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 |

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Documents Up to Date
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