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Revised July 2024TABLE & KITCHENWARE
PRODUCT DETAIL SHEET
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Instructions:
Fill out this sheet for the following types of items:
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Dinnerware, flatware, pots and pans, kitchen utensils, glasses, and other kitchen or table items.
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Please write or type the information in the areas provided. For "Yes" or "No" answers, please select the appropriate box.
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1. Name of Item
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2. What type of item is this
Photo
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3. Vendor Style Number
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4. Purchase Order Number
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5. Please indicate material below:
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%%%For composite wood, please provide a TSCA Statement title with the "corresponding Style Number - TSCA" an shipment it alongside this PDS.
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Fine earthenwareStoneware Brass
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Coarse earthenware
Lead Crystal Plastic
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PorcelainIron Tin
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ChinaIron/Steel Aluminum
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CeramicCast iron Wood
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GlassStainless Steel Composite Wood
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* if glass, check applicable below:
Other (please specify)
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Crystalline
non- lead crystalline
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Is this coated or plated with precious metal? YesNo
If yes, what is the precious metal?
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6. Is this item suitable for food and/or drink contact?YesNo
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7. If drinking glasses, is the item stemware?
Yes No
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8. Please indicate all that apply:
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Glazed
Suitable for stovetop use
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Enameled coating
Non Stick interior finish
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9. Is this item for functional or decorative use?
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FunctionalDecorative
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10. What is the value and dimension of the item? Value: Dimensions:
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11. Is the item sold as a set?
Yes
No
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a. If yes, please list each item in the set separately, along with the value and dimensions.
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Item
Total pieces in set
Individual value
Size of greatest dimension
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12. What is the country of origin of the item?
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13. Select the below box only if the item meets the indicated specification:
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a) Course-grained earthenware, or coarse-grained stoneware whether or not decorated, having a reddish-colored body and a lustrous glaze which,
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on teapots may be any color, but which on other articles, must be mottled, streaked, or solidly colored brown to black with metallic oxide or salt.
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b) Fine-grained earthenware, whether or not decorated, having a reddish-colored body and a lustrous glaze which, on teapots, may be any color,
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but which on other articles, must be mottled, streaked, or solidly colored brown to black with metallic oxide or salt.
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c) Pressed and toughened (specially tempered) glassware
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d) Blown glass
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e) Cut or engraved glassware
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f) Stein with permanently attached pewter lid
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g) Porcelain or china statues, statuettes and handmade flowers, valued over $2.50 each and produced by professional sculptors or directly from molds
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made from original models produced by professional sculptors.
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h) Glassware decorated with metal flecking, glass pictorial scenes or glass thread- or ribbon-like effects, any of the foregoing embedded or introduced
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into the body of the glassware prior to its solidification; millefiori glassware; glassware colored prior to its solidification, and characterized by random distribution
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of numerous bubbles, seeds, or stones, throughout the mass of the glass.
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i) Glass-ceramic kitchenware, non-glazed, greater than 75% by volume crystalline, of lithium aluminosilicate, having a linear coefficient of expansion not exceeding
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10 X 10 to the -7 power per Kelvin within a temperature range of 0 degrees C to 300 degrees C, transparent, haze-free, exhibiting transmittances of infrared radiations in
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excess of 75% at a wavelength of 2.5 microns when measured on a sample 3 mm in thickness, and containing B-quartz solid solution as the predominant crystal phase.
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j) Glassware having a linear coefficient of expansion not exceeding 5 X 10 to the -5 power per Kelvin within a temperature range of 0 degrees C to 300 degrees C.
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14. If original artwork (decorative), please confirm below:
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a. Is this original artwork? If so, is a certificate available?b. IF YES to a., please confirm whether these are made by the original sculptor and not of a commercial character, OR are the first 12 castings, replicas or reproductions made from a sculptor's original work or model, by the sculptor himself or by another artist, with or without a change in scale?
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Yes No
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If yes, please provide Certificate.
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YesNo
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c. if the original artwork is made of glass, please specify: Is it crystalline, non-lead crystal or other?
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15. What is the name and address of the manufacturer for where the product was made.
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16. Have test results been provided for the following and if so what is the date of that test:
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CPSC
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17. For items containing wildlife components such as coral, shell, mother of pearl, leather, fur, or other wildlife product please indicate the following:
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("scientific name" is the genus and species)
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Common Name
Common Name
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Scientific Name
Scientific Name
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Country of Origin
Country of Origin
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Source (wild or farm raised)
Source (wild or farm raised)
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18. For items containing wood or plant products, please indicate the following for each wood component in the article:
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PlantCommon NamePlantCommon Name
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Plant Scientific NamePlant Scientific Name
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Country of Harvest
Country of Harvest
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Qty of Plant Material
Qty of Plant Material
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% of Recycled Material
% of Recycled Material
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Unit of MeasureUnit of Measure
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kgkg
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mm