a see sgn unde wnatton ocean Ti oeumen aot canta teen torpor taaenson oe anew eppearnc fs cocoa Se ry eas vd ass shown as et pet er oy oD sar a eran. tne 0 rae 1 Le Dongua foyrg eng Kore 417 ‘hao oo toes 001 Soo os meas7 SGS Test Report no. reso101F-ctsavsaz1-15135 Date: 2021.10.01 Page 7 of 8 nd Test Method: With reference to DIN 54231:2008. Analysis was conducted with HPLC-DAD-MSD. Result CAS-No. 4 Disperse Blue 1 2475-45-8 nd. Disperse Blue 3 2475-46-9 nd Disperse Blue 7 3179-906 nd. Disperse Biue 26 '3860-63-7 nd Disperse Blue 35, 42222-75-2 nd. Disperse Blue 102 12222-97-8 nd. Disperse Blue 106 12223-01-7 nd. Disperse Blue 124 1051-51-7 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 6373-73-5 nd Disperse Yellow 23 (6250-23-83 nd. Disperse Yellow 39 2236-292 nd. Disperse Yellow 49 54824-37-2 nd Disperse Orange 1 2581-69-3 nd Disperse Orange 3 730-405, nd. Disperse Orange 11 82-26-0 nd Disperse Orange 37/59/76 TOLIEISS1 13301-61-6 5182S nd Disperse Orange 149 85136-74.9 nd Disperse Red 1 2872528 nd. Disperse Red 11 2872-48-2 nd Disperse Red 17 3179-89-3 nd. ‘Acid Red 26 3761-53-3 nd. Basic Red 9 569.61.9, nd ‘Acid Red 114 6459-945 nd. Basic Violet 14 632-995, nd Direct Black 38 1937-37-7 nd. Direct Blue 6 2602-46-2 nd. Direct Blue 15 2429-745 nd. Direct Red 28. 573-580 nd. Direct Brown $5 16071-86-6 nd. Basic Blue 26 2580-56-5 nd. Basic Violet 3 548-629, ng. Disperse Yellow 7 6300-37-4 nd. Disperse Yellow 56 4077-16-86 nd. [Disperse Red 151 (61968-47-6 nd Solvent Red 23 85-86-9 nd. Navy Blue = nd. Basic Green 4 (Free) 10309-05-2 Basic Green 4 (Chloride) 569-64-2, nd. Basic Green 4 (Oxalate)+ 2437-298, 18015-76-4 ‘Conclusion = PASS Note: nd. = not detectedSGS Test Report no. resotomr-ctsavsa21-18135 Date: 2021. 10.01 Page 8 of 8 mg/kg = ppm = Exceeds the limit += result was back calculated based on the worst-case scenario of Basic Green 4 cation (CAS 410309.95-2) #= result over 1/2 or 1/9 of clent requirement. There Isa possibility of failure on one or more Components Retesting on individual component is recommended to determine the compliance of teach component to the requirement Reporting imit= 15 mgrkg (or incividual compound) Requirement: ‘50 mg/kg (for individual compound) Di snide (DMFA) Test Method: With reference to DIN EN 16778: 2016. Analysis was performed by GC-MS. Dimethyiformamide (OMFA) 68-12-2 nd. ‘Conclusion = PASS Note: nd. = not detected mg/kg = ppm * = Exceeds the TLV # = resull over 1/2 or 1/3 of client requirement. There is a possibilty of fallure on one or more ‘components. Relesting on individual component is recommended to determine the compliance of ‘each component to the requirement Reporting limit = 50 mg/kg *** End of Report ** ‘cong fattest asi ftclanGles eros saad a at hem al ope a on ses Sostawacas i | Ri ose ses Sen eo a