ARK FDA Test Report
5Pages

TEST REPORT NO: B71862098 Jan.4, 2021 Page : 1 of 4 Applicant: Address : Contact Person : TAIZHOU ARK INTERNATIONAL TRADE CO., LTD E801 XINTAI SQUARE,NO.168 GUANGCHANG SOUTH ROAD, JIAO JIANG ECONOMIC DEVELOPMENT ZONE, TAIZHOU CITY,ZHEJIANG,CHINA KEN XIE Test Date: Received Date: Contact Info: Dec 23, 2020 - Jan 04, 2021 Dec 21, 2020 sales@peekchina.com Sample Description: PEEK ProductsMaterial PEEKcomposition:Test Item Conclusion FDA Extraction Test For Food Contact Poly Ether Ether Ketone [21 CFR 177.2415] PASS Remark: 1. The results relate only to the samples tested. 2. Selected test(s) as requested by applicant. ******************** Pgg0 ******************** For and on behalf of UL VS Shanghai Limited 'tfw Lester. Xie- VS Operation Manager This letter / report / certificate shall not be reproduced (except in full version) without the written approval of the UL Company. (“UL”) LETTERS / REPORTS / CERTIFICATES: Letters / Reports / Certificates of UL are issued for the exclusive use of the Customer to whom they are addressed. No quotation from reports / certificates or use of the UL’s name is permitted except by UL’s express written authorization. Letters / reports / certificates apply only to the specific materials, products or processes tested, examined or surveyed and are not necessarily indicative of the qualities of apparently identical or similar materials, products or processes. Reports / Certificates of UL do not relieve sellers / suppliers from their contractual responsibilities with regard to the quality / quantity of the goods in delivery nor do they prejudice the Customer’s right to claim against sellers / suppliers for compensation for any apparent and/or hidden defects not detected during UL’s random inspection or testing or audit. The liability of UL to the Customer in contract, tort (including negligence or breach of statutory duty) or howsoever, and whatever the cause thereof, (a) for any loss of profit, business, contracts, revenues, or anticipating savings; or (b) for any special indirect or consequential damage of any nature whatsoever, shall be limited to the amount of the fee paid in respect of the specific Work(s) which give rise to such claim. For Reports / Certificates, refer to the UL VS Terms and Conditions. UL VS Shanghai Limited 188 <§■;# WgJFSKRffca 1<*1M«.2g8.3g’3(*103g Floor 1 & 2 & 3, Building 1; Room 103, Building 3, Caohejing Hi Tech Park Ju Xin Park, No. 188, Ping Fu Road, Xu Hui District Shanghai 200231 ,P.R.China rfrS(T): +(8621) 24228200/(AH(F): +(8621) 6855 6812 /Rtt(W): ul.com

Sample Information : Sample Applicant’s equivalent code / Color Natural PEEK sheet 测试样品由客户送样委托检测: 样品信息由客户提供并确认 以下条款仅针对中国市场和社会： -----该报告仅向委托人公布、供委托人使用，不具有社会证明的作用。 This letter / report / certificate shall not be reproduced (except in full version) without the written approval of the UL Company. (“UL”) LETTERS / REPORTS / CERTIFICATES: Letters / Reports / Certificates of UL are issued for the exclusive use of the Customer to whom they are addressed. No quotation from reports / certificates or use of the UL’s name is permitted except by UL’s express written authorization. Letters / reports /...

FDA Extraction Test For Food Contact Poly Ether Ether Ketone [21 CFR 177.2415] Sample Water Extraction 3%Acetic Acid Extraction 50%Ethanol Extraction N-Heptane Extraction Rating PASS PASS PASS PASS “<” means less than; “mg/in² means milligrams square inch ” 测试样品由客户送样委托检测: 样品信息由客户提供并确认 以下条款仅针对中国市场和社会： -----该报告仅向委托人公布、供委托人使用，不具有社会证明的作用。 This letter / report / certificate shall not be reproduced (except in full version) without the written approval of the UL Company. (“UL”) LETTERS / REPORTS / CERTIFICATES: Letters / Reports / Certificates of UL are issued for the exclusive use of the Customer...

test sample photo for reference only 测试样品由客户送样委托检测: 样品信息由客户提供并确认 以下条款仅针对中国市场和社会： -----该报告仅向委托人公布、供委托人使用，不具有社会证明的作用。 This letter / report / certificate shall not be reproduced (except in full version) without the written approval of the UL Company. (“UL”) LETTERS / REPORTS / CERTIFICATES: Letters / Reports / Certificates of UL are issued for the exclusive use of the Customer to whom they are addressed. No quotation from reports / certificates or use of the UL’s name is permitted except by UL’s express written authorization. Letters / reports / certificates apply only to the specific...

UL VS Terms and Conditions All services are governed by the following Terms and Conditions. 1. Verification Services. The UL Contracting Party (“we”, “us”, or “our” as the context requires) will perform commercial testing, verification, audit, assessment, inspection, and/or other services (“Services”) in accordance with your instructions as described in this order, scope of work, project proposal, quotation, or order acknowledgment (“Quotation”). The Services will be limited to an assessment of your samples’ conformity to requirements, specifications, and/or protocols you have established...