Mercury Row W003211920 SZHH01637547

Test Report

Number: SZHH01637547

Applicant: 39F INC Date: Jan 10, 2022
50 EAST WILMOT ST., RICHMOND HILL,

ONTARIO L4B 3Z3, CANADA

Sample Description:

One (1) piece of submitted sample said to be :
Product Description :

REKIK VINTAGE A 2PCS, REKIK 2PCS, REKIK BEIGE 2PCS, REKIK
DARK GREEN 2PCS, REKIK PINK 2PCS

Wayfair SKU No. :

TNFI1912

Quantity : One Piece
Packaging Provided b y

: Yes
Applicant
Additional Material and W et

: Yes
Paint Provided
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 ~ Jan 10, 2022

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 1 of 29

Test Report

Tests conducted:

As requested by the applicant, refer to attach ed pag e( s ) for details.

Executive Summary

Number: SZHH01637547

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.

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 2 of 29

Test Report

Number: SZHH01637547

5 As requested by the applicant, the result of decking material (white foam) was quoted to the decking material

(yellow foam) of SKU # TNFI1750 of report SZHH01639444, dated Dec 31, 2021, no actual test was conducted.

Authorized by:
For Intertek Testing Services
Shenzhen Ltd.

Rachel L. Guo
General Manager

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 3 of 29

Test Report

Number: SZHH01637547

Tests Conducted

Wayfair 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.

See protocol

ITS-00008-US

See protocol

ITS-24004-US

See protocol

WAYF-09067-

US

P

(See test data)

P

(See test data)

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 4 of 29

manufacturer to help a child with sucking or teethin

g, to

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

- Flame retardant restrictions for products other than adult

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);

(See test data)

- 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

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

*ZHJ1637547*

Page 5 of 29

Tel:[phone]

www.intertek.com
www.intertek.com.cn

-

Composite up to 3 colors is allowed. If any color in the

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

facilitate sleep, relaxation, or the feeding of a child, or to be

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.

(See test data)

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

(See test data)

labels.

Note:

- Report actual results or include data table within report.

P

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

*ZHJ1637547*

Page 6 of 29

Tel:[phone]

www.intertek.com
www.intertek.com.cn

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

composite exceeds 80% of the limit (72 mg/kg), 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.

- 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:

56.8 cm W x

Report actual. R: 6.6 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).

NA

59.1 cm D x

76.2 cm H/

22-3/8” W x

23-1/4” D x

30” H

14.5 lbs
NR

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 7 of 29

Leather (If

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

NOTE: Select above requirement(s) as applicable.
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)

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.

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.

(See remark

Bulletin 117-

2013

Flammability of
Solid

16 CFR 1500.44 Solid article shall not have burn rate exceed 0.1 in./sec. along

the major axis.
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
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

16 CFR 24 Leather fiber and imitation leather product shall meet all

applicable requirements.

NR

P

P

5)

P

P

NR

Intertek Testing Services Shenzhen Ltd.

深圳天祥质量技术服务有限公司

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 8 of 29

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

applicable)
†* Law Label ­Except Stuffed
Toy and Stuffed
Pet Toy

Various US State

Law / With

reference to

IABFLO

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

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

&2

Provided

† Country of
Origin

Canada

Customs Tariff,

Marking of

Imported Goods

Regulations

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

Canadian dealer’s principal place of business.

The country of origin marking of Non-NAFTA imported goods

shall be present in English or French.

P

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 9 of 29

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

† The Language
of Inscription
(Mandatory in
Quebec)

The Charter of

French

Language, Title

I, Chapter VII,

Clause 51 &

Regulations

adopted under

the Charter of

French

Language

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).

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

See remark4

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 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 durab le fabric with blac k

printing and shall declare filling materials by generic name in

descending order based on the volume of each filling material.

Upholstered and
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)

Textile Labelling

Act and Textile

Labelling and

Advertising

Regulations

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.

P

NA

NR

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 10 of 29

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

† Fiber Content
Label - CA
Number or
Dealer Identity (If
applicable)

Textile Labelling

Act and Textile

Labelling and

Advertising

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.

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)

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

NR

See remark3

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:

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 11 of 29

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

-Hardwood plywood (HWPW)

-Medium-density fiberboard (MDF)

-Thin medium-density fiberboard (Thin MDF)

Particleboard (PB)

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.

P

(Correct

artwork of

TSCA label

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 12 of 29

-

The label shall be applied as a stamp,

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

†*EPA TSCA
Title VI–
Composite
Wood-Raw Panel
Labeling

40 CFR 770.45(a) Panels or bundles of panels must be labeled with the

following:

-The panel producer’s name

-The lot number

-The number of the EPA TSCA Title VI Third Party
Certifier (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

NA

†*CARB–
Composite
Wood­Declaration Form
and Mill
Certificate

†*CARB–
Composite
Wood-Finished
Good Labeling

Title 17, CA Code of
Regulations §93120

Title 17, CA Code of

Regulations

§93120.7(d)

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:

- 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 )
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
requires the following:

- At a minimum, the label must be on the
product OR the packaging

P

(Valid CARB

declaration

form and mill

certification

were

provided)

P

(Correct

artwork of

CARB label

was provided)

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

*ZHJ1637547*

Page 13 of 29

Tel:[phone]

www.intertek.com
www.intertek.com.cn

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

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)

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

NA

- 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

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

P

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 14 of 29

Test Report

Number: SZHH01637547

Tests Conducted

Attribute Citation Requirements / Limits Result

Laws, Title 11, § 11-

9-16 & California

Business and

Profession Code §

22200 & Code of

Virginia, § 18.2-320

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
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

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 15 of 29

Test Report

Tests Conducted

Number: SZHH01637547

Attribute

Test Method /

Standard

Flammability label verbiage for upholstered furniture
compliant with TB117-201 3 :

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

Requirement / Limit Result

See remark1

See remark1

See remark1

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 16 of 29

Test Report

Tests Conducted

Number: SZHH01637547

Attribute

†Cover Fabric

†Barrier Material

†Resilient Filling
Material

Test Method /

Standard

California
Technical

Bulletin

117-2013

Section 1

California
Technical

Bulletin

117-2013

Section 2

California
Technical

Bulletin

117-2013

Section 3

Requirement / Limit Result

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

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.

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.

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.

P

NA

P

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 17 of 29

Test Report

Tests Conducted

Number: SZHH01637547

Attribute

Test Method /

Standard

Requirement / Limit Result

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.

3. If more than one specimen fails, the resilient filling
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.

†Decking Material

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

P

(See remark

5)

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

Version 42

Products Case Requirement Labeling Result

Furniture made of faux
(synthetic) leather

CIV086363
RG-673072
RG-673582

Lead:
Paint or other surface coating:
≤ 0.009 % (90ppm)

No warning label
is provided.

P
(See test

data)
Accessible material other than surface
coating:
≤ 0.01 % (100ppm)
Method:
By EPA 3050B

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 18 of 29

Test Report

Number: SZHH01637547

Tests Conducted

Products Case Requirement Labeling Result

Upholstered furniture

RG-676719 Phthalate:

DEHP, DBP and BBP
Each accessible component

No warning label
is provided.

P

(See test

data)
≤ 0.1 % (1000ppm)
Method:
By EPA 3580A and 8270C

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

No warning label
is provided.

P

(See test

data)
≤ 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

No warning label
is provided.

P

(See test

data)

≤ 0.1 % (1000ppm)

Method:
By EPA 3580A and 8270C

(Flame retardants)
Seat cushion

BC-479180 Phthalate:

DEHP
Each accessible material

No warning label
is provided.

P

(See test

data)
 0.01 % (100ppm)
Method:
By EPA 3580A and 8270C

RG-667688 Product no longer contain below flame

retardants in foam:

(1) Tris(1,3-dichloro-2-propyl) phosphate

P

(See test

data)

(TDCPP)
(2) Tris(2-chloroethyl) phosphate (TCEP)
(3) Tris(2,3-dibromopropyl) phosphate

(TDBPP)

Not detected
Method: In-house

Abbreviation: P = Pass; NA = Not Applicable; NR = Not Requested; R = Recorded

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 19 of 29

Test Report

Tests Conducted

Test Data

Number: SZHH01637547

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)

Lead (Pb) 0.003 0.001 0.009

Element

Result (%)

Tested Component

(2),(3)

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

(30)
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

(22),(23+24+25),(26+27+28),(29),(31+32)
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

(%)

Reporting

limit

(ppm)

Reporting

limit

(ppm)

Limit

(%)

Limit

(%)

Limit

(ppm)

Limit

(ppm)

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 20 of 29

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: SZHH01637547

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) 28 10 90

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 Phthalate Content

With reference to CPSC-CH-C1001-09.4 and followed by Gas Chromatographic-Mass Spectrometric (GC-MS)
analysis.

Test Item CAS No.

Dibutyl phthalate (DBP) 84-74-2 ND 0.01 0.1
Di-(2-ethyl hexyl)
phthalate (DEHP)
Benzyl butyl phthalate
(BBP)
Di-iso-nonyl phthalate
(DINP)

117-81-7 0.03 0.01 0.1

85-68-7 ND 0.01 0.1

28553-12-0 ND 0.01 --

Result (mg/kg)

Tested Component

(1)

Result (mg/kg)

θ

Tested Component

(2),(3)

Tested Component

Result (%)

(9+10)

Reporting

Limit

(mg/kg)

Reporting

Limit

(mg/kg)

Reporting

Limit

(%)

Limit

(mg/kg)

Limit

(mg/kg)

Limit

(%)

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 21 of 29

Test Report

Tests Conducted

Dibutyl phthalate (DBP) 84-74-2 ND 0.01 0.1
Di-(2-ethyl hexyl)
phthalate (DEHP)
Benzyl butyl phthalate
(BBP)
Di-iso-nonyl phthalate
(DINP)

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 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 ND 0.01 0.1

85-68-7 ND 0.01 0.1

28553-12-0 ND 0.01 --

Number: SZHH01637547

Result (%)

θ

Tested Component

(1),(2),(5)to(8)

Reporting

Limit

(%)

Limit

(%)

5 Phthalate Content

With reference to CPSC-CH-C1001-09.4 and followed by Gas Chromatographic-Mass Spectrometric (GC-MS)
analysis.

Di-(2-ethyl hexyl)
phthalate (DEHP)
Di-iso-nonyl phthalate
(DINP)

Di-(2-ethyl hexyl)
phthalate (DEHP)
Di-iso-nonyl phthalate
(DINP)

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

Test Item CAS No.

117-81-7 0.03 0.01 0.1

28553-12-0 ND 0.01 --

Test Item CAS No.

117-81-7 ND 0.01 0.1

28553-12-0 ND 0.01 --

Result (%)

Tested Component

(9+10)

Result (%)

θ

Tested Component

(1),(2),(5)to(8)

Reporting

Limit

(%)

Reporting

Limit

(%)

Limit

(%)

Limit

(%)

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 22 of 29

Test Report

Tests Conducted

Number: SZHH01637547

6 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

(9+10)

Result (%)

θ

Tested Component

(1),(2),(5)to(8)

Reporting

Limit

(%)

Reporting

Limit

(%)

Limit

(%)

Limit

(%)

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 23 of 29

Test Report

Tests Conducted

Number: SZHH01637547

7 Phthalate Content

With reference to CPSC-CH-C1001-09.4 and followed by Gas Chromatographic-Mass Spectrometric (GC-MS)
analysis.

Di-(2-ethyl hexyl)
phthalate (DEHP)
Di-iso-nonyl phthalate
(DINP)

The above limit was quoted from the Consent Judgment No. BC-479180 settled by superior court of the State
of California for the county of Los Angeles, for seat cushion 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

8 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

Lead (Pb) 28 10 90

Element

Lead (Pb) ND 10 90

Element

Lead (Pb) ND 10 100

The above limit was quoted from the Consent Judgment No. CIV-086363, 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 D e t e ct 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 CAS No.

117-81-7 ND 0.01 0.1

28553-12-0 ND 0.01 --

Tested Component

Tested Component

Tested Component

(5+6+7),(8+9),(11+12+13),(14+15+16),(17+18)

Result (mg/kg)

(1)

Result (mg/kg)

(2),(3)

Result (mg/kg)

Result (%)

θ

Tested Component

(1),(5)to(8)

θ

θ

Reporting

Limit

(%)

Reporting

Limit

(mg/kg)

Reporting

Limit

(mg/kg)

Reporting

Limit

(mg/kg)

(mg/kg)

(mg/kg)

(mg/kg)

Limit

(%)

Limit

Limit

Limit

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 24 of 29

Test Report

Tests Conducted

Number: SZHH01637547

9 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

(4+33),(5+20+21),(6),(19),(34),(35)

θ

Reporting

limit

(ppm)

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

10 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

(6),(19)

115-96-8 ND 5 ND

13674-87-8 ND 5 ND

126-72-7 ND 5 ND

θ

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)
θ = Single result for each test component/group

Tested Components: See component list in the last section of this report

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 25 of 29

Test Report

Tests Conducted

Number: SZHH01637547

11 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.

Result (ppm)

Tested component

(6)

Reporting

(ppm)

limit

Limit

(ppm)

Tris(2-chloroethyl) phosphate (TCEP) 115-96-8 ND 5 ND
Tris(1,3-dichloroiso pr opyl) phosphate (TDCPP) 1367 4-87- 8 ND 5 ND
Tris(2,3-dibromopropyl) phosphate (TDBPP) 126-72-7 ND 5 ND

The above California limit was quoted from the Consent Judgment No. RG-667688 settled by superior

court of the State of California for the county of Alameda for seat cushion based on the California
Proposition 65.

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

Component list:
(1) Black coating on metal (staple, small tube, big tube, plate, zipper head, zipper puller).

(2) Black coating on woven (sewn-in label).
(3) Red coating on paper label (warning label).
(4) Beige/black fabric (parts).
(5) Brown/black synthetic leather (surface of chair).
(6) White sponge (padding).
(7) Black Velcro hook (fastener).
(8) Brown plastic (zipper teeth).
(9) Black plastic (leg pad).
(10) White paper label with red coating (warning label).
(11) Silver color metal excluding coating (plate).
(12) Silver color metal excluding coating (small tube).
(13) Silver color metal excluding coating (big tube).
(14) Silver color metal excluding coating (staple).
(15) Silver color metal excluding coating (zipper head, zipper puller).
(16) Silver color solder excluding coating (joint).
(17) Black treated metal (screw).
(18) Black treated metal (washer of screw).
(19) Dull white foam (inside of handle of chair).
(20) Light beige fiberboard (inside of seat).
(21) Black brushed knit (surface of chair)
(22) Coatings on corrugated board (carton box).
(23) Brown corrugated board (carton box).
(24) Transparent cello-tape (adhesive tape).
(25) White paper label with black coating (sticker).
(26) White non-woven (pad).
(27) White foam (holder piece).
(28) Bright white foam (holder slice).
(29) Brown paper board (collar holder).
(30) Black plastic (collar holder).
(31) White paper sheet with black printing (instruction).

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 26 of 29

Test Report

Tests Conducted

(32) Transparent/red plastic (sealing bag).
(33) Deep blue/black fabric (parts).
(34) Light pink/black fabric (parts).
(35) Green/black fabric (parts).

Photos for Reference

Number: SZHH01637547

Labeling on the product

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 27 of 29

Test Report

Tests Conducted

Number: SZHH01637547

Labeling on the packaging

Warning on the plastic bag

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 28 of 29

Test Report

Tests Conducted

Number: SZHH01637547

Electronic copy of label

************************************************************************************************************************************

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 onsi bl e f or th e a uth e nti city an d 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.

*ZHJ1637547*

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:[phone]

www.intertek.com
www.intertek.com.cn

Page 29 of 29