Form Type Distribute Version 2.0 Ref IPC 1752A Sectionals Material Info Subsectionals D, A

Supplier Information

Company Name TE Connectivity Request

Document ID

Contact Name Benfer, David W Contact Title Prod Compliance Engineer for DND

Company

Unique ID

TE Connectivity Response Date 2016-01-28 Contact Email dave.benfer@te.com

Contact Phone Number 717-986-3725

Legal Statement

Supplier

Acceptance

true

Legal Statement

The information provided in this document is based upon reasonable inquiry of our suppliers. This information is subject to change. This information does not in any

way modify existing purchase specifications or existing contractual or other agreements terms between TE Connectivity (or its affiliated companies) and its customers.

Product

Manufacturer

Item number

5650895-5 Amount 16845.768354 Version - Identity

Manufacturer

Item Name

ASSY,RECEPT,

EUROCARD,TY

PE R,LEAD-

FREE,96

Weight Uom mg Mfr Site Authority

Date UOM Each

EURoHS-0508 Product(s) meets EU RoHS requirement without any exemptions

ChinaRoHS-

0508

Product(s) is eligible for marking with the e code under China's Measures for Administration of the control of pollution by Electronic Information

Products

EUREACH-0615 REACH Candidate Substances of Very High Concern ARE NOT Yet Reviewed

Product Disclosure

Sub-

Item/Material/

Substance

Level Name Substance

Category

Substance

CAS

Substance

Concentration

Quantity Mass per Unit UOM Exemption

Sub-Item 1 EURO TYPE R

RECEPT RA

30 PD-NI

W/TIN (LE

96.0 63.62288 mg

Material 2 Tin Plate 96.0 0.20322 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.0999 96.0 2.0302E-4 mg

Substance 3 Tin Supplier 7440-31-5 99.9001 96.0 0.20302 mg

Material 2 Palladium-

Nickel Plate

96.0 0.0092 mg

Substance 3 Palladium Supplier 7440-05-3 80.0 96.0 0.00736 mg

Substance 3 Nickel Nickel 7440-02-0 20.0 96.0 0.00184 mg

Material 2 Phos Bronze 96.0 62.5 mg

Substance 3 Copper Supplier 7440-50-8 94.6985 96.0 59.18656 mg

Substance 3 Manganese Supplier 7439-96-5 0.02 96.0 0.0125 mg

Substance 3 Chromium Supplier 7440-47-3 0.01 96.0 0.00625 mg

Substance 3 Tin Supplier 7440-31-5 4.5 96.0 2.8125 mg

Substance 3 Arsenic Supplier 7440-38-2 0.0050 96.0 0.003125 mg

Substance 3 Iron Supplier 7439-89-6 0.1 96.0 0.0625 mg

Substance 3 Antimony Supplier 7440-36-0 0.01 96.0 0.00625 mg

Substance 3 Beryllium Supplier 7440-41-7 0.0010 96.0 6.25E-4 mg

Substance 3 Zinc Supplier 7440-66-6 0.3 96.0 0.1875 mg

Substance 3 Phosphorus Supplier 7723-14-0 0.1 96.0 0.0625 mg

Substance 3 Cobalt Supplier 7440-48-4 0.1 96.0 0.0625 mg

Substance 3 Cadmium Cadmium/Cad

mium

Compounds

7440-43-9 0.0050 96.0 0.003125 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.05 96.0 0.03125 mg

Substance 3 Nickel Nickel 7440-02-0 0.1 96.0 0.0625 mg

Substance 3 Mercury Mercury/Mercu

ry Compounds

7439-97-6 5.0E-4 96.0 3.125E-4 mg

Material 2 Nickel Plate 96.0 0.909 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

1212

0.2 96.0 0.001818 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.1 96.0 9.09E-4 mg

Substance 3 Nickel Nickel 7440-02-0 99.7 96.0 0.90627 mg

Material 2 Gold Plate 96.0 0.00146 mg

Substance 3 Gold Supplier 7440-57-5 99.7 96.0 0.00145562 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

1212

0.3 96.0 1.0E-5 mg

Sub-Item 1 096 EURO

TYPE R HI

TEMP HSG

1.0 10530.0 mg

Material 2 LCP-GF30 1.0 10530.0 mg

Substance 3 Octadecanoic

acid, 1,1-[2,2-

bis[[(1-

oxooctadecyl)o

xy]methyl]-1,3-

propanediyl]

ester

Supplier 115-83-3 0.3 1.0 31.59 mg

Substance 3 Glass, oxide,

chemicals

Supplier 65997-17-3 30.0 1.0 3159.0 mg

Substance 3 2-

Naphthaleneca

rboxylic acid,

6-(acetyloxy)-,

polymer with 4-

(acetyloxy)ben

zoic acid

Supplier 70679-92-4 1.735 1.0 182.6955 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

1212

0.015 1.0 1.5795 mg

Substance 3 1,4-

Benzenedicarb

oxylic acid,

polymer with

[1,1-biphenyl]-

4,4-diol, 4-

hydroxybenzoi

c acid, 6-

hydroxy-2-

naphthalenecar

boxylic acid

and N-(4-

hydroxyphenyl)

acetamide

Supplier 147310-94-9 67.9425 1.0 7154.34525 mg

Substance 3 Carbon black Supplier 1333-86-4 0.0075 1.0 0.78975 mg

Sub-Item 1 BOARD LOCK,

EUROCARD,

PLTD

2.0 103.985937 mg

Material 2 Tin Plate 2.0 1.015937 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.0999 2.0 0.00101492 mg

Substance 3 Tin Supplier 7440-31-5 99.9001 2.0 1.01492 mg

Material 2 Nickel Plate 2.0 0.62 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

1212

0.2 2.0 0.00124 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.1 2.0 6.2E-4 mg

Substance 3 Nickel Nickel 7440-02-0 99.7 2.0 0.61814 mg

Material 2 Beryllium

Copper

2.0 102.35 mg

Substance 3 Chromium Supplier 7440-47-3 0.0010 2.0 0.0010235 mg

Substance 3 Manganese Supplier 7439-96-5 0.02 2.0 0.02047 mg

Substance 3 Iron Supplier 7439-89-6 0.2 2.0 0.2047 mg

Substance 3 Aluminum Supplier 7429-90-5 0.2 2.0 0.2047 mg

Substance 3 Beryllium Supplier 7440-41-7 0.5 2.0 0.51175 mg

Substance 3 Cobalt Supplier 7440-48-4 0.6 2.0 0.6141 mg

Substance 3 Copper Supplier 7440-50-8 98.1535 2.0 100.46011 mg

Substance 3 Antimony Supplier 7440-36-0 0.01 2.0 0.010235 mg

Substance 3 Arsenic Supplier 7440-38-2 0.01 2.0 0.010235 mg

Substance 3 Silicon Supplier 7440-21-3 0.2 2.0 0.2047 mg

Substance 3 Cadmium Cadmium/Cad

mium

Compounds

7440-43-9 0.0050 2.0 0.0051175 mg

Substance 3 Mercury Mercury/Mercu

ry Compounds

7439-97-6 5.0E-4 2.0 5.1175E-4 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.05 2.0 0.051175 mg

Substance 3 Nickel Nickel 7440-02-0 0.05 2.0 0.051175 mg