Date 02.03.2011 Delivery Address 0003 ADICHEM S. DE R.L. DE C.V. AV. DE LA INDUSTRIA 54600 TEPOTZOTLAN EDO., DE MEXICO
Page 1 / 1 Customer No. 107779 CustomerOrder Number 4360 Sales Order Number 2553123/000050 Delivery Number 83723569/000020 Shipment Number 1134479/000021 Container Number Ship Date 02.03.2011
Certificate Recipient 0003 ADICHEM S.DE R.L. DE C.V. AV. DE LA INDUSTRIA 54600 TEPOTZOTLAN EDO., DE MEXICO
Product Name : 50491 Fomrez* catalyst UL-28/5PPL/18KG Customer Code : Specification : FOMREZ UL-28 US FOMREZ UL-28 USThe material identified on this document was made and tested according to Momentive Performance Materials Inc. procedures. Tests are conducted on each batch or on a frequency basis. This testreport has been transcribed from original test reports of such data. These reports are available by retrieval from data stored electronically and can be requested for inspection during normalbusiness hours for a period of one year from the date of shipment.
Color Refractive Index @ 25 CSpecific Gravity @ 25 C Tin (Sn) Moisture Chloride Appearance Appearance: Clear Liquid
108 KG UOM
GVS NUM NUM % % %
0.1 1.4676 1.1389 23.75 0.19 0.05 Pass16.12.2012 Max Spec.
3.0 1.4730 1.1630 24.50 0.40 0.20
1.4630 1.1230 22.50
It is hereby certified that the product indicated above conforms to our standard specificationsfor the designated material. This certification is subject to our standard conditions of sale applying to products sold by Momentive Performance Materials Inc. or Its Affiliate Storageconditions: Do Not Freeze>40 d F The Quality Department certifies the Customer Service data on this electronically generated Ph: 304-746-1600 document. Duplicate Certs from WWW.Momentive.com