Toll-free numbers (US/Can, PR, VI) Tel: (800) 662-2290 Fax: (800) 645-5360 International Numbers Tel: (641) 673-5000 Fax: (641) 673-5100   P.O. Box 115 • 100 Interpower Avenue • Oskaloosa, IA 52577-0115 U.S.A • www.interpower.com RoHS Screening Report Purpose of this report is to determine the restricted elements in accordance with Directive 2011/65/EU of the European Parliament and of the Council of, 8 June 2011 and its amendments. Pass The results comply with the Directive 2011/65/EU of the European Parliament and of the Council of, 8 June 2011 and its amendments. Failed Samples are higher than the limited values. Part Number: 83530593 Description: Two Function Hospital Grade Power Entry Module Date: 10/18/11 Method of Screening: MFG ICP Test Data Report Component Description Cadmium (Cd) <100 PPM <0.01% Lead (pb) <1000 PPM <0.10% Mercury (Hg) <1000 PPM <0.10% Chromium (Cr) <1000 PPM <0.10% PBB /PBDE Br (Brominates) <1000 PPM <0.10% BBP <0.10% DBP <0.10% DIBP <0.10% DEHP <0.10% Compliant Remarks Black material <2PPM <2PPM <2PPM <2PPM <5PPM N/D N/D N/D N/D yes Blue Plastic <2PPM <28PPM <2PPM <2PPM <5PPM N/D N/D N/D N/D yes Brass <2PPM <8PPM <2PPM <0.02PPM N/D N/D N/D N/D N/D yes Cover Core <2PPM <2PPM <2PPM <2PPM <5PPM N/D N/D N/D N/D yes Cover PBT <2PPM <2PPM <2PPM <2PPM <5PPM N/D N/D N/D N/D yes Ferrite Core <2PPM <2PPM <2PPM <2PPM N/D N/D N/D N/D N/D yes Lead Wire <2PPM <15PPM <2PPM <0.01PPM <5PPM N/D N/D N/D N/D yes Ni Plating <2PPM <2PPM <2PPM <0.02PPM N/D N/D N/D N/D N/D yes Pb free Electrode <2PPM <2PPM <2PPM <0.01PPM <5PPM N/D N/D N/D N/D yes Resin Type A <2PPM <15PPM <2PPM <0.01PPM <5PPM N/D N/D N/D N/D yes Silvery Meatal Pin <2PPM <2PPM <2PPM <0.02PPM N/D N/D N/D N/D N/D yes Silvery Metal <2PPM <79PPM <2PPM <0.02PPM N/D N/D N/D N/D N/D yes Silvery Paste <2PPM <2PPM <2PPM <2PPM <5PPM N/D N/D N/D N/D yes Socket PBT <2PPM <2PPM <2PPM <2PPM <5PPM N/D N/D N/D N/D yes Solder type A <2PPM <230PPM <2PPM <0.01PPM <5PPM N/D N/D N/D N/D yes Soldering N/D 290ppm N/D N/D N/D N/D N/D N/D N/D yes X-Capacitor <2PPM <2PPM <2PPM <2PPM <5PPM N/D N/D N/D N/D yes Y-Capacitor <2PPM <2PPM <2PPM <2PPM <5PPM N/D N/D N/D N/D yes ND = Not Detected N/A = Not Applicable PPM = Parts Per Million "K" = Kilo means thousands (1000) Comments: Joe Caligiuri Product Compliance Specialist Interpower Corporation This screening report cannot be reproduced without prior written permission from Interpower Corporation. Unless otherwise stated: (a) the results shown in this document refer only to the sample(s) analyzed and (b) such sample(s) are retained for 30 days. Form: XLT screening report 3-2008 Page 1 of 1