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Pacific Bearing Company's Materials Composition Declaration Form for Equipment

PART / PRODUCT INFORMATION
Part / Product Name ALL PRODUCTS
Part / Product Number ALL PRODUCTS
Part Number Revision
Effective Date of Part Revision

Material/Substance Category Name
Maximum Concentration Value (MCV)
Above MCV? (Y/N)
Intentionally Added? (Y/N)
Provide concentration if available
Describe All Uses (including allowable uses) and Physical Locations
List A Substances
Asbestos
0 ppm
N
Azo Colorants
0 ppm
N
Cadmium/Cadmium Coumpounds
100 ppm
N
Hexavalent Chromium/Hexavalent Chromium Compounds
1000 ppm
N
Lead/Lead Compounds (Lead in PVC insulation)
1000 ppm (300 ppm)
N
Mercury/Mercury Compounds
1000 ppm
N
Include mass of mercury used in lamps (grams)
Class I Ozone Depleting Substances
0 ppm
N
Class II Ozone Depleting Substances
1000 ppm
N
Polybrominated Biphenyls (PBB) and Polybrominated Diphenyls (PBDE)
1000 ppm
N
Polychlorinated Biphenyls (PCB)
0 ppm
N
Polychlorinated Naphthalenes (> 3 Cl)
0 ppm
N
Radioactive Substances
0 ppm
N
Short-chained Chlorinated Hydrocarbons (C10-C13)
0 ppm
N
Tributyl Tin (TBT) and Triphenyl Tin (TPT)
0 ppm
N
Tributyl Tin Oxide
0 ppm
N
List B Substances
Antimony/Antimony Compounds
1000 ppm
N
Arsenic/Arsenic Compounds
1000 ppm
N
Beryllium/Beryllium Compounds
1000 ppm
N
Bismuth/Bismuth Compounds
1000 ppm
N
Brominated Flame Retardants (other than PBB, PBDE)
1000 ppm
N
Nickel
1000 ppm
N
Phthalates
1000 ppm
N
Polyvinyl Chloride (PVC)
1000 ppm
N
Selenium/Selenium Compounds
1000 ppm
N

List C Substances

Carbon Black
0 ppm
N
Crystalline Silica
0 ppm
N
Fluoropolymers (No intentional additon except in part <500 grams (or <5% by weight)
>500 gms or >5% by weight
N
Natural Rubber Latex
0 ppm
N
Polyvinylidene Chloride (PVDC)
0 ppm
N


I certify that I am authorized to declare this Material Composition Declaration Form on behalf of Pacific Bearing Company is in accordance to RoHS 2 2011/65/EU.I also certify that we have implemented processes to ensure the accuracy of the data provided for the products we manufacture, and methods of verifying and auditing the information acquired through our supply chain, as necessary.

Certified By: PBC Linear
Title: Quality Manager
Date: 04/10/2015

 

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PBC Linear | 6402 Rockton Road, Roscoe, IL 61073 | P. O. Box 6980, Rockford, IL 61125-6980 | Toll-Free (888) 389-6266 | Fax: (815) 389-5790

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