SPONSOR: TEST FACILITY: 

[ ] [ 

Introduction and Summary 

The infrared spectrum and density of the test item have been determined. 

Experimental testing was conducted between OS June 2013 and 10 July 2013. 

] 

The infrared spectrum of the test item was consistent with the proposed chemical composition. 

The relative density of the test item was determined to be 1.06 at 20.0 ± 0.5 °C. 

Test Item Details 

Name 

Description 

Lot number 

Purity 

Date Received 

Storage Conditions 

Expiry Date 

amber colored liquid 

not supplied 

not supplied 

30 January 2013 

room temperature in the dark under nitrogen 

30 January 2015 

Compositional information was supplied by the Sponsor for interpretation of the infrared spectrum. The 

integrity of supplied data relating to the identity, purity and stability of the test item is the responsibility of 

the Sponsor. 

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Conclusion 

It was not possible to positively confirm the test item composition from the infrared spectrum alone. 

However, no evidence was found in the infrared spectrum that contradicted the proposed chemical 

composition of the test item. The infrared spectrum of the test item was consistent with the proposed 

chemical composition. 

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follows: 

D p = d(c - a) and 20- p 

(b - a) 4 - Density of water at 4°C 

Where: 

p 

a 

b 

c 

d 

D2o 

4 

= 

= 

= 

= 

= 

density (kglm3) 

mass of pycnometer (g) 

mass of pycnometer filled with water (g) 

mass of pycnometer filled with test item (g) 

density of water at test temperature (kglm3) 

relative density 

Results of duplicate determinations of relative density are shown in the following table: 

Measurement 

Mass of pycnometer (g) 

Mass of pycnometer and distilled water at 20.4 oc•/20.5 oct (g) 

Mass of pycnometer and test item at 20.4 °C (g) 

Density of water at 20.4 oc • 120.5 oct (kg!m3) 

Density (kg/m3) 

Density of water at 4.0 OC (kg/m3) 

Relative density 

Mean relative density: 1.06 

Temperature: 20.0 ± 0.5 °C 

Conclusion 

Determination 

1. 

25.3983 

63.7437 

66.1080 

998.12 

1059.7 

999.97 

1.06 

The relative density of the test item was determined to be 1.06 at 20.0 ± 0.5 °C. 

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2t 

25.2398 

63.2603 

65.6206 

998.10 

1060.1 

999.97 

1.06 
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g

GLP standards published as OECD Principles on Good Laboratory Practice (revised 1997, 

ENV/MC/CHEM(98)17); and are in accordance with, and implement, the requirements of Directives 

2004/9/EC and 2004/1 0/EC. 

These principles are compatible with Good Laboratory Practice regulations specified by regulatory 

authorities throughout the European Community, the United States (EPA and FDA), and Japan (Mlll.W, 

MAFF and METI). 

This certificate of analysis report accurately reflects the procedures used and data generated. There were 

no circumstances considered to have affected the integrity of the study or the validity of the data. 

[ ] 

Signed: 2 3 AUG 2013 Date: ........................................................ .. 

Study Director 

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Reported to the relevant 

Dates and Types of QA Inspections Study Director and Test 

Facility Management 

Date of Inspection Type of Inspection Phase Inspected Report Date 

12 June 2013 Study Plan Verification N/A 12 June 2013 

10 July 2013 Study- based Infrared Spectrum 10 July 2013 

3 July 2013 Process - based Density 3 July 2013 

14 August 2013 Report Audit N/A 14 August 2013 

This statement confirms that this certificate of analysis report reflects the raw data and the procedures 

followed. 

Quality Assurance: 

[ ] 

UIHC: 

2 3 AUG 2013 

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