Page 1
Test Report
Number: SZHH01637634
Applicant: 39F INC Date: Dec 31, 2021
50 EAST WILMOT ST., RICHMOND HILL,
ONTARIO L4B 3Z3, CANADA
Sample Description:
One (1) piece of submitted sample said to be :
Product Description :
CHARLTON SUEDE BROWN DT LMKZ, CHARLTON VELVET CACTUS
MDM YKC
Wayfair SKU No. :
TNFI1541, TNFI1542
Quantity : One Piece
Packaging Provided b y
: Yes
Applicant
Buyer : Wayfair
Country of Origin : China
Country of Destination : US / Canada
Test Required : Furniture
Date Sample Received : Dec 08, 2021
Testing Period : Dec 08, 2021 ~ Dec 31, 2021
Tests conducted:
As requested by the applicant, refer to attach ed pag e( s ) for details.
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 1 of 29
Page 2
Test Report
Number: SZHH01637634
Executive Summary
Protocol Test Property Result
WAYF-03001-INTL Chemical Test Pass
WAYF-03001-INTL Physi c a l C harac teris t i cs See data
WAYF-03001-INTL Construction & Workmanship Pass
WAYF-03001-INTL Flammability Pass
WAYF-03001-INTL Labeling Requirement See remark 1 & 2 & 3 & 4
WAYF-09067-US Labeling Requirement See remark 3
ITS-24004-US Labeling See remark 1
ITS-24004-US Flammability of Materials used in Upholstered Furniture Pass
Remark:
1 Only artwork of law label, flammability label with chemical statement & SOFFA label were provided for review.
2 “PAD” and “BATTING” were provided on the law label, but no variance from the state of Pennsylvania was
provided.
3 No manufacturer, packer, or distributor’s name & address (City, State & Zip Code) was presented on the
packaging.
4 Some information on the packaging and product was in English only, not in French.
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 2 of 29
Page 3
Test Report
Number: SZHH01637634
Authorized by:
For Intertek Testing Services
Shenzhen Ltd.
Rachel L. Guo
General Manager
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 3 of 29
Page 4
Test Report
Tests Conducted
Number: SZHH01637634
WAYF fair test specification WAYF-03001-INTL for Seating
(Version 1, dated Nov 26, 2021)
Attribute Citation Requirements / Limits Result
Supplemental - US
†* CA Prop 65
Supplemental
ITS-00008-US
Consent Judgment of related court cases based on California
Proposition 65.
(State of
California)
†* Flammability
and Labeling for
ITS-24004-US
Upholstered furniture shall meet all applicable requirements
specified in the protocol.
Material Used in
Upholstered
Furniture (State
of California)
†* Packaging and
Labeling
Supplemental
WAYF-09067-
US
Packaging and labeling shall meet all applicable requirements
specified in the protocol.
Chemical Test - US
†* Lead Content
in Paint or Similar
Surface Coating
Consumer
Product Safety
Children product, furniture shall not contain Lead or Lead
compounds in which the Lead content is in excess of 0.009%
(90 ppm) by weight of the total content.
Improvement Act
of 2008 (CPSIA)
/ 16 CFR 1303
†* Flame
Retardants in
Residential
Upholstered
Furniture,
Mattresses and
Certain Juvenile
Products
California
Business and
Professions
Code §19100-
19104 /
Maryland
Products
containing a
Flame-Retardant
Chemical
Sec.24-306.1
(SB 447)
Residential upholstered furniture, mattresses and certain
juvenile products shall not contain more than 1000 ppm (0.1%
by weight) of any flame retardant.
Actual testing of the following flame retardants will be
conducted:
- Tris(2-chloroethyl) phosphate (TCEP);
- Tris(1,3-dichloro-2-propyl) phosphate (TDCPP);
- Decabromodiphenylether (DecaBDE);
- Hexabromocyclododecane (HBCDD);
- Tetrabromobisphenol A (TBBPA)
Note:
- Juvenile products include the following products for children
under 12 years old: bassinet, booster seat, changing pad,
floor playmat, highchair, hig hchair pad, inf ant bou nc er , inf ant
carrier, infant seat, infant swing, infant walker, nursing pad,
nursing pillow, playpen side pad, playard, portable hook-on
chair, stroller, and children’s nap mat.
- Flame retardant restrictions only apply to foam components
of adult mattresses. All other components are excluded.
- Flame retardant restrictions for products other than adult
See
supplemental
protocol CA
Prop 65
See ITS-
24004-US
See protocol
WAYF-09067-
US
P
(See test
data)
P
(See test
data)
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 4 of 29
Page 5
facilitate sleep, relaxation, or the feeding of a child, or to be
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
matresses are only applicable to the following components:
foam, cover fabrics, barrier materials, resilient filling materials,
and decking materials. All other components including thread
and string are excluded.
- Actual materials tested includes:
i. Major accessible and inaccessible foam materials
ii. Covering materials, excluding leather, covering major
foam material s
(Note: Refer to CPSD-AN-00552-MTHD for material selection
on testing)
- Major materials are considered materials comprising >20%
area of the product.
- Covering materials include woven and non-woven materials
such as textiles, upholstery and PVC.
- A maximum of 5 major materials will be tested.
- No need to perform testing if the major components contain
insufficient sample weight based on 3 pieces.
- Vendors shall be responsible for the compliance of all other
materials and all other flame retardants chemicals .
- Composite up to 3 like materials.
- Individual materials will be analyzed if the composite result
exceeds the adjusted limit (regulatory limit divided by the
number of components).
- Include data table within report.
†*Flame
Retardant in
Upholstered
Furniture and
Children
Products
NY, MD, WA,
VT, HI, ME, NV
and OR
Children products for use by children under 12 years of age
and residential upholstered furniture shall not contain any of
the following flame retardants in concentration more than
1000 ppm in any product component:
- Tris(2-chloroethyl) phosphate (TCEP);
- Tris(1,3-dichloro-2-propyl) phosphate (TDCPP);
- Decabromodiphenylether (DecaBDE);
- Hexabromocyclododecane (HBCDD);
- Tetrabromobisphenol A (TBBPA)
Note:
Report actual results or include data table within report.
- Actual testing of children products shall be conducted on
toys, jewelry, products designed or intended by the
manufacturer to help a child with sucking or teething, to
P
(See test
data)
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
*ZHJ1637634*
Page 5 of 29
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 6
composite exceeds 80% of the limit (72 mg/kg), based on the
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
worn as clothing by children, and child car seats.
- Refer to CSPA Reporting Rule WAC 173-334 for the
complete product list.
- See RCW Chapter 70.240.010 for children's products
that are exempt.
- Actual testing would be conducted on:
i. Major accessible and inaccessible foam materials
ii. Covering materials, excluding leather, covering major
foam material s
iii. Major textiles and plastics of costumes and products with
electrical components
(Note: Refer to CPSD-AN-00552-MTHD for material selection
on testing)
- Major materials are considered materials comprising >20%
area of the product.
- Covering materials include woven and non-woven materials
such as textiles, upholstery and PVC.
- A maximum of 5 major materials will be tested.
- No need to perform testing if the major components contain
insufficient sample weight based on 3 pieces.
- Vendors shall be responsible for the compliance of all other
materials.
- Composite up to 3 like materials.
- Individual materials will be analyzed if the composite result
exceeds the adjusted limit (regulatory limit divided by the
number of materials).
†* Toxic
Elements in
Packaging
TPCH
Packaging shall comply with TPCH in those states with
legislation. Total concentration of Pb, Cd, Hg and hexavalent
Cr shall not exceed 100 ppm.
Components
Chemical Test - CA
†* Total Lead in
Surface Coating
(to be applied by
consumer)
Canada Surface
Coating
Materials
Regulations
(SOR/2016-193)
Sec.2
Surface coating material shall not contain lead in excess of 90
mg/kg when a dried sample of it is tested or the container (of
a product used in the note below) is labeled with the
appropriate warning (refer to labeling section for
details). Children's products must not contain any warning
labels.
Note:
- Report actual results or include data table within report.
- Composite up to 3 colors is allowed. If any color in the
P
(See test
data)
P
(See test
data)
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
*ZHJ1637634*
Page 6 of 29
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 7
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
lowest weight component, individual colors will be analyzed.
- Applicable to a paint or other similar material that is in its
own container and dries to a solid film when a layer of it is
applied to a surface. Not applicable to materials that become
part of the substrate.
- If lead content exceeds the limit, warning label is allowed for
paint or other similar material that:
-is used as a touch-up coating on metal surfaces;
-is used as material, for use by adult, for the purposes of arts,
crafts or hobbies.
†*Total Mercury
in Surface
Coating
Canada Surface
Coating
Materials
Regulations
(SOR/2016-193)
Sec.5
Surface coating material shall not contain total mercury in
excess of 10 mg/kg when a dried sample of it is tested.
Note:
- Report actual results or include data table within report.
- Composite up to 3 colors is allowed. If any color in the
composite exceeds 80% of the limit based on the lowest
weight component, individual colors will be analyzed.
- Applicable to a paint or other similar material that is in its
own container and dries to a solid film when a layer of it is
applied to a surface. Not applicable to materials that become
part of the substrate.
Physical Characteristics- All markets
Overall
Dimensions
Overall Weight
ITS-M0059
ITS-M0059
Report actual. R:
53.3 cm W x
Report actual. R: 4.8 kg/
Physical Characteristics- US
†* Fiber
Composition (If
applicable)
AATCC 20 /
AATCC 20A
Textile product (For fiber labeling):
- Single fiber: No tolerance
- Blended fiber: +/- 3%
Textile component of non-textile product (If claimed):
- If percentage of fiber is specified: Recommend following the
tolerance applied for textile product.
- If percentage of fiber is not specified: Report actual fiber
composition (qualitative) of the textile component. Shall meet
label claims (If applicable).
NOTE: Select above requirement(s) as applicable.
NA
45.4 cm D x
87.6 cm H/
21” W x
17-7/8” D x
34-1/2” H
10.6 lbs
NR
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 7 of 29
Page 8
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
Physical Properties - CA
*Fiber Content
Analysis
CAN/CGSB-4.2
No. 14-2005
Blends - Report actual ( +/-5% maximum tolerance )
Single fiber - Report actual (0% tolerance)
NR
Construction & Workmanship
Sharp Points /
Edges
US: With
reference to 16
Shall have no sharp points or edges as received, other than
those required for function.
P
CFR 1500.48 /
1500.49 / EU:
With reference to
EN 71-1 / CA:
With reference
to Canada
Consumer
Product Safety
Act, Toys
Regulations
Flammability-US
†* Flammability
for Indoor
Upholstered
Furniture
16 CFR 1640 /
California
Technical
Upholstered seating furniture for indoor use shall comply with
the flammability test specified by California Technical Bulletin
117-2013.
P
Bulletin 117-
2013
Flammability-CA
†* Flammability
for Textile
Products and
Bedding
Canada
Consumer
Product Safety
Act (CCPSA),
Textile
Flammability
Regulations,
Section 4 /
CGSB-4.2
No.27.5
Textile products and bedding shall NOT have a time of flame
spread of either of the following:
- 3.5 seconds or less, for textile products without a raised fiber
surface fabric; or
- 4 seconds or less, for textile products with a raised fiber
surface fabric and exhibits ignition or fusion of its base fibers;
or
- 7 seconds or less, for bedding without a raised fiber surface
fabric, or with a raised fiber surface that exhibits ignition or
fusion of its base fibers.
NOTE: The regulations do not apply to children’s sleepwear in
P
sizes up to and including 14X; dolls, plush toys and soft toys;
cribs, cradles and bassinets; playpens; expansion gates and
expandable enclosures for children; textile floor coverings;
tents; and mattresses.
Labeling Requirement - US
†* Labeling of
Leather Fiber and
Imitation Leather
16 CFR 24 Leather fiber and imitation leather product shall meet all
applicable requirements.
NR
(If applicable)
†* Law Label Except Stuffed
Toy and Stuffed
Pet Toy
Various US State
Law / With
reference to
Stuffed articles (except stuffed toys and stuffed pet toys),
bedding or furniture with filling materials, as specified, shall
have law label attached to the product.
See remark1
&2
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 8 of 29
Page 9
Canadian dealer’s principal place of business.
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
IABFLO
NOTE: It is the vendor's responsibility to register the product
as required.
†* Labeling for
Indoor
Upholstered
Furniture
16 CFR 1640 Upholstered seating furniture for indoor use shall be included
the statement “Complies with U.S. CPSC requirements for
upholstered furniture flammability” on a permanent label
See remark1
located on the product.
*Manufacturer’s
Product
Certificate
CPSC/CPSIA
Regulation
If the product required GCC, manufacturer shall
provide accurate GCC.
(GCC/CPC)
Labeling Requirement - CA
† Pre-packaged
Product
Consumer
Packaging and
Labelling Act and
The net quantity declaration shall present on Principal Display
Panel (PDP) in English and French, metric units.
The numerical quantity shall be bold type with letter height
based on the size of Principle Display Surface (X):
See remark3
Regulations
Provided
† Country of
Origin
Canada
Customs Tariff,
Marking of
Imported Goods
Regulations
† The Language
of Inscription
(Mandatory in
Quebec)
The Charter of
French
Language, Title
I, Chapter VII,
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
All other information in the net quantity declaration (i.e. units
of measurement statements, abbreviations, symbols, etc.)
shall be shown in minimum 1.6 mm letter height.
Product identification shall be shown on Principal Display
Panel (PDP) in English and French, minimum 1.6 mm letter
height.
Dealer’s name and principal place of business (address) shall
be shown on any part of label except bottom, English or
French, minimum 1.6 mm letter height.
For imported goods, the name and address of the dealer
outside Canada or the name and address of Canadian
dealers shall be preceded by “imported by” (“importé par”) or
“imported for” (“importé pour”), unless a statement of
geographic origin is located immediately adjacent to the name
and address of a Canadian dealer, and shown with letter
height at least as large as those used in the declaration of the
The country of origin marking of Non-NAFTA imported goods
shall be present in English or French.
The following inscription shall be drafted in French:
- product;
- product container or wrapping;
- document or object supplied with it (e.g. directions for use,
warranty certificates).
*ZHJ1637634*
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
P
See remark4
Page 9 of 29
Page 10
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
Clause 51 &
Regulations
adopted under
the Charter of
French
Language
No inscription in another language may be given greater
prominence than that in French. For exceptions, check the
following webpage:
http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch
/telecharge.php?type=3&file=/C_11/C11R9_A.HTM
NOTE: Vendor shall be responsible for the accuracy of
information provided.
* Flexible
Packaging Film
Bag
With reference to
Canada
Consumer
Product Safety
Act, Toys
Regulations,
Section 4
Flexible film bag shall meet at least one of the following
requirements:
- The opening shall be less than 356 mm (14 inches) in
circumference; or
- It shall be made from film that is at least 0.019 mm (0.75 mil)
thick and shall have printed legibly on it the following warning
or equivalent in both official languages:
"PLASTIC BAGS CAN BE DANGEROUS. TO AVOID
DANGER OF SUFFOCATION KEEP THIS BAG AWAY
FROM BABIES AND CHILDREN."
"LES SACS DE PLAST IQU E PEU VEN T ÊT R E
DANGEREUX. POUR ÉVITER LE DANGER DE
SUFFOCATION, NE LAISSEZ PAS CE SAC À LA PORTÉE
DES BÉBÉS NI DES ENFANTS"
†* Upholstered
and Stuffed
Article Label
Quebec
Regulation
Respecting
Stuffing and
Upholstered and
Upholstered or stuffed article shall have label in the required
format securely affixed in a conspicuous location to the
article. The label shall be made of a white durable fabric with
black printing and shall declare filling materials by generic
name in descending order based on the volume of each filling
material.
Stuffed Articles /
The Public
Health Act of
Manitoba,
C.C.S.M. c.
P210 Bedding,
Upholstered and
Stuffed Articles
Regulation
†* Fiber Content
Label - PrePackaged
Consumer Textile
Articles (If
applicable)
† Fiber Content
Label - CA
Number or
Dealer Identity (If
applicable)
Textile Labelling
Act and Textile
Labelling and
Advertising
Regulations
Textile Labelling
Act and Textile
Labelling and
Advertising
Textile article sold in a wrapper, package or container that the
fiber content label is clearly visible to the consumer, no further
labeling is required. If the label is not visible, the information
to be shown on the label must be repeated on the wrapper,
package or container in the prescribed manner.
The CA number of the Canadian dealer or the name and full
postal address under which the dealer normally carries out his
business must be present on the fiber content label per
Sections 11 and 12 of the Textile Labelling and Advertising
Regulations.
P
NA
NR
NR
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 10 of 29
Page 11
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
Regulations
† Fiber Content
Label - Affixed to
Textile Articles (If
applicable)
Textile Labelling
Act and Textile
Labelling and
Advertising
Label must be legible and accessible to the consumer. The
permanency of the label depends on the type of textile article,
as specified in Schedule I or III of the Regulations. Refer to
the Regulations for details. All fiber content information
(generic names of fibers) must be in English and French.
Regulations
Wayfair test specification WAYF-09067-US for Packaging and Labeling Requirements
(Version 1, dated Nov 25, 2021)
Attribute Citation Requirements / Limits Result
† US Packaging
Labeling
F.P. and L. Act
(16 CFR 500) OR
NIST Uniform
Laws and
Regulations
Handbook 130
Packaging shall be labelled with the following,
Product Identification
Net quantity of contents shall be expressed in terms of
weight or mass, measure, numerical count, or combination
so as to give accurate information to facilitate consumer
comparison (U.S. and metric units)
See remark3
Manufacturer, packer, or distributor’s name & address
(City, State & Zip Code)
† Country of
Origin Marking
19 CFR 134
Shall indicate country of origin legibly, permanently, and in
comparable size and close proximity to any mention of
country other than country in which the article was
manufactured or produced. Must be visible at point of
purchase.
NR
P
†*EPA TSCA title
VI-Composite
WoodDeclaration Form
and Mill
Certification
40 CFR 770
If wood of any type is present in the sample, submitter
shall provide a completed and signed Sample Declaration
Form. Sections A, B, and E of the Sample Declaration
Form must always be completed.
If regulated composite wood is not present in the sample,
result is N/A.
If regulated composite wood is present in the sample:
P
(Valid TSCA
declaration
form and mill
certification
were
provided)
-Section D of the Sample Declaration Form must also be
completed
-Submitter shall provide a copy of the certificate issued by
the Third Party Certifier.
(TPC) for the mill(s) from which the raw panels were
purchased
-All information on the certificate shall be consistent with
the Sample Declaration Form
Notes:
Include a copy of the Sample
Declaration Form in the report
Regulated composite wood
includes:
-Hardwood plywood (HWPW)
-Medium-density fiberboard (MDF)
-Thin medium-density fiberboard (Thin MDF)
Particleboard (PB)
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 11 of 29
Page 12
-
The number of the EPA TSCA Title VI Third Party Certifier
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
Mill certificate must indicate compliance with TSCA
Title VI. It is no longer acceptable to have the
certificate compliance with CARB’S ATCM for
formaldehyde in lieu of compliance with TSCA Title VI.
†*EPA TSCA
Title VI–
Composite
Wood-Finished
Good Labeling
40 CFR 770.45(c) &
(e)
Finished goods containing regulated composite wood shall
comply with the labeling requirements found in 40 CFR
770.45(c) unless the finished good qualifies for the de
minimis exception found in 40 CFR 770.45(e).
-A finished good does not require labeling per 40 CFR
was provided)
770.45(c) if the finished good does qualify for the de
minimis exception in 40 CFR 770.45(e). If the finish ed
good does qualify for the de minimis exception, result is
N/A.
-A finished good does require labeling per 40 CFR
770.45(c) if the finished good does not qualify for the de
minimis exeption in 40 CFR 770.45(e).
-At a minimum, the label must be on the product OR the
packaging
-The label may be applied as a stamp, tag, or sticker
-The label shall include, at a minimum, in legible English
text:
1. Fabricator’s name
2.Date the finished good was produced (in month/year
format)
3.A statement of compliance to denote that the finished
good complies with TSCA Title VI
Example:
XXX Company
MM/YYYY
EPA TSCA Title VI compliant for formaldehyde
Notes:
A de minimis amount of regulated composite wood is
defined as regulated composite wood content not
exceeding 144 square inches, based on the surface area
of the largest face of the finished good.
The de minimis exception is not available to finished goods
or component parts that are designed to be used in
combination or in multiples to create larger surfaces,
finished goods, or component parts.
. When a statement of compliance is necessary, the
statement must denote that the finished good
complies with TSCA Title VI. It is no longer acceptable
to have the product labeled as compliant with CARB’s
ATCM for formaldehyde in lieu of a TSCA Title VI
compliance statement.
†*EPA TSCA
Title VI–
Composite
Wood-Raw Panel
40 CFR 770.45(a) Panels or bundles of panels must be labeled with the
following:
-The panel producer’s name
-The lot number
Labeling
P
(Correct
artwork of
TSCA label
NA
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
*ZHJ1637634*
Page 12 of 29
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 13
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
(TPC)
-A statement of compliance to denote that the panels
comply with TSCA Title VI
Notes:
·A panel producer number may be used instead of a name
to protect identity
-Raw panels are regulated composite wood products that
have not been used to create a finished good
The compliance statement must denote compliance
with TSCA Title VI. It is no longer acceptable to have
the panel labeled as compliant with CARB’s ATCM for
formaldehyde in lieu of a TSCA
†*CARB–
Composite
WoodDeclaration Form
and Mill
Certificate
Title 17, CA Code of
Regulations §93120
If wood of any type is present in the sample, submitter
shall provide a completed and signed Sample Declaration
Form. Sections A, C, and E of the Sample Declaration
Form must always be completed.
-If regulated composite wood is not pres ent in the sa mple,
result is N/A.
-If regulated composite wood is present in the sample:
P
(Valid CARB
declaration
form and mill
certification
were
provided)
- Section D of the Sample Declaration Form must also be
completed
- Submitter shall provide a copy of the certificate issued by
the Third Party Certifier (TPC) for the mill(s) from which the
raw panels were purchased
- All information on the certificate shall be consistent with
the Sample Declaration Form
Notes:
. Include a copy of the Sample
Declaration Form in the report ·
. Regulated composite wood
includes:
-Hardwood plywood (HWPW)
- Medium-density fiberboard (MDF)
- Thin medium-density fiberboard (Thin MDF)
- Particleboard (PB )
†*CARB–
Composite
Wood-Finished
Good Labeling
Title 17, CA Code of
Regulations
§93120.7(d)
Finished goods containing regulated composite wood shall
comply with the labeling requirements for fabricators found
in §93120.7(d).
·A finished good containing regulated composite wood
P
(Correct
artwork of
CARB label
was provided)
requires the following:
- At a minimum, the label must be on the
product OR the packaging
- The label shall be applied as a stamp,
tag, sticker, or bar code
- The label shall include, at a minimum:
1.Fabricator’s name
2.Date the finished good was produced (in month/year
format)
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 13 of 29
Page 14
22200 & Code of
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
3.A statement of compliance to denote that the finished
good complies with the ATCM
Example:
XXX Company
MM/YYYY
California 93120 phase 2 compliant for formaldehyde
Notes:
statement, a separate statement of compliance to the
CARB ATCM is not required.
· It is not required for the label to state the level of
emissions (Phase 2, NAF, ULEF). Labels for finished
goods should not include the number of the TPC
associated with the composite wood products contained in
the finished good.
†*CARB–
Composite
Wood-Raw Panel
Labeling
Title 17, CA Code of
Regulations
§93120.3(e)
Panels or bundles of panels must be labeled with the
following:
-The panel producer’s name
-The lot number
- The number of the Third Party Certifier (TPC)
- A statement of compliance to denote that the panels
comply with the ATCM
Notes:
. If a panel or bundle of panels is labeled with the EPA
compliance statement, a separate statement of compliance
to the CARB ATCM is not required.
. A panel producer number may be used instead of a name
to protect identity
. The TPC number is not required for panel producers
using no-added formaldehydebased (NAF) resins or ultra
low-emitting formaldehyde (ULEF) resins
· Raw panels are composite wood products that have not
been used to create a finished good
†* Plastic Bag
Warning
Various US State
Law / With reference
to Massachusetts
Regulations 105
CMR 630.000 &
New York Codes,
Rules and
Regulations
(NYCRR) Title 10, §
12.12 & Rhode
Island General
Laws, Title 11, § 11-
9-16 & California
Business and
Profession Code §
Plastic bags with a thickness of less than 1 mil (0.001 inch)
having an opened end larger than 5 inches in diameter
shall contain the following warning statement or equivalent:
WARNING: To avoid danger of suffocation, keep this
plastic bag away from babies and children. Do not use
this bag in cribs, beds, carriages or playpens. This bag
is not a toy.
The warning shall be printed clearly so as to prevent the
ink from smearing, or upon a gummed label securely
attached to the plastic bag, and shall be printed in a
prominent place with legible bold face type which shall be
contrasted by typography, layout or color from the contents
of the bag and from other printed matter on the bag, if any.
The size of the print shall be as follows. If the total length
and width of the bag is more than 40 inches, the warning
NA
P
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
*ZHJ1637634*
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 14 of 29
Page 15
Test Report
Number: SZHH01637634
Tests Conducted
Attribute Citation Requirements / Limits Result
Virginia, § 18.2-320
shall be repeated at intervals of 20-inches or less.
NOTE: The requirement for bags intended for freshly clean
clothes is per state of Virginia.
† Made in USA
Origin Claims Doc
FTC Act Section
5a / California
BPC Division 7
Part 3 Chapter 1
Article 2 Section
17533.7
Products with a "Made in USA" or equivalent claim must be
"all or virtually all" made in the US in accordance with
FTC's criteria.
It is unlawful for any person, firm, corporation or
association to sell or offer for sale in California any
merchandise with a "Made in USA" or equivalent claim
NA
when the merchandise or any article, unit, or part thereof,
has been entirely or substantially made, manufactured, or
produced outside of the United States.
Vendor must submit a letter of guarantee that a product
with such claim fits the FTC and California requirements to
carry such a statement. Qualifying statements such as
"Made in USA of imported material" are acceptable but the
letter of guarantee is still required for the unqualified
portions.
Note: Compliance with the FTC or California requirements
can not be verified.
Test Protocol ITS-24004-US Flammability and Labeling f or Material Used in Upholstered Furni ture (CA Bureau of
Household Goods and Services)
Attribute
Test Method /
Standard
Requirement / Limit Result
Labeling
†California
Flammability
labeling
CA Home
Furnishings and
Thermal
Insulation Act
All upholstered furniture sold in the State of California
(except those that are exempt from the flammability
requirements) must have a flammability label attached.
Furniture manufactured after January 1, 2015 must have a
TB117-2013 flammability label attached.
See remark 1
Flammability label verbiage for upholstered furniture
compliant with TB117-201 3 :
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 15 of 29
Page 16
117-2013
Test Report
Tests Conducted
Number: SZHH01637634
Attribute
Test Method /
Standard
Flammability label for upholstered furniture compliant with
both the TB116 and TB117-2013 (Note: TB116 is a
voluntary standard, however if labeled as such, it must
now comply):
Minimum size of the label shall be 2 x 3 inches and the
minimum size of the type shall be one-eighth inch in
height. All type shall be in capita l let ter s.
The new label format is effective Jan 1, 2020. It still
requires a label.
†California
Flammability
labeling
CA Home
Furnishings and
Thermal
Insulation Act
Flammabilit y warnin g labe l must be
Labels shall be securely fastened onto completed articles
and bulk materials in a manner approv ed b y the Burea u in
such an area as to be openly and easily visible to view.
Labels are not to be concealed or
obstructed from view in any manner.
Label Material. Law labels shall be constructed of material
approved by the Bureau and shall not be easily torn or
defaced.
†California
Flammability
labeling - font size
and font
type
†Labeling for
Presence or
Absence of Flame
Retardants
CA Home
Furnishings and
Thermal
Insulation Act
California Bill
SB 1019
All words in Flammability Notice section shall be:
- 1/8" in height and
- Must be in capital letters
- Minimum size of the label shall be 2" x 3"
The following “flame retardant chemical statement” shall
be included on the flammability label:
“The upholstery materials in this product:
_____contain added flame retardant chemicals
_____contain NO added flame retardant chemicals
The State of California has updated the flammability
standard and determined that the fire safety requirements
for this product can be
met without adding flame retardant chemicals. The state
has identified many flame retardant chemicals as being
known to, or strongly suspected of, adversely impacting
human health or development.”
The absence or presence of added flame retardant
chemicals shall be indicated by placing an “X” in one of the
appropriate blanks by the manufacturer.
The statement is not required to be in all capital letters and
shall follow the requirements that required for TB 117-2013
label.
Flammability of Materials used in Upholstered Furniture
†Cover Fabric
California
Technical
Bulletin
1. A single mock-up test specimen fails to meet the
requirements of this test procedure if any of the following
criteria occurs:
a) The mock-up test specimen continues to smolder after
Requirement / Limit Result
See remark1
See remark1
See remark1
P
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 16 of 29
Page 17
3. If more than one specimen fails, the
resilient filling
Test Report
Tests Conducted
Number: SZHH01637634
Attribute
†Barrier Material
†Resilient Filling
Material
Test Method /
Standard
Requirement / Limit Result
Section 1 the 45 minute test duration;
b) A vertical char length (measured as specified in step
11.9 of ASTM E1353-08a ε1) of more than 1.8 inches (45
mm) develops on the cover fabric.
c) The mock-up test specimen transitions to open flaming.
2. The cover fabric passes the test if three initial mock-up
specimens pass the test, i.e., the cigarettes burn their full
length and the mock-ups are no longer smoldering.
3. If more than one initial specimen fails, the cover fabric
fails the test.
4. If any one of the three initial specimens fails, repeat the
test on additional three specimens.
5. If all three additional specimens pass the test, the cover
fabric passes. If any one of the additional three specimens
fails, the cover fabric fails the test.
California
Technical
Bulletin
117-2013
Section 2
1. A single mock-up test specimen fails to meet the
requirements of this test procedure if any of the following
criteria occurs:
a) The mock-up test specimen continues to smolder after
the 45 minute test duration;
b) A vertical char length (measured as specified in step
21.9 of ASTM E1353-08a ε1) of more than 2 inches (51
mm) develops on the cover
fabric.
c) The mock-up test specimen transitions to open flaming.
2. A barrier material passes the test if three initial mock-up
specimens pass the test, i.e., the cigarettes burn their full
length and the mock-ups are no longer smoldering.
3. If more than one initial specimen fails, the barrier
material fails the test. 5
4. If any one of the three initial specimens fails, repeat the
test on additional three specimens.
5. If all three additional specimens pass the test, the
barrier material passes the test. If any one of the additional
three specimens fails, the barrier material sample fails the
test.
California
Technical
Bulletin
117-2013
Section 3
1. A single mock-up test specimen fails to meet the
requirements of this test procedure if any of the following
criteria occurs:
a) The mock-up test specimen continues to smolder after
the 45 minute test duration;
b) A vertical char length (measured as described in step
17.9 of ASTM E1353-08a ε1) of more than 1.5 inches (38
mm) develops on the cover fabric.
c) The mock-up test specimen transitions to open flaming.
2. The resilient filling material passes the test if three
mock-up specimens pass the test.
NA
P
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
*ZHJ1637634*
Page 17 of 29
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 18
Test Report
Tests Conducted
Number: SZHH01637634
Attribute
†Decking Material
Products Case Requirement Labeling Result
Furniture made of faux
(synthetic) leather
Case 2:
Upholstered furniture
Test Method /
Standard
material fails the test.
4. If any one of the three initial specimens fails, repeat the
test on additional three specimens.
5. If all three additional specimens pass the test, the
resilient filling material passes the test. If any one of the
additional three specimens fails, the resilient filling material
fails the test.
California
Technical
Bulletin
117-2013
Section 4
1. A single mock-up test specimen fails to meet the
requirements of this test procedure if any of the following
criteria occurs:
a) The mock-up test specimen continues to smolder after
the 45 minute test duration;
b) A char length (measured as specified in step 19.6 of
ASTM E1353- 08a ε1) of more than 1.5 inches (38 mm)
develops.
c) The mock-up test specimen transitions to open flaming.
2. The decking material passes the test if three initial
mock-up specimens pass the test, i.e., the cigarettes burn
their full length and
the mock-ups are no longer smoldering.
3. If more than one initial specimen fails, the decking
material fails the test.
4. If any one of the three initial specimens fails, repeat the
test on additional three specimens.
5. If all three additional specimens pass the test, the
decking material passes the test. If any one of the
additional three specimens fails, the decking material fails
the test.
Supplemental protocol—CA Prop 65
CIV086363
RG-673072
Lead:
Paint or other surface coating:
RG-673582
Accessible material other than surface
coating:
Method:
By EPA 3050B
RG-676719 Phthalate:
DEHP, DBP and BBP
Each accessible component
Method:
By EPA 3580A and 8270C
Requirement / Limit Result
Version 42
≤
0.009 % (90ppm)
≤
0.01 % (100ppm)
≤
0.1 % (1000ppm)
No warning label
is provided.
No warning label
is provided.
NA
P
(See test
data)
P
(See test
data)
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 18 of 29
Page 19
Test Report
Number: SZHH01637634
Tests Conducted
Products Case Requirement Labeling Result
RG-667688 Product no longer contain below flame
retardants in foam:
(1) Tris(1,3-dichloro-2-propyl) phosphate
(TDCPP)
(2) Tris(2-chloroethyl) phosphate (TCEP)
(3) Tris(2,3-dibromopropyl) phosphate
(TDBPP)
Not detected
Method: In-house
Vinyl/PVC chairs RG-662039 Phthalate:
DEHP
Each accessible component
≤
0.1 % (1000ppm)
Method:
By EPA 3580A and 8270C
(Furniture)
Seats with vinyl/PVC
upholstery
CV-267501 Phthalate:
DEHP, DBP, BBP, DIDP, DnHP and
DINP
≤
0.1 % (1000ppm)
Method:
By EPA 3580A and 8270C
Abbreviation: P = Pass; NA = Not Applicable; NR = Not Requested; R = Recorded
P
(See test
data)
No warning label
is provided.
P
(See test
data)
No warning label
is provided.
P
(See test
data)
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 19 of 29
Page 20
Test Report
Tests Conducted
Test Data
Number: SZHH01637634
1 Total Lead (Pb) Content (U.S. 16 CFR Part 1303)
As per Standard Operating Procedure for Determ ining Lead (Pb) in paint and other similar surface coatings,
test method CPSC-CH-E1003-09.1 was used and total Lead content was determined by Inductively Coupled
Argon Plasma Spectrometry.
Element
Result (%)
Tested Component
(1+2),(3+4)
θ
Lead (Pb) ND 0.001 0.009
The above limit was quoted according to U.S. CFR Title 16 Part 1303 for Ban of Lead-containing Paint and
Certain Consumer Products Bearing Lead-containing Paint.
ND = Not detected (less than reporting limit)
θ = Single result for each test component/group
Tested Components: See component list in the last section of this report
2 Toxic Elements Analysis (U.S. Toxics in Packaging Clearinghouse TPCH)
As per Model Toxics in Packaging Legislation requirement of packaging and packaging components, acid
digestion method was used and toxic elements contents were determined by Inductively Coupled Argon
Plasma Spectrometry, and Hexavalent Chromium content was determined by UV-Visible Spectrophotometry.
Result (ppm)
Element
Tested component
(20)
Lead (Pb) 83 5 -Cadmium (Cd) ND 5 -Mercury (Hg) ND 5 -Chromium VI (Cr (VI)) ND 5 -Sum of Pb, Cd, Hg and Cr
(VI)
83 -- 100
Result (ppm) θ
Element
Tested component
(12),(13+14+15),(16+17+18),(19),(21+22)
Lead (Pb) ND 5 -Cadmium (Cd) ND 5 -Mercury (Hg) ND 5 -Chromium VI (Cr (VI)) ND 5 -Sum of Pb, Cd, Hg and Cr
(VI)
ND -- 100
Reporting
Limit
(%)
Reporting
limit
(ppm)
Reporting
limit
(ppm)
Limit
(%)
Limit
(ppm)
Limit
(ppm)
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 20 of 29
Page 21
Test Report
Tests Conducted
ppm = parts per million = mg/kg
ND = Not detected (less than reporting limit)
θ = Single result for each test component/group
Remark: Only detected element(s) are included in calculation of the sum.
Tested components: See component list in the last section of this report
Number: SZHH01637634
3 Total Lead (Pb) Content (CCPSA SOR/2016-193)
As per Method C-02.2.2 published in Health Canada Product s afety reference manual Book 5 - Laboratory
Policies and Procedures Part B: Test Methods Section, acid diges tion method was used and determined by
Inductively Coupled Argon Plasma Spectrometry.
Element
Lead (Pb) ND 10 90
The above limit was quoted according to Canada Consumer Product Safety Act Surface Coating Materials
Regulations SOR/2016-193 for prohibition on Lead in surface coatings.
ND = Not detected
θ = Single result for each test component/group
Tested component(s): See component list in the last section of this report
4 Total Lead (Pb) Content
With reference to CPSC-CH-E1002-08.3 and/or CPSC-CH-E1001.08.3 and/or CPSC-CH-E1003-09.1 and
followed by Inductively Coupled Argon Plasma Spectrometry.
Element
Tested Component
Lead (Pb) ND 10 90
Element
Tested Component
(5),(6),(8),(23+24+25),(26+27)
Lead (Pb) ND 10 100
The above limit was quoted from the Consent Judgment No. CIV086363, RG-673072 & RG-673582 settled
by superior court of the State of California for the county of Marin & Alameda, for furniture made of faux
(synthetic) leather based on the California Proposition 65.
ND = Not detected (less than reporting limit)
θ = Single result for each test component/group
Tested Component(s): See component list in the last section of this report
Result (mg/kg)
θ
Tested Component
(1+2),(3+4)
Result (mg/kg)
(1+2),(3+4)
Result (mg/kg)
θ
θ
Reporting
Limit
(mg/kg)
Reporting
Limit
(mg/kg)
Reporting
Limit
(mg/kg)
Limit
(mg/kg)
Limit
(mg/kg)
Limit
(mg/kg)
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 21 of 29
Page 22
Test Report
Tests Conducted
Number: SZHH01637634
5 Phthalate Content
With reference to CPSC-CH-C1001-09.4 and followed by Gas Chromatographic-Mass Spectrometric (GC-MS)
analysis.
Dibutyl phthalate (DBP) ND 0.01 0.1
Di-(2-ethyl hexyl) phthalate ( DEHP) 0.03 0.01 0.1
Benzyl butyl phthalate (BBP) ND 0.01 0.1
Di-iso-nonyl phthalate (DINP) ND 0.01 --
Dibutyl phthalate (DBP) ND 0.01 0.1
Di-(2-ethyl hexyl) phthalate (DEHP) ND 0.01 0.1
Benzyl butyl phthalate (BBP) ND 0.01 0.1
Di-iso-nonyl phthalate (DINP) ND 0.01 --
The above limit was quoted from the Consent Judgment No. RG-676719 settled by superior court of the State
of California for the county of Alameda, for upholstered furniture based on the California Proposition 65.
ND = Not d e te c t e d (less than reporting limit)
θ = Single result for each test component/group
Tested Component(s): See component list in the last section of this report
Test item
Test item
Result (%)
Tested component
(6+7)
Result (%)
θ
Tested component
(1+2+3),(5)
Reporting
limit
(%)
Reporting
limit
(%)
Limit
(%)
Limit
(%)
6 Phthalate Content
With reference to CPSC-CH-C1001-09.4 and followed by Gas Chromatographic-Mass Spectrometric (GC-MS)
analysis.
Test Item CAS No.
Di-(2-ethyl hexyl)
phthalate (DEHP)
Di-iso-nonyl phthalate
(DINP)
Result (%)
Tested Component
(6+7)
117-81-7 0.03 0.01 0.1
28553-12-0 ND 0.01 --
Reporting
Limit
(%)
Limit
(%)
θ
(%)
Limit
(%)
Reporting
Limit
Test Item CAS No.
Di-(2-ethyl hexyl)
phthalate (DEHP)
Di-iso-nonyl phthalate
(DINP)
Result (%)
Tested Component
(1+2+3),(5)
117-81-7 ND 0.01 0.1
28553-12-0 ND 0.01 --
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 22 of 29
Page 23
Test Report
Tests Conducted
The above limit was quoted from the Consent Judgment No. RG-662039 settled by superior court of the State
of California for the county of Alameda, for furniture vinyl/PVC chairs based on the California Proposition 65.
ND = Not detected (less than reporting limit)
θ = Single result for each test component/group
Tested Component(s): See component list in the last section of this report
Number: SZHH01637634
7 Phthalate Content
With reference to CPSC-CH-C1001-09.4 and followed by Gas Chromatographic-Mass Spectrometric (GC-MS)
analysis.
Dibutyl phthalate (DBP) 84-74-2 ND 0.01 0.1
Di-(2-ethyl hexyl)
phthalate (DEHP)
Benzyl butyl phthalate
(BBP)
Di-iso-decyl phthalate
(DIDP)
Di-n-hexyl phthalate
(DnHP)
Di-iso-nonyl phthalate
(DINP)
Dibutyl phthalate (DBP) 84-74-2 ND 0.01 0.1
Di-(2-ethyl hexyl)
phthalate (DEHP)
Benzyl butyl phthalate
(BBP)
Di-iso-decyl phthalate
(DIDP)
Di-n-hexyl phthalate
(DnHP)
Di-iso-nonyl phthalate
(DINP)
The above limit was quoted from the Consent Judgment No. CV-267501 settled by superior court of the State
of California for the county of Santa Clara, for furniture seats with vinyl/PVC upholstery based on the California
Proposition 65.
ND = Not detected (less than reporting limit)
θ = Single result for each test component/group
Tested Component(s): See component list in the last section of this report
Test Item CAS No.
117-81-7 0.03 0.01 0.1
85-68-7 ND 0.01 0.1
26761-40-0 ND 0.01 0.1
84-75-3 ND 0.01 0.1
28553-12-0 ND 0.01 0.1
Test Item CAS No.
117-81-7 ND 0.01 0.1
85-68-7 ND 0.01 0.1
26761-40-0 ND 0.01 0.1
84-75-3 ND 0.01 0.1
28553-12-0 ND 0.01 0.1
Result (%)
Tested Component
(6+7)
Result (%)
θ
Tested Component
(1+2+3),(5)
Reporting
Limit
(%)
Reporting
Limit
(%)
Limit
(%)
Limit
(%)
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 23 of 29
Page 24
Test Report
Tests Conducted
Number: SZHH01637634
8 Flame Retardants
By solvent extraction, followed by Gas Chromatography Mass Spectrometric (GC/MS) and Liquid
Chromatographic / Tandem Mass Spectrometer (LC/MS/MS) analysis.
Test item
Result (ppm)
Tested component
(5),(9),(10+11)
θ
Reporting
(ppm)
limit
Limit
(ppm)
Tris(2 chloroe thyl)phosphate ( TCEP ) ND 1 1000
Tris(1,3-Dichloro-2-Propyl)Phosphate
(TDCPP)
Decabromodiphen yl Ether (DecaBDE)
ND 1 1000
ND 5 1000
Hexabromocy clo do de can e (H B CDD ) ND 5 1000
Tetrabromobisphenol A (TBBPA) ND 5 1000
ppm = parts per million = mg/kg
θ = Single result for each test component/group
ND = Not Detected
Tested Components: See component list in the last section of this report
9 Flame Retardants Content
By solvent extraction and Gas Chromatographic-Mass Spectrometric (GC-MS) analysis and Liquid
Chromatographic / Tandem Mass Spectrometer (LC/MS/MS) analysis.
Test item Cas No.
Tris(2-chloroethyl) phosphate
(TCEP)
Tris(1,3-dichloroisopropyl)
phosphate (TDCPP)
Tris(2,3-dibromopropyl)
phosphate (TDBPP)
Result (ppm)
Tested component
(9)
115-96-8 ND 5 ND
13674-87-8 ND 5 ND
126-72-7 ND 5 ND
Reporting
(ppm)
limit
Limit
(ppm)
The above California limit was quoted from the Consent Judgment No. RG-667688 settled by superior
court of the State of Ca lifornia for th e county of Alam eda for upholstere d furniture based on the Calif ornia
Proposition 65.
ND = Not detected (less than reporting limit)
Tested Component: See component list in the last section of this report
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 24 of 29
Page 25
Test Report
Tests Conducted
Component list:
(1) Coatings (brown, deep brown) on metal (frame).
(2) Deep beige coating on metal (base of seat).
(3) Black coating on woven (sewn-in label).
(4) Red coating on paper label (warning label).
(5) Brown/black synthetic leather (parts).
(6) Black plastic (leg pad).
(7) White paper label with red coating (warning label).
(8) Silver color solder excluding coating (joint).
(9) Yellow sponge (padding).
(10) Green/black velvet (body).
(11) Light beige fiberboard (inner).
(12) Coatings on corrugated board (carton box).
(13) Brown corrugated board (carton box).
(14) Transparent cello-tape (adhesive tape).
(15) White paper label with black coating (sticker).
(16) White non-woven (pad).
(17) White foam (holder piece).
(18) Bright white foam (holder slice).
(19) Brown paper board (collar holder).
(20) Black plastic (collar holder).
(21) White paper sheet with black printing (instruction).
(22) Transparent/red plastic (sealing bag).
(23) Silver color metal excluding coating (frame).
(24) Silver color metal excluding coating (base of seat).
(25) Silver color metal excluding coating (staple).
(26) Silver color metal excluding coating (plate of base of seat).
(27) Silver color metal (bolt).
Photos for Reference
Number: SZHH01637634
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 25 of 29
Page 26
Test Report
Tests Conducted
Number: SZHH01637634
Labeling on the packaging
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 26 of 29
Page 27
Test Report
Tests Conducted
Number: SZHH01637634
Labeling on the product
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 27 of 29
Page 28
Test Report
Tests Conducted
Number: SZHH01637634
Artwork of label
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 28 of 29
Page 29
Test Report
Tests Conducted
Number: SZHH01637634
Warning on the plastic bag
**************************************************************************************************************************************
End of report
The statements of conformity reported have considered the decision rule agreed, namely that Intertek have taken account of measurement uncertainty as
calculated by Int ertek, and appli ed according t o ILAC-G8/09:20 19 (Non-bina ry acceptance bas ed on guard band w = U) except designation from the customer,
regulation or test specification.This decision rule only applies to the numeric test results.
The sample(s) and sa mple information her eto are provided by t he client who shall be s olel y re sp onsible for the auth e nticity and integrity thereof. The results shown
in this report relate onl y to th e sa mple(s) received and te ste d. It i s n ot intended to be a recomme n dation for any particul ar c ou rse of acti on. I nte rtek does not accept
a duty of care or any other responsi bility t o any person other th an the Client i n respect of this rep ort and only accepts lia bility to the Client ins ofar as is expressly
contained in the te rms and co nditions governing Int ertek's provisi on of servi ces to you. Intertek makes no war ranties or r epresentatio ns either express or impl ied
with respect to this repo rt save as pr ovided for i n those te rms and con ditions. W e have aimed t o conduct th e review on a diligent an d careful basis and we do not
accept any liability to you for any loss arising out of or in c onnection with this report, in contract, tort, by stat ute or otherwise, except in the event of our gross
negligence or wilful miscond uct. This report shall not be reproduc ed unl ess wi t h prior writt en approval fr o m Intert ek.
*ZHJ1637634*
Intertek Testing Services Shenzhen Ltd.
深圳天祥质量技术服务有限公司
West Side of 1/F and 3,4,5/F of Bldg. 1, 1-5/F of Bldg.
3, Yuanzheng Science and Technology Industrial
Park, No.4012, Wuhe Ave. North, Bantian Street,
Longgang District, Shenzhen
深圳市龙岗区坂田街道五和大道北 4012号元征科技工业园
1 号楼 3、4、5层及 1楼西侧半层和 3 号楼整栋 1-5 层
Tel:+86755 26020111
www.intertek.com
www.intertek.com.cn
Page 29 of 29
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