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

Company

Unique ID

TE Connectivity Response Date 2017-06-07 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

5177986-1 Amount 813.147376 Version - Identity

Manufacturer

Item Name

0.8FH,P05H.5,04

0,08/Sn,TR,SC

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-0616 REACH Candidate Substances of Very High Concern ARE NOT Contained in the Product Above the Limits per the Definition within REACH

Complex Article

Description

REACH Candidate Substances of Very High Concern according to Once an Article Always an Article 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 0.8 FHBB

PLUG STEEL

COVER

1.0 396.0 mg

Material 2 Stainless Steel 1.0 396.0 mg

Substance 3 Manganese Supplier 7439-96-5 1.0 1.0 3.96 mg

Substance 3 Phosphorus Supplier 7723-14-0 0.04 1.0 0.1584 mg

Substance 3 Carbon Supplier 7440-44-0 0.12 1.0 0.4752 mg

Substance 3 Sulfur Supplier 7704-34-9 0.03 1.0 0.1188 mg

Substance 3 Antimony Supplier 7440-36-0 0.01 1.0 0.0396 mg

Substance 3 Iron Supplier 7439-89-6 79.5636 1.0 315.07186 mg

Substance 3 Silicon Supplier 7440-21-3 1.0 1.0 3.96 mg

Substance 3 Cobalt Supplier 7440-48-4 0.1 1.0 0.396 mg

Substance 3 Chromium Supplier 7440-47-3 18.0 1.0 71.28 mg

Substance 3 Beryllium Supplier 7440-41-7 0.0010 1.0 0.00396 mg

Substance 3 Arsenic Supplier 7440-38-2 0.03 1.0 0.1188 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.0999 1.0 0.3956 mg

Substance 3 Cadmium Cadmium/Cad

mium

Compounds

7440-43-9 0.0050 1.0 0.0198 mg

Substance 3 Mercury Mercury/Mercu

ry Compounds

7439-97-6 5.0E-4 1.0 0.00198 mg

Sub-Item 1 0.8FH,P05H.5,

040,08/Sn,TU

1.0 417.147376 mg

Material 2 Nickel Plate 1.0 1.572096 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

1212

0.2 1.0 0.00314419 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.1 1.0 0.0015721 mg

Substance 3 Nickel Nickel 7440-02-0 99.7 1.0 1.56738 mg

Material 2 LCP 1.0 320.0 mg

Substance 3 Glass, oxide,

chemicals

Supplier 65997-17-3 30.0 1.0 96.0 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 69.7 1.0 223.04 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 0.96 mg

Material 2 Brass 1.0 95.0 mg

Substance 3 Chromium Supplier 7440-47-3 0.0010 1.0 9.5E-4 mg

Substance 3 Zinc Supplier 7440-66-6 28.0225 1.0 26.62138 mg

Substance 3 Manganese Supplier 7439-96-5 0.05 1.0 0.0475 mg

Substance 3 Antimony Supplier 7440-36-0 0.01 1.0 0.0095 mg

Substance 3 Iron Supplier 7439-89-6 0.05 1.0 0.0475 mg

Substance 3 Cobalt Supplier 7440-48-4 0.1 1.0 0.095 mg

Substance 3 Copper Supplier 7440-50-8 71.5 1.0 67.925 mg

Substance 3 Beryllium Supplier 7440-41-7 0.0010 1.0 9.5E-4 mg

Substance 3 Arsenic Supplier 7440-38-2 0.01 1.0 0.0095 mg

Substance 3 Mercury Mercury/Mercu

ry Compounds

7439-97-6 5.0E-4 1.0 4.75E-4 mg

Substance 3 Nickel Nickel 7440-02-0 0.2 1.0 0.19 mg

Substance 3 Cadmium Cadmium/Cad

mium

Compounds

7440-43-9 0.0050 1.0 0.00475 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.05 1.0 0.0475 mg

Material 2 Tin Plate 1.0 0.4672 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

1212

0.2 1.0 9.344E-4 mg

Substance 3 Tin Supplier 7440-31-5 99.73 1.0 0.46594 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.07 1.0 3.2704E-4 mg

Material 2 Gold Plate 1.0 0.10808 mg

Substance 3 Gold Supplier 7440-57-5 99.7 1.0 0.10776 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

1212

0.3 1.0 3.2424E-4 mg