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

485203835 Response Date 2014-08-04 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

767007-9 Amount 1998.0528 Version - Identity

Manufacturer

Item Name

Weight Uom mg Mfr Site Authority

Date UOM Each

EURoHS-0508 Product(s) does not meet EU RoHS requirements and is not under exemptions - true

ChinaRoHS-

0508

Product(s) requires marking for the presence of restricted substances and must be marked with an Environmental Protection Use Period under

China's Measures for Administration of the control of pollution by Electronic Information Products - true

EUREACH-1213 Product(s) does not contain REACH Substances Of Very High Concern above the limits per the definition within REACH - Not Available / Not

Reviewed

Product Disclosure

Sub-

Item/Material/

Substance

Level Name Substance

Category

Substance

CAS

Substance

Concentration

Quantity Mass per Unit UOM Exemption

Sub-Item 1 1489209-2 76.0 6.4278 mg

Material 2 Gold Plate 76.0 0.0508 mg

Substance 3 Gold Supplier 7440-57-5 99.7 76.0 0.0506476 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

0909

0.3 76.0 1.524E-4 mg

Material 2 Tin-Lead Plate 76.0 0.078 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 40.0 76.0 0.0312 mg

Substance 3 Tin Supplier 7440-31-5 60.0 76.0 0.0468 mg

Material 2 Copper Alloy 76.0 5.9 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.05 76.0 0.00295 mg

Substance 3 Zinc Supplier 7440-66-6 1.0 76.0 0.059 mg

Substance 3 Silicon Supplier 7440-21-3 1.2 76.0 0.0708 mg

Substance 3 Cobalt Supplier 7440-48-4 0.1 76.0 0.0059 mg

Substance 3 Copper Supplier 7440-50-8 92.7635 76.0 5.47305 mg

Substance 3 Chromium Supplier 7440-47-3 0.06 76.0 0.00354 mg

Substance 3 Beryllium Supplier 7440-41-7 0.0010 76.0 5.9E-5 mg

Substance 3 Magnesium Supplier 7439-95-4 0.3 76.0 0.0177 mg

Substance 3 Manganese Supplier 7439-96-5 0.1 76.0 0.0059 mg

Substance 3 Iron Supplier 7439-89-6 0.2 76.0 0.0118 mg

Substance 3 Arsenic Supplier 7440-38-2 0.01 76.0 5.9E-4 mg

Substance 3 Antimony Supplier 7440-36-0 0.01 76.0 5.9E-4 mg

Substance 3 Nickel Nickel 7440-02-0 4.2 76.0 0.2478 mg

Substance 3 Cadmium Cadmium/Cad

mium

Compounds

7440-43-9 0.0050 76.0 2.95E-4 mg

Substance 3 Mercury Mercury/Mercu

ry Compounds

7439-97-6 5.0E-4 76.0 2.95E-5 mg

Material 2 Nickel Plate 76.0 0.399 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

1212

0.2 76.0 7.98E-4 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.1 76.0 3.99E-4 mg

Substance 3 Nickel Nickel 7440-02-0 99.7 76.0 0.3978 mg

Sub-Item 1 767033-2 1.0 1314.5 mg

Material 2 LIQUID

CRYSTAL

PLOYMER

1.0 1314.5 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

0909

3.0 1.0 39.435 mg

Substance 3 Liquid Crystal

Polymer - ISO

1043-1 Term

LCP

Supplier 1043-1-LCP 67.0 1.0 880.715 mg

Substance 3 Glass, oxide,

chemicals

Supplier 65997-17-3 30.0 1.0 394.35 mg

Sub-Item 1 2-767002-1 2.0 97.52 mg

Material 2 Gold Plate 2.0 0.17 mg

Substance 3 Gold Supplier 7440-57-5 99.7 2.0 0.16949 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

0909

0.3 2.0 5.1E-4 mg

Material 2 Brass 2.0 93.96 mg

Substance 3 Chromium Supplier 7440-47-3 0.0010 2.0 9.396E-4 mg

Substance 3 Zinc Supplier 7440-66-6 28.0225 2.0 26.32994 mg

Substance 3 Manganese Supplier 7439-96-5 0.05 2.0 0.04698 mg

Substance 3 Antimony Supplier 7440-36-0 0.01 2.0 0.009396 mg

Substance 3 Iron Supplier 7439-89-6 0.05 2.0 0.04698 mg

Substance 3 Cobalt Supplier 7440-48-4 0.1 2.0 0.09396 mg

Substance 3 Beryllium Supplier 7440-41-7 0.0010 2.0 9.396E-4 mg

Substance 3 Copper Supplier 7440-50-8 71.5 2.0 67.1814 mg

Substance 3 Arsenic Supplier 7440-38-2 0.01 2.0 0.009396 mg

Substance 3 Mercury Mercury/Mercu

ry Compounds

7439-97-6 5.0E-4 2.0 4.698E-4 mg

Substance 3 Nickel Nickel 7440-02-0 0.2 2.0 0.18792 mg

Substance 3 Cadmium Cadmium/Cad

mium

Compounds

7440-43-9 0.0050 2.0 0.004698 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.05 2.0 0.04698 mg

Material 2 Tin-Lead Plate 2.0 0.33 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 40.0 2.0 0.132 mg

Substance 3 Tin Supplier 7440-31-5 60.0 2.0 0.198 mg

Material 2 Nickel Plate 2.0 3.06 mg

Substance 3 Contains No

Reportable

TE5081-2

Substances

Supplier TE5081-2-

1212

0.2 2.0 0.00612 mg

Substance 3 Lead Lead/Lead

Compounds

7439-92-1 0.1 2.0 0.00306 mg

Substance 3 Nickel Nickel 7440-02-0 99.7 2.0 3.05082 mg