Material Data Declaration Sheet - v003
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1 Schema Database Version: IEC X6.01 Substance Database Version: IEC D14.00 Material Data Declaration Sheet - v003 Supplier Information Company Name * Intel Corporation Contact Name * Brigham, Robert Response Document ID Contact Title * Intel Product Ecology Company Unique ID Contact Phone * Unique ID Authority Brad and Dunstreet Contact * productecology@intel.com Response Date * Supplier Comments - Intel certifies that it gathered the provided information and such information is true and correct to the best of its knowledge and belief, as of the date that Intel completes this form. Intel acknowledges that Customer will rely on this certification in determining the compliance of its products. Customer acknowledges that Intel may have relied on information provided by others in completing this form, and that Intel may not have independently verified such information. However, in situations where Intel has not independently verified information provided by others, Intel agrees that, at a minimum, its suppliers have provided certifications regarding their contributions to the part(s), and those certifications are at least as comprehensive as the certification in this paragraph. If the Customer and the Intel enter into a written agreement with respect to the identified part(s), the terms and conditions of that agreement, including any warranty rights and/or remedies provided as part of that agreement, will be the sole and exclusive source of the Intel's liability and the Customer's remedies for issues that arise regarding information the Intel provides in this form. In the absence of such written agreement, the warranty rights and/or remedies of Intel's Standard Terms and Conditions of Sale applicable to such part shall apply.
2 Product(s) Product Family Name: Requester Item Number Item Number * Description Effective Date * Mass * UoM* Comment 100FRRA0050XXXXXXXX XX 100FRRA0050XXXX XXXXXX kg
3 Declaration LHPLA This product is Low Halogen (Components): Applies only to brominated and chlorinated flame retardants (BFRs/CFRs) and PVC in the final product. The replacement of halogenated flame retardants may not be better for the environment. Intel Components as well as purchased components on the finished assembly meet the joint JEDEC/ECA JS-709B requirement. LHPWB This product is Low Halogen (PCB): Applies Br/Cl in the PCB Laminate. The PCB / Substrate meet IEC requirements. The replacement of halogenated flame retardants may not be better for the environment True PVC This product does not contain PVC False SVHC Product Contains REACh SVHC above.1% of article False RoHS.Exempt Product meets EU ROHS Requirements by application of the Selected exemptions True False Exemptions EL2011/534/EU Copper alloy containing up to 4 % lead by weight 6(c) EL2011/534/EU Electrical and electronic components containing lead in a glass or ceramic other than dielectric ceramic in capacitors, e.g. piezoelectronic devices, or in a glass or ceramic matrix compound 7(c)-I Signature Intel Product Ecology C=US, E=productecology@intel.com, OU="", O=Intel Corporation, CN=Intel Product Ecology
4 RoHS Homogenous Material Name Material Class ID HM Mass % Substance Group Reportable Application Above Threshold? Reporting Threshold (T/F) Substance Mass % of HM Exemption C3600 Ferrule M Lead/Lead Compounds All, except for: 1. batterie0.1 mass% of total Pb true (c) crcw M Lead/Lead Compounds All, except for: 1. batterie0.1 mass% of total Pb true (c)-I Cadmium/Cadmium compall, except batteries 0.01 mass% of total Cdfalse Chromium (VI) CompoundAll 0.1 mass% of total Cr+false Lead/Lead Compounds All, except for: 1. batterie0.1 mass% of total Pb false Mercury/Mercury CompoAll, except batteries Intentionally Added orfalse Polybrominated Biphenyl All 0.1 mass% in homogenfalse Polybrominated DiphenylAll 0.1 mass% in homogenfalse Comments Low Halogen Homogenous Material Name Material Class ID HM Mass % Substance Group Reportable Application Above Threshold? Reporting Threshold (T/F) Substance Mass % of HM Comments Label Brady THT M PVC true Other Declarable Substances Substance Substance Group Substance CAS # Reportable Application Reporting Threshold Above Threshold? (T/F) Mass (% of Article) 4-Nonylphenol, branched and linear, ethoxylated All 0.1 mass% of article false Alkanes, C10-13, chloro (Short Chain Chlorinated Paraffins) All Intentionally added or 0.1false Aluminosilicate Refractory Ceramic Fibres All 0.1 mass% of article false Asbestos All Intentionally added false Cadmium/Cadmium compounds Batteries 0.001% by weight of battefalse Dibutyltin (DBT) compounds All 0.1 mass% of tin in the pa false Dioctyltin (DOT) compounds (a) textile and leather arti0.1 mass% of tin in the pa false Disodium tetraborates All 0.1 mass% of article false Fluorinated Greenhouse Gases (PFC, SF6, HFC) All Intentionally Added false Hexabromocyclododecane (HBCDD) and all major diastereoisomers iall Intentionally added or 0.0false Hexahydromethylphthalic anhydride All 0.1 mass% of article false Lead/Lead Compounds Consumer products desig 0.01 mass% false Lead/Lead Compounds Batteries mass% of battery false Mercury/Mercury Compounds Batteries Intentionally added or 0.0false Nickel/Nickel Compounds All, where prolonged skinintentionally Added false Nonadecafluorodecanoic acid (PFDA) and its sodium and ammoniumall 0.1 mass% of article false Ozone Depleting Substances (CFC, Halon, HBFC, HCFC & others) All Intentionally Added false Perchlorates All 6 x 10 ^-7 mass% of batterfalse Perfluorohexane-1-sulphonic acid and its salts All 0.1 mass% of article false Perfluorononan-1-oic-acid and its sodium and ammonium salts All 0.1 mass% of article false Polychlorinated Biphenyls (PCBs) and specific substitutes All Intentionally added false Polychlorinated Naphthalenes (PCNs) All Intentionally added false Radioactive substances All Intentionally added false Tri-substituted organostannic compounds All Intentionally added or 0.1false Zirconia Aluminosilicate Refractory Ceramic Fibres All 0.1 mass% of article false [Phthalato(2-)]dioxotrilead All 0.1 mass% of article false ,2-benzenedicarboxylic a , 686All 0.1 mass% of article false ,2-Benzenedicarboxylic a All 0.1 mass% of article false Comments
5 1,2-Benzenedicarboxylic a All 0.1 mass% of article false ,2-Benzenedicarboxylic a All 0.1 mass% of article false ,2-Benzenedicarboxylic a All 0.1 mass% of article false ,2-bis(2-methoxyethoxy)e All 0.1 mass% of article false ,2-Diethoxyethane All 0.1 mass% of article false ,2-dimethoxyethane; eth All 0.1 mass% of article false ,3-propanesultone All 0.1 mass% of article false (2H-benzotriazol-2-yl) All 0.1 mass% of article false (2H-benzotriazol-2-yl)-4, All 0.1 mass% of article false ,4-di-tert-butyl-6-(5-chlor All 0.1 mass% of article false benzotriazol-2-yl-4,6-di All Intentionally added or 0.1false ethylhexyl 10-ethyl-4,4-d All 0.1 mass% of article false (1,1,3,3-tetramethylbuty All 0.1 mass% of article false ,4 -isopropylidenediphen All Intentionally added or 0.1false Aminoazobenzene All 0.1 mass% of article false Ammonium pentadecafluo All 0.1 mass% of article false Benzenamine, N-phenyl-, r All Intentionally added false Benzo[a]anthracene Rubber or plastic parts th mass% of the plastfalse Benzo[a]anthracene Rubber or plastic parts of mass% of the plasfalse Benzo[a]pyrene Rubber or plastic parts th mass% of the plastfalse Benzo[a]pyrene Rubber or plastic parts of mass% of the plasfalse Benzo[b]fluoranthene Rubber or plastic parts th mass% of the plastfalse Benzo[b]fluoranthene Rubber or plastic parts of mass% of the plasfalse Benzo[def]chrysene All 0.1 mass% of article false Benzo[e]pyrene Rubber or plastic parts th mass% of the plastfalse Benzo[e]pyrene Rubber or plastic parts of mass% of the plasfalse Benzo[j]fluoranthene Rubber or plastic parts th mass% of the plastfalse Benzo[j]fluoranthene Rubber or plastic parts of mass% of the plasfalse Benzo[k]fluoranthene Rubber or plastic parts th mass% of the plastfalse Benzo[k]fluoranthene Rubber or plastic parts of mass% of the plasfalse Benzyl butyl phthalate (BB All 0.1 mass% in homogenousfalse Beryllium Oxide All 0.1 mass% false Bis (2-ethylhexyl)phthalate All 0.1 mass% in homogenousfalse Bis(2-methoxyethyl) ether All 0.1 mass% of article false Bis(2-methoxyethyl) phtha All 0.1 mass% of article false Bis(pentabromophenyl) et All 0.1 mass% of article false Bis(tributyltin) oxide (TBTO All Intentionally added or 0.1false Boric Acid , 111All 0.1 mass% of article false Cadmium All 0.1 mass% of article false Cadmium oxide All 0.1 mass% of article false Cadmium sulphide All 0.1 mass% of article false Chrysen Rubber or plastic parts th mass% of the plastfalse Chrysen Rubber or plastic parts of mass% of the plasfalse Cobalt dichloride All 0.1 mass% of article false Diarsenic pentoxide All 0.1 mass% of article false Diarsenic trioxide All 0.1 mass% of article false Dibenzo[a,h]anthracene Rubber or plastic parts th mass% of the plastfalse Dibenzo[a,h]anthracene Rubber or plastic parts of mass% of the plasfalse Diboron trioxide All 0.1 mass% of article false Dibutyl phthalate (DBP) All 0.1 mass% in homogenousfalse Dibutyltin dichloride (DBTC All 0.1 mass% of article false Diisobutyl phthalate All 0.1 mass% in homogenousfalse Di-isodecyl phthalate (DID , 267All Intentionally added false Diisononyl phthalate (DINP , 685All Intentionally added false Diisopentylphthalate All 0.1 mass% of article false Dimethyl Fumarate (DMF) All mass% of the parfalse Di-n-hexyl Phthalate (DnH All Intentionally added or 0.1false
6 Dioxobis(stearato)trilead All 0.1 mass% of article false Dipentyl phthalate (DPP) All 0.1 mass% of article false Disodium 3,3'-[[1,1'-biphe All 0.1 mass% of article false Disodium 4-amino-3-[[4'-[( All 0.1 mass% of article false Fatty acids, C16-18, lead sa All 0.1 mass% of article false Formaldehyde Textiles mass % of textile false Imidazolidine-2-thione; ( All 0.1 mass% of article false Lead chromate All 0.1 mass% of article false Lead chromate molybdate All 0.1 mass% of article false Lead cyanamidate All 0.1 mass% of article false Lead dinitrate All 0.1 mass% of article false Lead oxide sulfate All 0.1 mass% of article false Lead sulfochromate yellow All 0.1 mass% of article false Lead titanium trioxide All 0.1 mass% of article false Lead titanium zirconium o All 0.1 mass% of article false N,N-dimethylformamide All 0.1 mass% of article false N-pentyl-isopentylphthala All 0.1 mass% of article false Orange lead (lead tetroxid All 0.1 mass% of article false Pentadecafluorooctanoic a All 0.1 mass% of article false Pentalead tetraoxide sulph All 0.1 mass% of article false Pentazinc chromate octah All 0.1 mass% of article false Potassium hydroxyoctaoxo All 0.1 mass% of article false Pyrochlore, antimony lead All 0.1 mass% of article false reaction mass of 2-ethylhexyl 10-ethyl-4,4-All 0.1 mass% of article false Silicic acid (H2Si2O5), bariu All 0.1 mass% of article false Strontium chromate All 0.1 mass% of article false Sulfurous acid, lead salt, d All 0.1 mass% of article false Tetralead trioxide sulphate All 0.1 mass% of article false Trilead dioxide phosphona All 0.1 mass% of article false Tris(2-chloroethyl)phospha All 0.1 mass% of article false Trixylyl phosphate All 0.1 mass% of article false
Material Data Declaration Sheet - v003
Schema Database Version: IEC 62474 X6.01 Database Version: IEC 62474 D14.00 Material Data Declaration Sheet - v003 Supplier Information Company Name * Intel Corporation Contact Name * Brigham, Robert Response
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