five general star certificate of juice conformance€¦ · silverback platinum, loyalty e-juice,...

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FIVE STAR JUICE GENERAL CERTIFICATE OF CONFORMANCE Identification of the product covered by this certificate: Citation to each consumer product safety regulation to which this product is being certified: All Products Manufactured by Five Star Juice (LA EJUICE, LLC) Production Descriptions: Five Star Juice, Vape Belly, Vapor Vynes, Blueberry King, Bangin Liquids, Peach Tears, Twilight, Game of Thorns, Humble Juice, Hustle, Havoc, Natives, BLV, FJ’s E-Liquid, Killa Kloudz, The Dream, High Rise E-Liquid, Shortcake Man, Hie-Clouds, Rebel, Drops by Blis, Vape Commander, South Bay Struggle Juice, 3 Monkeys, Aztlan Vapors, Mystic Wolf, World Star Vape, House Liquids, Silverback Juice Co., Mad Drops, The Drop, Silverback Gold, Silverback Platinum, Loyalty E-Juice, Barista Brew Co., Levels E Juice, Kings Breakfast, Thee Liquid, Sinbad and The Seven Seas, and Vertex Eliquid. 16 CFR Section 1700.15 – Poison Prevention Package Standards 16 CFR Section 1700.20 – Testing Procedure for Special Packaging Identification of the U.S. importer or domestic manufacturer certifying compliance of the product: Five Star Juice (LA EJUICE, LLC) 22873 Lockness Ave. Torrance, CA 90501, USA 310-531-3888 Contact information for the individual maintaining records of test results: Robert Hummer 22873 Lockness Ave. Torrance, CA 90501, USA 310-531-3888 | roberth@fivestarjuice.com Date and place where this product was manufactured: Jun 2015 – Jul 2016 Five Star Juice (LA EJUICE, LLC) 22873 Lockness Ave. Torrance, CA 90501, USA Provide the date(s) and place when the product was tested for compliance with the consumer product safety rule(s) cited above: Testing conducted from Jun 30, 2015 – Jul 9, 2015 Bitner Associates, Inc. – Chicago and South, west villages thereof Nicotine Levels: 0mg (0.0%), 3mg (0.3%), 6mg (0.6%), 12mg (1.2%), 18mg (1.8%), 24mg (2.4%) Bottle/Cap Description: Boston Flint bottle 10ml, 15ml, 60ml, and 120ml with dropper sizes 18-400, 20-400 and22-400. 2oz and 120ml PET Clear Bottle Imperial Round 20/410 Neck 6oz PET Clear Bottle Imperial Round 20/410 Neck; 20mm CRC Cap with F4217.035 Plain Liner White. Provide the date(s) and place when the product was tested for compliance with the consumer product safety rule(s) cited above: Testing conducted from Jun 30, 2015 – Jul 9, 2015 Bitner Associates, Inc. – Chicago and South, west villages thereof

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Page 1: FIVE GENERAL STAR CERTIFICATE OF JUICE CONFORMANCE€¦ · Silverback Platinum, Loyalty E-Juice, Barista Brew Co., Levels E Juice, Kings Breakfast, Thee Liquid, Sinbad and The Seven

FIVESTARJUICE

GENERALCERTIFICATE OFCONFORMANCE

Identification of the product covered by this certificate:

Citation to each consumer product safety regulation to which this product is being certified:

All Products Manufactured by Five Star Juice (LA EJUICE, LLC)

Production Descriptions:

Five Star Juice, Vape Belly, Vapor Vynes, Blueberry King, Bangin Liquids, Peach Tears, Twilight, Game of Thorns,

Humble Juice, Hustle, Havoc, Natives, BLV, FJ’s E-Liquid, Killa Kloudz, The Dream, High Rise E-Liquid, Shortcake

Man, Hie-Clouds, Rebel, Drops by Blis, Vape Commander, South Bay Struggle Juice, 3 Monkeys, Aztlan Vapors,

Mystic Wolf, World Star Vape, House Liquids, Silverback Juice Co., Mad Drops, The Drop, Silverback Gold,

Silverback Platinum, Loyalty E-Juice, Barista Brew Co., Levels E Juice, Kings Breakfast, Thee Liquid, Sinbad and

The Seven Seas, and Vertex Eliquid.

16 CFR Section 1700.15 – Poison Prevention Package Standards

16 CFR Section 1700.20 – Testing Procedure for Special Packaging

Identification of the U.S. importer or domestic manufacturer certifying compliance of the product:

Five Star Juice (LA EJUICE, LLC) 22873 Lockness Ave. Torrance, CA 90501, USA

310-531-3888

Contact information for the individual maintaining records of test results:

Robert Hummer 22873 Lockness Ave. Torrance, CA 90501, USA

310-531-3888 | [email protected]

Date and place where this product was manufactured:

Jun 2015 – Jul 2016

Five Star Juice (LA EJUICE, LLC)

22873 Lockness Ave. Torrance, CA 90501, USA

Provide the date(s) and place when the product was tested for compliance with the consumer productsafety rule(s) cited above:

Testing conducted from Jun 30, 2015 – Jul 9, 2015

Bitner Associates, Inc. – Chicago and South, west villages thereof

Nicotine Levels:

0mg (0.0%), 3mg (0.3%), 6mg (0.6%), 12mg (1.2%), 18mg (1.8%), 24mg (2.4%)

Bottle/Cap Description:

Boston Flint bottle 10ml, 15ml, 60ml, and 120ml with dropper sizes 18-400, 20-400 and22-400.

2oz and 120ml PET Clear Bottle Imperial Round 20/410 Neck

6oz PET Clear Bottle Imperial Round 20/410 Neck; 20mm CRC Cap with F4217.035 Plain Liner White.

Provide the date(s) and place when the product was tested for compliance with the consumer productsafety rule(s) cited above:

Testing conducted from Jun 30, 2015 – Jul 9, 2015

Bitner Associates, Inc. – Chicago and South, west villages thereof