Item

Antifoam 30% Silicone - TRIMSIL 30S (TRIMSIL 30S)

Dear Customer: In keeping with your company’s obligation to conform to the Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA), you have our written assurance that no major food allergens are present in, or utilized on the same equipment used to produce, the antifoam additive(s) listed above. Major food allergens are defined in the Unites States Code, Title 21, Section 321 as wheat, crustacean shellfish, eggs, tree nuts, milk, unprocessed soy, fish, peanuts and ingredients containing protein from these foods. Highly refined oils are not considered allergens under this definition. This product also does not contain any ingredients or proteins, including gluten, derived from wheat, rye, barley, oats and/or their hybrids. This statement is based, in part, on information provided to Applied Material Solutions, Inc. by its suppliers. Please do not hesitate to contact us if you have further questions. Sincerely, Michael T. Jennings Jim Rogers Regulatory Manager Quality Manager – Elkhorn Polydimethylsiloxane Compound Mixture <35%
Antifoaming agent
Locations
Location name Address
Applied Material Solutions Inc. 1001 E. Centralia Street Elkhorn, WI 53121
Documents
Type Location File name Effective Expiration
Allergens Applied Material Solutions Inc. Allergens.pdf 6/27/2024 6/27/2026
BSE - TSE Applied Material Solutions Inc. AMS - Animal By-product Statement_ TRIMSIL 30S (2024).pdf 1/1/2024 12/31/2026
Ingredient Statement Applied Material Solutions Inc. AMS - Full Composition Statement for TRIMSIL 30S (2025) CONFIDENTIAL r1 (002).pdf 11/5/2024 11/5/2027
Halal Applied Material Solutions Inc. AMS - Halal Statement_TRIMSIL 30S (2024).pdf 1/1/2024 12/31/2025
Heavy Metal Applied Material Solutions Inc. AMS - Heavy Metals Declaration (2024).pdf 1/1/2024 12/31/2025
Kosher Applied Material Solutions Inc. AMS - Kosher Certificate_TRIMSIL 30S (2025).pdf 1/1/2025 12/31/2025
Residual Statement Applied Material Solutions Inc. AMS - Residual Solvents Statement _TRIMSIL 30S (2025).docx 1/1/2025 1/1/2026
CoA Sample Applied Material Solutions Inc. AMS - SAMPLE COA_TRIMSIL 30S.r2.pdf 6/26/2024 6/26/2026
Safety Data Sheet (SDS) Applied Material Solutions Inc. AMS - SDS_TRIMSIL 30S.r4.pdf 6/26/2024 6/26/2027
Country of Origin Applied Material Solutions Inc. Country of Origin.pdf 7/3/2024 7/3/2027
HACCP Applied Material Solutions Inc. GMP HACCP AND FOOD SAFETY PROGRAMS (2024).pdf 7/9/2024 7/9/2027
HACCP Process Flow Diagram Applied Material Solutions Inc. GMP HACCP AND FOOD SAFETY PROGRAMS (2024).pdf 7/9/2024 7/9/2026
Item Questionnaire Applied Material Solutions Inc. Item Questionnaire.pdf 6/27/2024 6/27/2027
Product Specification Sheet Applied Material Solutions Inc. RM-AHI-058_Rev_5_Anti_Foam__30__Silicone for Ajinomoto - TRIMSIL 30S.pdf 8/5/2024 8/5/2027
Suitability Requirements Applied Material Solutions Inc. Suitability Requirements.pdf 7/2/2024 7/2/2027