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Material Composition Declaration
© Copyright 2005. IPC, Bannockburn, Illinois. All rights reserved under
both international and Pan-American copyright conventions.
This document is a declaration of the substances within the manufacturer listed item. Note: if the item is an assembly
with lower level parts, the declaration encompasses all lower level materials for which the manufacturer has
engineering responsibility.
Adobe Reader version 7.0.5 is required to complete this declaration.
IPC Web Site for Information on IPC-1752 Standard
http://www.ipc.org/IPC-175x
Form Type *
Declaration Class *
Company Name *
Company Unique ID
Unique ID Authority
Response Date *
Response Document ID
Contact Name *
Title - Contact
Phone - Contact *
Email - Contact *
Authorized Representative *
Title - Representative
Phone - Representative *
Email - Representative *
Supplier Comments or URL for Additional Information
Requester Item Number
Mfr Item Number
Mfr Item Name
Effective Date
Manufacturing Site
Weight *
UOM
Unit Type
Version
Alternate Recommendation
Alternate Item Comments
Manufacturing Process Information
C
seconds
Terminal Plating / Grid Array Material
Terminal Base Alloy
J-STD-020 MSL Rating
Peak Process Body Temperature
Max Time at Peak Temperature
Number of Reflow Cycles
Comments
1752-1
1.1
Class 4 - RoHS Yes/No, JIG Format Substances, Mfg Info
Distribute
IDT
2008-10-14
PVG56 Copper Wire
CS Phek
Engineer
604-613-2538
csphek@idt.com
CS Phek
Engineer
604-613-2538
csphek@idt.com
Duplicate Contact -> Authorized Representative
PVG56 Copper Wire
2008-10-14
0
OSE
705.5
mg
Each
Matte Tin (Sn) - annealed
CU Alloy
1
260
30
3
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RoHS Definition: Quantity limit of 0.1% by mass (1000 PPM) in homogeneous material for: Lead (Pb), Mercury, Hexavalent Chromium, Polybrominated Biphenyls (PBB),
Polybrominated Diphenyl Ethers (PBDE) and quantity limit of 0.01% by mass (100 PPM) of homogeneous material for Cadmium
RoHS Material Composition Declaration
Declaration Type *
RoHS Declaration *
Supplier Acceptance *
Exemptions: If the declared item does not contain RoHS restricted substances per the definition above except for defined RoHS exemptions, then select the corresponding response in the RoHS Declaration
above and choose all applicable exemptions.
Declaration Signature
Instructions: Complete all of the required fields on all pages of this form. Select the "Accepted" on the Supplier Acceptance drop-down. This will display the signature area. Digitally sign
the declaration (if required by the Requester) and click on Submit Form to have the form returned to the Requester.
Supplier Digital Signature
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RoHS Directive
2002/95/EC
Simplified
Supplier certifies that it gathered the information it provides in this form concerning RoHS restrictive substances using appropriate methods to ensure its accuracy and that such information is true and correct to the best of its knowledge and belief, as of the
date that Supplier completes this form. Supplier acknowledges that Company will rely on this certification in determining the compliance of its products with European Union member state laws that implement the RoHS Directive. Company acknowledges that
Supplier may have relied on information provided by others in completing this form, and that Supplier may not have independently verified such information. However, in situations where Supplier has not independently verified information provided by others,
Supplier agrees that, at a minimum, its suppliers have provided certifications regarding their contributions to the part, and those certifications are at least as comprehensive as the certification in this paragraph. If the Company and the Supplier enter into a
written agreement with respect to the identified part,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 Supplier’s liability and the Company’s
remedies for issues that arise regarding information the Supplier provides in this form.
1 - Item(s) does not contain RoHS restricted substances per the definition above
Accepted
CS Phek
Digitally signed by CS Phek
DN: cn=CS Phek, c=US, o=Assembly Engineering, ou=Integrated Device Technology Inc.,
email=csphek@idt.com
Reason: I am the author of this document
Date: 2008.10.14 14:25:13 +08'00'