Test Report No. F690101/LF-CTSAYAA16-47843 Issued Date: 2016. 09.

05 Page 1 of 3

LG CHEMICAL LTD
188, Munji-ro, Yuseong-gu
Daejeon
Korea

The following sample(s) was/were submitted and identified by/on behalf of the client as:-

SGS File No. : AYAA16-47843

Product Name : SP360

Item No./Part No. : N/A

Received Date : 2016. 08. 25

Test Period : 2016. 08. 25 to 2016. 09. 05

Test Result(s) : For further details, please refer to following page (s)

Result Summary : Test Requested Conclusion

US FDA 21 CFR 177.1520(Olefin Polymer)
-
(As per client’s request)
Polyethylene -
a) Density PASS
b) Extractable fraction PASS
c) Soluble fraction PASS

SGS Korea Co., Ltd.

Jeff Jang / Chemical Lab manager

This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com/en/Terms-and-
Conditions.aspx and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm. Attention is drawn to the
limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s
findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate
parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written
approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the
fullest extent of the law. Unless otherwise stated the results shown in this test report refer only to the sample(s).

F401 Version 2
SGS Korea Co., Ltd. 322, The O valley, 76, LS-ro, Dongan-gu, Anyang-si, Gyeonggi-do, Korea 14117
t +82 (0)31 4608 000 f +82 (0)31 4608 059 http://www.sgsgroup.kr

Member of the SGS Group (Société Générale de Surveillance)

Test Report No. F690101/LF-CTSAYAA16-47843 Issued Date: 2016. 09. 05 Page 2 of 3

Sample No. : AYAA16-47843.001

Sample Description : SP360
Item / Part No. : N/A
Material : N/A

Test result(s) :
US FDA 21 CFR 177.1520 (Olefin Polymer)
Method : With reference to 21 CFR 177.1520(c)(2.1)

a) Density

Test Item(s) Result (g/mL) Permissible Limit (g/mL)

Density at 21.0 ℃ 0.95 0.85-1.00

Comment PASS -

b) Extractable fraction
Sample extracted in n–hexane under the condition of 50℃for 2 hours.

Test Item(s) Result (% w/w) Detection Limit (% w/w) Permissible Limit (% w/w)

Extractable fraction N.D 0.1 5.5

Comment PASS - -

c) Soluble fraction
Sample dissolved in xylene under the condition of 25℃for 2 hours.

Test Item(s) Result (% w/w) Detection Limit (% w/w) Permissible Limit (% w/w)

Soluble fraction 0.30 0.1 11.3

Comment PASS - -

Note : 1. g/mL = gram per milliliter

2. % w/w = percentage of weight by weight
3.℃ = degree Celsius

This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com/en/Terms-and-
Conditions.aspx and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm. Attention is drawn to the
limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s
findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate
parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written
approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the
fullest extent of the law. Unless otherwise stated the results shown in this test report refer only to the sample(s).

F401 Version 2
SGS Korea Co., Ltd. 322, The O valley, 76, LS-ro, Dongan-gu, Anyang-si, Gyeonggi-do, Korea 14117
t +82 (0)31 4608 000 f +82 (0)31 4608 059 http://www.sgsgroup.kr

Member of the SGS Group (Société Générale de Surveillance)

Test Report No. F690101/LF-CTSAYAA16-47843 Issued Date: 2016. 09. 05 Page 3 of 3

Picture of Samples as Received:

.
*** End of Report ***

This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com/en/Terms-and-
Conditions.aspx and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm. Attention is drawn to the
limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s
findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate
parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written
approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the
fullest extent of the law. Unless otherwise stated the results shown in this test report refer only to the sample(s).

F401 Version 2
SGS Korea Co., Ltd. 322, The O valley, 76, LS-ro, Dongan-gu, Anyang-si, Gyeonggi-do, Korea 14117
t +82 (0)31 4608 000 f +82 (0)31 4608 059 http://www.sgsgroup.kr

Member of the SGS Group (Société Générale de Surveillance)