y
TEST REPORT
NUMBER: SHAH01439294
DATE: Jun 10, 2022
Checklist
Jpma Certification Program
Manufacturer/Participant: STORK CRAFT MANUFACTURING USA INC Test Date: Mar 07,2022
Address: 250-3993 Howard Hughes Parkway Turn Around Time: 67 days
00524-701 00524-
City/St/Zip: Las Vegas, NV 89169 Model Number:
Shouguang Dasen Wood Co., LTD.
Supplier (Name and
Location):
Date of Manufacture:
NO. 1790, Zhengyang Road, Shouguang City
Shandong Provice, China 262700 Product Name:
Initial
Basic Model Prototype Model Modification 1st Quarter 2nd Quarter
Production Retest Previous Test Date 3rd Quarter 4th Quarter
70F
CUSTOMIZABLE
CHANGING TABLE
P = Pass F = Fail N/A = Not
Evaluation Citation Attribute Result
JPMA Protocols
1 California Proposition 65 California Proposition 65 As Applicable P (see#1, #2,
#3)
2 FCC part 15 Electronic products NA
3 IABFLO Law label P
Labeling
4 19 CFR 134 Country of origin P
5 Title 17, CA
CARB formaldehyde document and label review
P
Code of Regulations,
Section 93120.7(d)
Fabricator Label
Requirements
6 CPSIA section 103(a) Tracking labels for children's products P
7 16 CFR 1130 Registration card for durable nursery product P
9 ASTM F963 Labeling Review – Battery Operated Product NA
10 16 CFR 1505 Electrically Operated Toys NA
11 ASTM F2088 Transformer UL/ETL or equivalent Labeling NA
12 ASTM F963 Toys Labeling Review – magnets NA
13 16 CFR 423 Care Label P
15 California, New York,
Plastic sheet / bag requirement NA
Chicago, Massachusetts,
Virginia and Rhode Island
State and Cit
Laws CA
Block B, Jinling Business Square, No.801 YiShan Road, Shanghai, China. 200233
Telephone: +86 21 6120 6060 Facsim ile: +86 21 6127 9740
上海天祥質量技術服務有限公司
上海市宜山路 801 號金陵商務廣場 B 座 200233
www.intertek.com www.intertek.com.cn
Page 1 of 10
Intertek Testing Services Ltd., Shanghai
TEST REPORT
Evaluation Citation Attribute Result
Code 22200-22202, RI
Code 11-9-16
17 - - Instruction Review P
18 - - UPC #, Item number or style number P
19 40 CFR 770.45 Labeling of Compostive Wood Product - Formaldehyde Emission
(EPA)
Analytical
20 FDA FSSE 21 CFR 175-
Food Contact Materials NA
177
21 16 CFR 1500.231 Hazardous Liquids NA
22 16 CFR 1500.3(c)(6)(iii)
Flash point of combustible liquid NA
16CFR 1500.43(a)
23 CPSIA Section108* / 16
Phthalate contents – 8 P (see#4)
CFR 1307 / CA Prop 65 /
CPSC-CH-C1001-09.3
(Mod) / CPSD-AN-00095MTHD / CPSD-AN-00143MTHD / 16 CFR 1308
24 ASTM F963 Soluble heavy metal contents in surface coatings P (see#5)
25 ASTM F963 Soluble heavy metal contents in substrate materials P (see#5)
26 CPSIA Section 101 Total lead content in substrate materials P (see#6)
27 16 CFR 1303 Total lead content in surface coatings P (see#7)
28 Mercury- Containing and
Total mercury content in batteries and button cell batteries NA
Rechargeable
Battery Mgmt Act U.S. Pub.
L. 104-142
29 40 CFR 770.10 / 40 CCFR
Formaldehyde Emission of Composite Wood Product (EPA) P
770.17 / 40 CFR 770.18
Hazard
30 ASTM F2388 Juvenile Products See Part I
31 ASTM F963 Juvenile Products Battery Operated NA
32 ASTM F963 Toy Accessories NA
33 16 CFR 1505 Electrically operated products - document review NA
34 ASTM F2088 Electrical Testing NA
35 Toxics in packaging act Toxics in packaging (TPCH) P (provided)
36 ASTM F963 Mechanical hazards – magnets NA
37 - - Mercury - Total Content NA
38 Illinois Lead Poisoning
Illinois lead content P (see#8)
Prevention Act
39 16 CFR 1501 Small part P
40 16 CFR 1500.48 Sharp points P
43 16 CFR 1500.49 Sharp edges P
Flammability
44 California flammability
California technical bulletin 116 flammability NA
regulations title 4 chapter 3
45 16 CFR 1500.44 Flammability of solids P
Physical Characteristics
NUMBER: SHAH01439294
DATE: Jun 10, 2022
(810003667571)
P
Block B, Jinling Business Square, No.801 YiShan Road, Shanghai, China. 200233
Telephone: +86 21 6120 6060 Facsim ile: +86 21 6127 9740
上海天祥質量技術服務有限公司
上海市宜山路 801 號金陵商務廣場 B 座 200233
www.intertek.com www.intertek.com.cn
Intertek Testing Services Ltd., Shanghai
Page 2 of 10
TEST REPORT
Evaluation Citation Attribute Result
46 AATCC 20A Fiber analysis: quantitative NA
47 - - Overall dimensions and weight R: 35 in.*38.1
48 NY, MD, WA, VT, HI, ME,
Flame Retardants P (see#9)
OR, RI and CA
49 NY Albany County Local
The Toxic Free Toys Act P (see#5)
Law No. 1 for 2015 and NY
Suffolk County Local Law
No. 26 of 2017
Abbreviation : P = Pass; F = Fail; N/A = Not Applicable; N/T= Not Tested;
MCD = Manufacturer Conformity Declaration; nr = not requested by the applicant; NES = Not Enough Sample
Conclusion:
PASS
FAIL
For Information Only
Part I
1.SAFETY SPECIFICATION FOR BABY CHANGING TABLES
With reference to ASTM F2388-18 Standard consumer safety specifications for Baby Changing Tables for Domestic Use, the
submitted samples were subjected to the following tests:
Number of Sample Tested: One ( 1 ) Piece
Initial inspection: No any damage was found
Executive summary:
Clause Test items Verdict
1 Scope. 2 References documents. 3 Terminology 4 Calibration and Standardization 5 General requirements P
5.1 Sharp point and edge P
5.2 Small parts P
5.3 Surface coatings P (see#7)
5.4 Wood parts P
5.5 Openings P
5.6 Attachable unit NA
5.7 Toys accessories NA
5.8 Threaded Fasteners P
5.9 Protective Components NA
5.10 Consumer Product Safety Improvement Act. See Table #1
5.11 Scissoring, Shearing, and Pinching P
5.12 Applicable requirements of that standard NA
6 Performance requirements P
6.1 Structural Integrity P
6.2 Stability P
6.3 Barriers P
6.4 Retention of Contoured Changing Pads and Add-on Changing Units NA
6.5 Entrapment in Enclosed Openings P
Intertek Testing Services Ltd., Shanghai
Block B, Jinling Business Square, No.801 YiShan Road, Shanghai, China. 200233
Telephone: +86 21 6120 6060 Facsim ile: +86 21 6127 9740
上海天祥質量技術服務有限公司
上海市宜山路 801 號金陵商務廣場 B 座 200233
www.intertek.com www.intertek.com.cn
NUMBER: SHAH01439294
DATE: Jun 10, 2022
in.*18.5 in.
N.W.: 17.6 kg
G.W.: 19.2 kg
C: No claim
Page 3 of 10
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