NSF International08/01/2011 Mr. Ayaz Shah Sky LLC 3-27-8 Yazaike Adachi-Ku Tokyo 123086 Japan Subject: Authorized Registered Formulation Enclosed is a copy of the "Authorized Registered Formulation" (ARF) for Frylow. It is the opinion of NSF International that this material is acceptable for the end use(s) specified. Please forward the ARF to the appropriate plant locations, which are listed on the ARF. Please maintain a copy of this ARF on file at your plant location, and make it available to an NSF auditor upon request. The NSF audit of your plant will be guided by this documentation. This ARF is not transferable within NSF to any other company for NSF evaluation without your written authorization; and is not valid in conjunction with evaluation by any other certifying agency. Only those specific material/ingredients and use levels indicated in the ARF are authorized for use in the certified product. To obtain authorization for an alternate supplier(s), ingredient percentage(s), or ingredient(s), please contact your Certification Project Manager at 1-800-NSF-MARK. For customers outside the USA, please use 1-734-769-8010 and ask for your Certification Project Manager. As a reminder, you are not permitted to make any formulation changes to NSF certified products without prior written approval from NSF. Enclosure: Authorized Registered Formulation Certification Project Manager: Heather McGinty, 734-827-6827, MCGINTY@nsf.org Plant: C0079364 DCC: FA01420This is a copy of the Unauthorized Registered Formulation. If you have received this URF in hard copy, you may confirm the most current URFby contacting your Certification Project Manager or going directly to the secured NSF Online website (http:clients.nsf.org) for the latest, mostaccurate information.
DCC: FA01420 Date: 08/01/2011 NSF / ANSI Standard 169 - Special Purpose Food Equipment and Devices Authorized Registered FormulationCustomer Name: Sky LLC Facility Location: JapanCustomer Number: C0079363 Facility At: Tokyo, Yazaike Adachi Ku., Japan Facility Number: C0079364Product Trade Name Frylow Material DCC: FD12951 Description of Part: Ceramic Tiles for Fry Oil Catalyst Material Formulator: Suzuki Industry Co. Material Type: Ceramic (CERAM) Material Trade Name: Ceramic Tiles Color: Grey Contact Area: Not Restricted sq in Food Contact Zone: Food Zone (Food Contact) Food Contact Type Temperature Oils and fats 500 F Restrictions: This material is only acceptable for repeated use by Sky, LLC in commercial deep-fat fryers. 1This is a copy of the Unauthorized Registered Formulation. If you have received this URF in hard copy, you may confirm the most current URF by contactingyour Certification Project Manager or going directly to the secured NSF Online website (http:clients.nsf.org) for the latest, most accurate information.
DCC: FA01420 Date: 08/01/2011 Food Zone Parts ListCustomer Name: Sky LLC Facility Location: JapanCustomer Number: C0079363 Facility At: Tokyo, Yazaike Adachi Ku., Japan Facility Number: C0079364 Part Part Material type Supplier Part Trade Name Color Contact Area Contact DCC Number Description Temp Fry Oil Preserver Ceramic (CERAM) Suzuki Industry Co. Ceramic Tiles Grey Max sq in 500 F FD12951NotesDefinitions of Terminology used in this Document:Trade name: The name given to the ingredient, material or assembly by the company that makes the product.Supplier: The name of the company that provides an ingredient, material or assembly directly to the company that makes the product covered by this registration. The supplier could be aformulator, distributor, fabricator, molder, extruder, mixer, manufacturer or assembler.Formulator: The name of the company that prepares a material according to a formula. The formulator and the supplier could be the same company. This field may be blank as this information isonly reported when the information is not confidential.In plant assemblies, compounding and mixing: Components of assemblies, materials (formulated or compounded) or ingredients which are manufactured at this facility are included on subsequentpages of this document. THIS IS THE LAST PAGE OF THIS DOCUMENT 2