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Drop Ball Test Certification Document

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Lim Zi Xuan
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0% found this document useful (0 votes)
85 views1 page

Drop Ball Test Certification Document

Uploaded by

Lim Zi Xuan
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

DROP BALL TEST CERTIFICATION

I hereby guarantee that the


articles listed herein are impact resistant within the meaning of 21 CFR 801.410 and
have been tested pursuant to that section. Impact resistant lenses are not unbreakable
or shatterproof. Record of testing will be maintained for a period of three (3) years
from the date of shipment and copies will be furnished to the FDA upon request.

Company Name:
Company Address:
City/ State:
Country/ Zip:
Authorized Name:
Authorized Signature:
Title:
Federal Express AWB#:
Date:

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