| RoHS Link http://www.rohs.eu/english/index.html Sample RoHS COMPLIANCE CERTIFICATION Friday, November 11, 2005 Supplier Name: Goodwin Robbins Packaging Co. Do any of the products manufactured for, and/or provided to the XYZ Co. contains any of the following materials: MERCURY YES______ NO __X__ CADNIUM YES______ NO __X__ HEXAVALENT CHROMIUM YES______ NO __X__ POLYBROMINATED BIPHENYLS (PBB’S) YES______ NO __X__ POLYBROMONIATED DIPHENYL(PBDE’S)YES______ NO __X__ Supplier’s declaration on use of banned or restricted materials and chemical substances. I hereby certify that all information provided is accurate and true for the products and components listed above. Signature of Authorized Company Representative: David P. Robbins Date: 11-10-05 Position: Operation and QC Manager - E-mail david@goodwinrobbins.com |
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