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RoHS Compliance Declaration Form Version 0 1 This document is a declaration as to the restricted substances present within the manufacturer part number s listed The part s must be declared as containing or not containing RoHS Restriction of the use of certain Hazardous Substances in electrical and electronic equipment substances or as unkown part s Note If the part is an assembly with lower level parts the declaration encompasses all lower level substances SECTION I COMPANY INFORMATION REQUESTED BYSECTION II COMPANY INFORMATION MANUFACTURED BY Request Date MM DD YYYY Response Date MM DD YYYY Company NameCompany Name Unique IDUnique ID Unique ID Authority i e DUNS Unique ID Authority i e DUNS Person Requesting this Declaration Person Completing this Declaration NameName TitleTitle PhonePhone EmailEmail Company Address Line 1Person Certifying this Declaration Company Address Line 2Name CityTitle CountryPhone ZIPEmail Developed by Required field Optional field 2006 1 24 SUZHOU BOAMAX TECHNOLOGIES GROUP Alan liu QE 0512 66728575 bh qc Joe Chen Sales Supervisor 0512 66721185 MPbh sales RoHS Compliance Declaration Form This document is a declaration as to the restricted substances present within the manufacturer part number s listed The part s must be declared as containing or not containing RoHS Restriction of the use of certain Hazardous Substances in electrical and electronic equipment substances or as unkown part s Note If the part is an assembly with lower level parts the declaration encompasses all lower SECTION II COMPANY INFORMATION MANUFACTURED BY Person Completing this Declaration Person Certifying this Declaration Required field SECTION III RoHS JIG MAXIMUM CONCENTRATION VALUES MCVs AND RoHS EXEMPTED APPLICATIONS Maximum Concentration Values MCVs ROHS Directive Version 2002 95 EC Concentration limit of 0 1 1000 ppm by mass per homogeneous material for Lead Pb Mercury Hg Hexavalent Chromium Cr 6 Polybrominated Biphenyls PBBs Polybrominated Diphenyl Ethers PBDEs and Concentration limit of 0 01 100 ppm by mass per homogeneous material for Cadmium Cd Joint Industry Guide JIG Version Draft Level A Intentionally added no threshold Asbestos Certain Azo Colourants and Azodyes Cadmium Compounds Hexavalent Chromium Lead Compounds Mercury Compounds ODS Class I PBBs PBDEs PCBs Polychlorinated Naphthalenes Radioactive Substances Certain Shortchain Chlorinated Paraffins TBT and TPT TBTO Concentration limit of 0 0075 75 ppm by mass per homogeneous material if not intentionally added Cadmium Compounds Concentration limit of 0 03 300 ppm by mass per homogeneous material if not intentionally added Lead PVC cables only Concentration limit of 0 1 1000 ppm by mass per homogeneous material if not intentionally added Lead Mercury Hexavalent Chromium PBBs PBDEs and ODS Class II Level B Concentration limit of 1 1000 ppm by mass per homogeneous material Antimony Compounds Arsenic Compounds Beryllium Compounds Bismuth Compounds Brominated Flame Retardants other than PBBs or PBDEs Nickel Compounds external applications only Certain Phthalates and Selenium Compounds and PVC SECTION IV RoHS CERTIFICATION STATEMENT By your submission of this form you confirm that each of the supplier manufacturer part numbers listed in this form are in compliance with the substance restrictions of RoHS Directive 2002 95 EC or are exempt for the reason s indicated You also confirm that you have made this determination using appropriate systems and processes to ensure accuracy of the data provided by your suppliers and you have methods of verifying and or auditing the information provided and maintaining appropriate records to allow traceability of the products covered in this declaration In addition should any person or entity acting in reliance on this declaration become the subject of an action brought by a government agency under the RoHS Directive identified above and such action was due to any inaccuracies or misrepresentations made in this declaration you hereby authorize the person or entity to release your name to the authorities in their defense if so required Developed by SECTION V PARTS LIST Requester Part Number Requester Part Name Manufacturer Part Number Is the Requester Part Number known valid 870 13441Cover plate external cables870 13441Yes 870 13551BHangup XFMR sense PCB870 13551BYes 870 14042APlate bottom for conduits PX2870 14042AYes 870 14255Cable relief bottom870 14255Yes 870 14256Cable relief top870 14256Yes 880 2444Cu rail no 32 PX2880 2444Yes OM 8714Assy profile cableguide reliefs PCB leftOM 8714Yes 870 11608Cable guide left870 11608Yes 870 13618Profile for cable guide relidfs PCB left870 13618Yes OM 8715Assy profile cableguide reliefs PCB rightOM 8715Yes Certify Certify and Export and Export to Excelto Excel Check Data Certify and Certify and Export to Export to XMLXML Import Import from Excelfrom Excel Import Import from XMLfrom XML 870 11609Cable guide right870 11609Yes 870 13067Profile for cable guide relidfs PCB right870 13067Yes If Mfr Part Number provided by Requester is incorrect please provided corrected Mfr Part Number Manufacturer Part Name Part Version Part Version Effective Date Manufacturing Site City Country Cover plate external cablesE1 Hangup XFMR sense PCBE3 Plate bottom for conduits PX2E3 Cable relief bottomE1 Cable relief topE1 Cu rail no 32 PX2E1 Assy profile cableguide reliefs PCB leftE1 Cable guide leftE1 Profile for cable guide relidfs PCB leftE1 Assy profile cableguide reliefs PCB rightE1 Required fieldOptional field SECTION III RoHS JIG MAXIMUM CONCENTRATION VALUES MCVs AND RoHS EXEMPTED APPLICATIONS Concentration limit of 0 1 1000 ppm by mass per homogeneous material for Lead Pb Mercury Hg Hexavalent Chromium Cr 6 Polybrominated Biphenyls Intentionally added no threshold Asbestos Certain Azo Colourants and Azodyes Cadmium Compounds Hexavalent Chromium Lead Compounds Mercury Compounds ODS Class I PBBs PBDEs PCBs Polychlorinated Naphthalenes Radioactive Substances Certain Shortchain Chlorinated Paraffins TBT and TPT TBTO Concentration limit of 0 0075 75 ppm by mass per homogeneous material if not intentionally added Cadmium Compounds Concentration limit of 0 03 300 ppm by mass per homogeneous material if not intentionally added Lead PVC cables only Concentration limit of 0 1 1000 ppm by mass per homogeneous material if not intentionally added Lead Mercury Hexavalent Chromium PBBs PBDEs and ODS Class II Concentration limit of 1 1000 ppm by mass per homogeneous material Antimony Compounds Arsenic Compounds Beryllium Compounds Bismuth Compounds Brominated Flame Retardants other than PBBs or PBDEs Nickel Compounds external applications only Certain Phthalates and Selenium Compounds and PVC By your submission of this form you confirm that each of the supplier manufacturer part numbers listed in this form are in compliance with the substance restrictions of RoHS Directive 2002 95 EC or are exempt for the reason s indicated You also confirm that you have made this determination using appropriate systems and processes to ensure accuracy of the data provided by your suppliers and you have methods of verifying and or auditing the information provided and maintaining appropriate records to allow traceability of the products covered in this declaration In addition should any person or entity acting in reliance on this declaration become the subject of an action brought by a government agency under the RoHS Directive identified above and such action was due to any inaccuracies or misrepresentations made in this declaration you hereby authorize the person or entity to release your name to the authorities in their defense if so required SECTION V PARTS LIST Import Import from XMLfrom XML Cable guide rightE1 Profile for cable guide relidfs PCB rightE1 Part Weight Amount Part Weight Unit Part Weight Unit per Lenght Area Volume Part Remarks 1 75 kgeach 0 06 kgeach 0 75 kgeach 0 824 kgeach 0 752 kgeach 4 814 kgeach 5 82 kgeach 0 7 kgeach 5 12 kgeach 6 34 kgeach SECTION V PARTS LIST 1 22 kgeach 5 12 kgeach Applications of Lead Pb Mercury Hg Cadmium Cd and Hexavalent Chromium Cr 6 which are exempted from the requirements of RoHS Article 4 1 1Mercury in compact fluorescent lamps not exceeding 5 mg per lamp 2aMercury in straight fluorescent lamps for general purposes not exceeding halophosphate 10 mg 2bMercury in straight fluorescent lamps for general purposes not exceeding triphosphate with normal lifetime 5 mg 2cMercury in straight fluorescent lamps for general purposes not exceeding triphosphate with long lifetime 8 mg 3Mercury in straight fluorescent lamps for special purposes 4Mercury in other lamps not specifically mentioned in this Annex 5Lead in glass of cathode ray tubes electronic components and fluorescent tubes 6aLead as an alloying element in steel containing up to 0 35 lead by weight aluminium containing up to 0 4 lead by weight and as a copper 6bLead as an alloying element in aluminium containing up to 0 4 lead by weight 6cLead as an alloying element in copper alloys containing up to 4 lead by weight 7aLead in high melting temperature type solders i e lead based alloys containing 85 by weight or more lead 7bLead in solders for servers storage and storage array systems network infrastructure equipment for switching signalling transmission as well as network management for telecommunications 7cLead in electronic ceramic parts e g piezoelectronic devices 8Cadmium and its compounds in electrical contacts and cadmium plating except for applications banned under Directive 91 338 EEC 1 amending Directive 76 769 EEC 2 relating to restrictions on the marketing and use of certain dangerous substances and preparations 9Hexavalent chromium as an anti corrosion of the carbon steel cooling system in absorption refrigerators 10Lead used in compliant pin connector systems 11Lead as a coating material for the thermal conduction module c ring 12aLead in optical and filter glass 12bCadmium in optical and filter glass 13Lead in solders consisting of more than two elements for the connection between the pins and the package of microprocessors with a lead content of more than 80 and less than 85 by weight 14Lead in solders to complete a viable electrical connection between semiconductor die and carrier within integrated circuit Flip Chip packages SECTION VI RoHS DECLARATION Does the part s contain Pb Hg Cd Cr 6 PBBs or PBDEs per the RoHS MCVs defined above Is there an exemption that applies to the ROHS substance s in this part s If YES specify all that apply per the list above Exempted Application 1 Hg Exempted Application 2a Hg Exempted Application 2b Hg Exempted Application 2c Hg NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo NoNoNoNoNoNo Exempted Application 3 Hg Exempted Application 4 Hg Exempted Application 5 Pb Exempted Application 6a Pb Exempted Application 6b Pb Exempted Application 6c Pb Exempted Application 7a Pb Exempted Application 7b Pb NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo Applications of Lead Pb Mercury Hg Cadmium Cd and Hexavalent Chromium Cr 6 which are exempted from the requirements of RoHS Article 4 1 Mercury in straight fluorescent lamps for general purposes not exceeding halophosphate 10 mg Mercury in straight fluorescent lamps for general purposes not exceeding triphosphate with normal lifetime 5 mg Mercury in straight fluorescent lamps for general purposes not exceeding triphosphate with long lifetime 8 mg Lead in glass of cathode ray tubes electronic components and fluorescent tubes Lead as an alloying element in steel containing up to 0 35 lead by weight aluminium containing up to 0 4 lead by weight and as a copper Lead as an alloying element in aluminium containing up to 0 4 lead by weight Lead as an alloying element in copper alloys containing up to 4 lead by weight Lead in high melting temperature type solders i e lead based alloys containing 85 by weight or more lead Lead in solders for servers storage and storage array systems network infrastructure equipment for switching signalling Cadmium and its compounds in electrical contacts and cadmium plating except for applications banned under Directive 91 338 EEC 1 amending Directive 76 769 EEC 2 relating to restrictions on the marketing and use of certain dangerous substances and preparations Hexavalent chromium as an anti corrosion of the carbon steel cooling system in absorption refrigerators Lead in solders consisting of more than two elements for the connection between the pins and the package of microprocessors with a Lead in solders to complete a viable electrical connection between semiconductor die and carrier within integrated circuit Flip Chip packages SECTION VI RoHS DECLARATION NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo Exempted Application 7c Pb Exempted Application 8 Cd Exempted Application 9 Cr 6 Exempted Application 10 Pb Exempted Application 11 Pb Exempted Application 12a Pb Exempted Application 12b Cd Exempted Application 13 Pb NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo SECTION VI RoHS DECLARATION NoNoNoNoNoNoNoNo NoNoNoNoNoNoNoNo SECTION VII JIGSECTION VIII MANUFACTURING INFORMATION i e Pb free Exempted Application 14 Pb Does the part s contain JIG Level A substances in excess of the MCVs defined above Does the part s contain JIG Level B substances in excess of the reporting thresholds defined above Component Terminal Plating Solder Ball Alloy Surface Finish Termination Base Alloy Max Mfg Reflow Temp Rating Celsius Enter N A if not applicable NoN AN AN A NoN AN AN A NoN AN AN A NoN AN AN A NoN AN AN A NoN AN AN A NoN AN AN A NoN AN AN A NoN AN AN A NoN AN AN A SECTION VI RoHS DECLARATION NoN AN AN A NoN AN AN A SECTION IX ROADMAP Max Cycles at Max Mfg Reflow Temp Enter N A if not applicable J STD 020C Moisture Sensitivity Level Will an RoHS restricted substances free replacement part be available Provide the replacement part number Enter N A if not applicable Provide the date the replacement part will be available for production use MM DD YYYY Enter N A if not applicable N AN AN AN AN A N AN AN AN AN A N AN AN AN AN A N AN AN AN AN A N AN AN AN AN A N AN AN AN AN A N AN AN AN AN A N AN AN AN AN A N AN AN AN AN A N AN AN AN AN A SECTION VIII MANUFACTURING INFORMATION i e Pb free N AN AN AN AN A N AN AN AN AN A Remarks SECTION IX ROADMAP Synapsis Enterprise LLC Freeware License Please read the following information carefully before using the freeware software License The Software is distributed as Freeware You may use this software on any number of computers for as long as you like The software is NOT Public Domain software You are allowed to freely distribute of the software but Synapsis Enterprise LLC retains ownership and copyright of the software in its entirety You may use and or distribute the software only subject to the following conditions You may only use the software as intended by Synapsis Enterprise LLC You may not use the software to support any third party product without the express written consent of Synapsis Enterprise LLC You may not modify the program or documentation files in any way except for the addition and deletion of columns and rows of data You must include all the files that were in the original distribution You may not reverse engineer decompile or otherwise reduce the Software to a human perceivable form You may not sell the software or charge a distribution fee except to recover the media costs You understand and agree with this license and with the disclaimer of warranty and the limitation of liability printed below The software may be bundled and distributed together with other software products but the same conditions apply Disclaimer of Warranty The software and related documentation are provided as is without warranty of any kind Synapsis Enterprise LLC disclaims all warranties express or implied including but not limited to the implied warranties of design merchantability fitness for a particular purpose Synapsis Enterprise LLC does not warrant that the functions contained in the software or documentation will meet your requirements or that the operation of the software will be error free complete or that defects in the software or documentation will be corrected Limitation of Liability Under no circumstances shall Synapsis Enterprise LLC be liable for any lost revenue or profits or any incidental indirect special or consequential damages that result from the use or inability to use the Software or related products or documentation even if Synapsis Enterprise LLC has been advised of the possibility of such damages Some states do not allow the limitation or exclusion of liability for incidental or consequential damages so the above limitation or exclusion may not apply to you In no event shall Synapsis Enterprise LLC s total liability to you for all damages losses and causes of action whether in contract tort or otherwise exceed the amount paid by you for the software Copyright Program and Documentation 2005 by Synapsis Enterprise LLCAll Rights Reserved Synapsis Enterprise LLC Freeware License Please read the following information carefully before using the freeware software License The Software is distributed as Freeware You may use this software on any number of computers for as long as you like The software is NOT Public Domain software You are allowed to freely distribute of the software but Synapsis Enterprise LLC retains ownership and copyright of the software in its entirety You may use and or distribute the software only subject to the following conditions You may only use the software as intended by Synapsis Enterprise LLC You may not use the software to support any third party product w
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