Company:
Address:
Tel.
Fax
Contact person:
E-mail: |
The Danish Institute for Informative Labelling Byleddet 7 4000 Roskilde Denmark Tel. +45 33 79 09 79 Fax +45 46 30 45 25 Contact person: E-mail: varefakta@varefakta.dk |
| Product name: |
Product number: |
| Net content: |
Number (if any): |
| Manufacturer: |
Auth./Reg. no.: |
| Contact: |
Tel: |
| Address: |
Fax:
E-mail: |
Recipe/specifications:
All product ingredients must be specified in the forms.
The content of substances must be stated in percentages. Substances which are present as hydrates must be stated in terms of their anhydrides.
A content of 10% sodium perborate tetrahydrate corresponds to 5.3% (theoretical) anhydride.
If a product contains e.g. 20% of a surfactant raw material with 70% active substance, the substance with its 14% percentage comes within the concentration interval of 5-15%.
Phosphates must be stated in percentages of inorganic P multiplied by 4. This amounts to stating all phosphates as pentasodium tripolyphosphate.
EDTA and NTA salts must be stated in terms of their corresponding acids (1% Na4EDTA = 0.77% H4EDTA; 1% Na3NTA = 0.74% H3NTA).
Polycarboxylates mean homo- and copolymers of acrylic acid.
The product contains the following ingredients in concentrations above 0.2%.
(please tick) |
Concentration in percentages. |
| - phosphates |
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| - phosphonates |
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| - anionic surfactants |
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| - cationic surfactants |
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| - amphoteric surfactants |
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| - non-ionic surfactants |
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| - oxygen-based bleaching agents |
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| - chlorine-based bleaching agents |
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| - EDTA |
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| - NTA |
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| - phenols and halogenated phenols |
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| - paradichlorobenzene |
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| - aromatic hydrocarbons |
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| - aliphatic hydrocarbons |
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| - halogenated hydrocarbons |
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| - soap |
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| - zeolites |
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| - polycarboxylates |
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| - enzymes (irrespective of conc.) |
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| - preservatives (irrespective of conc.) |
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| - disinfectants (irrespective of conc.) |
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Additional ingredients in the product:
(Please state their chemical names) |
Concentration in percentages. |
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| Other information about the product: |
| pH of the product measured in a solution ready for use: |
Dosage instructions:
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Storage instructions (if any):
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Warnings (if any):
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Directions for dosage and use:
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Any change in the recipe must be reported to DVN.
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