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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.

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Supplier Information

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 *

Gowanda Electronics Cage Code 24226 2015-04-09

Craig Davison Quality Engineer 716-532-2234 x218 CDavison@gowanda.com

Ken Hicks Director of Quality 716-532-2234 x216 KHicks@gowanda.com

seconds

Tin/Lead (Sn63Pb37) Cu 1 235

30

Terminal Plating / Grid Array Material Terminal Base Alloy J-STD-020 MSL Rating Peak Process Body Temperature

Number of Reflow Cycles

3

Comments

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Please indicate whether any homogeneous material (as defined by the RoHS Directive, EU 2002/95/EC and implemented by the laws of the European Union member states) of the part identified on this form contains lead, mercury, cadmium, hexavalent

chromium, polybrominated biphenyls and/or polybrominated diphenyl ethers (each a “RoHS restricted substance”) in excess of the applicable quantity limit identified above. If a homogeneous material within the part contains a RoHS restricted substance in

excess of an applicable quantity limit, please indicate below which, if any, RoHS exemption you believe may apply. If the part is an assembly with lower level components, the declaration shall encompass all such components. Supplier certifies that it

gathered the information it provides in this form 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. In the absence of such written agreement, the warranty rights and/or remedies of Supplier's Standard Terms and Conditions of Sale applicable to such part shall apply.

the declaration (if required by the Requester) and click on Submit Form to have the form returned to the Requester.

Supplier Digital Signature

Digitally signed by Craig Davison

Date: 2015.04.09 14:53:30 -04'00'