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  • Prop65 Declaration Template English June 2018

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    Ivan Lugasan
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    This document declares that certain parts listed are compliant with Proposition 65, while no parts are listed as non-compliant. It represents that the signing party is authorized to make claims regarding Proposition 65 compliance on behalf of their company. The document includes lists of part numbers and descriptions for parts that do and do not contain substances regulated by Proposition 65.

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    This document declares that certain parts listed are compliant with Proposition 65, while no parts are listed as non-compliant. It represents that the signing party is authorized to make claims regarding Proposition 65 compliance on behalf of their company. The document includes lists of part numbers and descriptions for parts that do and do not contain substances regulated by Proposition 65.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    25 views1 page

    Prop65 Declaration Template English June 2018

    Uploaded by

    Ivan Lugasan
    This document declares that certain parts listed are compliant with Proposition 65, while no parts are listed as non-compliant. It represents that the signing party is authorized to make claims regarding Proposition 65 compliance on behalf of their company. The document includes lists of part numbers and descriptions for parts that do and do not contain substances regulated by Proposition 65.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    *** By signing this document you are representing that you are authorized to make claims

    on behalf of your company in regards to Proposition 65, and that such claims can be relied
    upon ***

    SPI Semicon Asia, Inc.

    DECLARATION OF Prop 65 COMPLIANCE

    Prop65 Compliance Statement

    The part(s)/product(s) in the tables below list which do and which do not contain substances described in the
    most current revision of the California’s Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition
    65). The latest material list can be viewed here.

    Compliant Prop 65 Parts List

    Part Number(s) Description

    112350-1 TUBE, MICTOR R/A PLUG ASSY


    112332-1 TUBE, MICTOR RECPT .025CL
    112336-1 TUBE, MICTOR .260 PLUG
    112766-1 TUBE, MICTOR
    112149-1 END PLUGS, METRISTAK TUBE
    999929-1 END PLUG
    112079-3 END PLUG .475 LONG
    112079-6 PLUG, END

    Non-Compliant Prop 65 Parts List

    CAS Number
    Part Number(s) Description Substance Name
    (If Applicable)

    Print
    Name: Ivan A. Lugasan Signed:

    Title: Pollution Control Officer / Safety Officer Date: January 9, 2024

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