iu-1 r 0] 15 - us epa · 2013-07-15 · iu-1 r 0] 15 iz. united states environmental protection...

12
iu-1 r 0] 15 IZ. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D C. 20460 OFFICE OF CHEMICAL SAFETY July 15. 2013 POLLUTION PREVENTION Ms. Janine M. Gydus, Agent/Staff Scientist Sullivan & Worcester LLP 1666 K Street, NW Washington, DC 20006 Subject: FQPA Code 332 Notification To Add NSF Logo per PR Notice 98-10 Product Name: Stera-Sheen® Green Label Sanitizer & Cleaner EPA Registration Number: 178-9 Application Date: June 19, 2013 Application Received Date: June 19, 2013 Dear Ms. Gydus This acknowledges receipt of your Notification application, submitted under the provisions of FIFRA section 3 (c) 7(A) and PR Notice 98-10. Pesticide Application: Purdy Products Company is applying to insert the NSF Logo on the Product Label for EPA Reg. No. 178-9. General Comments: Based on a review of the submitting material and information on the EPA Website, the following comment applies. The Notification application is Acceptable. A copy of the accepted Notification is attached in Regulatory File Jacket 178-9 for future reference. If you have questions or comments with regard to this Agency Letter, the please contact Killian Swift via email at [email protected] or by telephone at 703-308-6346. When you are submitting information or data in response to this Agency Letter, please send a copy of this Agency Letter with your response in order to facilitate processing. Sincerely yours, Demson Fuller, Acting EPA Product Manager 32 Regulatory Mainagement Branch II Antimicrobials Division 751 OP

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Page 1: iu-1 r 0] 15 - US EPA · 2013-07-15 · iu-1 r 0] 15 IZ. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D C. 20460 OFFICE OF CHEMICAL SAFETY July 15. 2013 POLLUTION PREVENTION

iu-1 r 0] 15 IZ.

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D C. 20460

OFFICE OF CHEMICAL SAFETY July 15. 2013 POLLUTION PREVENTION

Ms. Janine M. Gydus, Agent/Staff Scientist Sullivan & Worcester LLP 1666 K Street, NW Washington, DC 20006

Subject: FQPA Code 332 Notification To Add NSF Logo per PR Notice 98-10 Product Name: Stera-Sheen® Green Label Sanitizer & Cleaner EPA Registration Number: 178-9 Application Date: June 19, 2013 Application Received Date: June 19, 2013

Dear Ms. Gydus

This acknowledges receipt of your Notification application, submitted under the provisions of FIFRA section 3 (c) 7(A) and PR Notice 98-10.

Pesticide Application:

Purdy Products Company is applying to insert the NSF Logo on the Product Label for EPA Reg. No. 178-9.

General Comments:

Based on a review of the submitting material and information on the EPA Website, the following comment applies. The Notification application is Acceptable. A copy of the accepted Notification is attached in Regulatory File Jacket 178-9 for future reference.

If you have questions or comments with regard to this Agency Letter, the please contact Killian Swift via email at [email protected] or by telephone at 703-308-6346. When you are submitting information or data in response to this Agency Letter, please send a copy of this Agency Letter with your response in order to facilitate processing.

Sincerely yours,

Demson Fuller, Acting EPA Product Manager 32 Regulatory Mainagement Branch II Antimicrobials Division 751 OP

Page 2: iu-1 r 0] 15 - US EPA · 2013-07-15 · iu-1 r 0] 15 IZ. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D C. 20460 OFFICE OF CHEMICAL SAFETY July 15. 2013 POLLUTION PREVENTION

c c l^,

Please read instructions on reverse before completing form Form Approved, 0MB No. 2070-0080, Approval expires 5-31-98

«ER^ United States

Environmental Protection Agency

Washington, DC 20460

Registration

Amendment

Other

OPP Identifier Number

Application for Pesticide - Section I 1, Company/Product Number 178-9 4. Company/Product (Name) Stera-Sheen Green Label Sanitizer & Cleaner

2. EPA Product Manager Michael Mendelsohn PM# 32

3. Proposed Classification

None Restricted

5. Name and Address of Applicant (include ZIP Code) PURDY PRODUCTS COMPANY

1255 KARL COURT WAUCONDAIL 60084

Check if this is a new address

6. Expedited Review, in accordance with FiFRA Section 3(c)(3) (b)(i), my product is similar or identical in composition and ialseiing to: EPA Reg No. Product Name

Section -11 Amendment - Explain below

Resubmission in response to Agency letter dated.

Final printed labels In response to Agency letter dated

"Me Too" Application

Notification - Explain below Other - Explain below

Explanation: Use additional page(s) if necessary. (For Section i and Section 11.) Notification to add NSF logo, per guidance from Product Manager and per PR Notice 98-10.

This notification is consistent with the provisions of PR Notice 98-10 and EPA regulations at 40 CFR 152.46, and no other changes have been made to the labeling or the confidential statement of formula of this product. I understand that it is a violation of 18 U.S.C. Sec. 1001 to willfully make any false statement to EPA. I further understand that if this notification is not consistent with the terms of PR Notice 98-10 and 40 CFR 152.46, this product may be in violation of FIFRA and I may be subject to enforcement action and penalties under sections 12 and 14 of FIFRA.

Section 1. Material This Product Will be Packaged in: Child-Resistant Packaging

Yes

No

*Certification must be submitted

Unit Packaging Yes

No

If "Yes" Unit Packaging wgt. 8 lbs.

No. per container 4

Water Soluble Packaging Yes

No

If'Yes" Package wgt

No. per container

2. Type of Container Metal Plastic Glass Paper Other (Specify) Corrugated carton

3. Location of Net Contents Information Label Container

4. Size(s) Retail Container 1-oz. or 0.75 oz. in qty. of 42, 80,100, 200 per carton; 4 X 2-lbs. per carton

5. Location of label directions On Label On Label accompanying product

6. Manner in Which Label is Affixed to,Product Lithograph Paper glued Stenciled

X I Other Flexograohv: Silkscreen

Section IV 1. Contact Person {Complete items directly below for idenliricalion of individual lobe contacted, if necessary, to process this applicatien.T:. Name Janine M. Gydus

Title Agent/Staff Scientist Sullivan & Worcester

Telephone (^(^^(.Inciude Area Code)

Certification I certify that the statements I have made on this form and all attachments thereto are true, accurate and complete. I acknowledge that any knowingly false or misleading statement may be punishable by fine or imprisonment or both under applicable law

202-775-1235 rr

2. Signature

4. Typed Name Janine M. Gydus

3. Title Agent/Staff Scientist Sullivan & Worcester

5. Date June 19, 2013

6. Date Application , *- Received c c

(Stamped)

EPA Form 8570-1 (Rev. 8-94) Previous editions are obsolete.

{W0258956;l}

White - EPA File Copy (Original) Yellow - Applicant Copy

Page 3: iu-1 r 0] 15 - US EPA · 2013-07-15 · iu-1 r 0] 15 IZ. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D C. 20460 OFFICE OF CHEMICAL SAFETY July 15. 2013 POLLUTION PREVENTION

C ^ ? (2-

SULLIVAN® Sullivan & Worcester LLP T 202 775 1200 1 i / r—^-T-r-1^ 1666 K Street, NW F 202 293 2275 VyVw^rx^LlO I tlx Washington, DC 20006 www.sandw.com

June 19, 2013

VIA COURIER

Document Processing Desk (NOTIF) Office of Pesticide Programs (7504P) U.S. Environmental Protection Agency Room S-4900 One Potomac Yard 2777 S. Crystal Drive Arlington, VA 22202-4501

Attention: Mr. Michael Mendelsohn, Product Manager 32

RE: Notification to add NSF logo to label for Stera-Sheen® Green Label Sanitizer & Cleaner, EPA Reg. No. 178-9

Dear Ms. Mendelsohn:

On behalf of Purdy Products Company, we are submitting a Notification to add NSF logo to the Master Label for Stera-Sheen® Green Label Sanitizer & Cleaner, EPA Reg. No. 178-9.

Attached please find: 1) EPA Form 8570-1 with Notification statement set forth in PR Notice 98-10; and 2) One copy of label with changes highlighted.

Best regards.

Janine M Gydus Agent/Staff Scientist

Direct line: 202-775-1235 [email protected]

cc: Telisport Putsavage, Sullivan & Worcester Paul Flusemoller, President, Purdy Products Company

c c c c : c c

c C

c c c c c C I c '

t C 4. t

{W0258957; 1}

BOSTON NEW YORK WASHINGTON. OC

Page 4: iu-1 r 0] 15 - US EPA · 2013-07-15 · iu-1 r 0] 15 IZ. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D C. 20460 OFFICE OF CHEMICAL SAFETY July 15. 2013 POLLUTION PREVENTION

C ( MASTER LABEL Notes to reviewer are bracketed [ | ESL20100924 NOTIF 20130619 Changes Hiehliehted in vellow Statements in parenthesis are optional or alternate text ( )

IFRONT PANEL)

STERA-SHEEN-GREEN LABEL

Sanitizer & Cleaner

[Optional Marketing Statements] (Detergent/Sanitizer/Milkstone Remover (For Frosty^" Machines)) (Milkstone Remover) (Tea Brewer Cleaner & Sanitizer) (Tea Brewer/Dispenser Cleanser and Sanitizer) (Sanitizer) (Sanitizer for Frozen Dessert Machines) (Sanitizer/Cleaner/Milkstone Remover) (Sanitizer/Cleaner/Milkstone Remover for Frozen Dessert Machines) (Sanitizer and Cleaner for Frozen Dessert Machines) (Cleaner and Sanitizer for Frozen Dessert and Beverage Machines) (General Purpose Cleaner and Sanitizer for Kitchen Utensils, Dishes, Glasses, Food-Contact Machine Parts, Sealed Floors, Sealed Countertops & Stationary Equipment Surfaces) (Detergent/Sanitizer/Milkstone Remover) (Detergent/Sanitizer/Milkstone Remover for Frosty'^'^ Machines) (Cleaner and Sanitizer for Ice Machine Bins and Evaporators) (Sanitizer and Cleaner) (Chlorinated Cleaner/Sanitizer) (Chlorinating sanitizer for kitchen utensils and other food-contact surfaces) (Cleaner and Sanitizer for Ice Machine Bins and Evaporators) [If included on final printed label. NSF Logo will appear on back or side panell

' • LISTED (1 386291

For Institutional Use

ACTIVE INGREDIENT Sodium Dichloro-S-Triazinetrione Dihydrate* 2.4%

OTHER INGREDIENTS :. 97.6% TOTAL • 100.0%

'Available chlorine 1.34%

KEEP OUT OF REACH OF CHILDREN , Tc WARNING '

I t r

' [When necessary, the following will be added to final printed label, depending on container, type/iizc]'

(Read Additional Precautionary Statements on (side) (back) (panel(s)) (outer cation)/ ^ ^ ^ (Read outer carton label for additional Precautionary Statements and complete DirectionsTor Use)" , 1 ^'

[For Outer Carton] Read precautionary statements on side panel. [For Jar] (Read additional Precautionary Etatementsit clc.

MANUFACTURED BY EPA Reg. No. 178-9 ; " PURDY PRODUCTS CO. EPA Est. No. ^ ^ ;

P.O. BOX 456, WAUCONDA, IL 60084 Net Weight; \ . i

(Batch Code:) [To appear on front or back panel of label or immediate container, depending on container type/size)

{W025895S; 1} 1

6635336.1

Page 5: iu-1 r 0] 15 - US EPA · 2013-07-15 · iu-1 r 0] 15 IZ. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D C. 20460 OFFICE OF CHEMICAL SAFETY July 15. 2013 POLLUTION PREVENTION

r 5 12 MASTER LABEL Notes to reviewer are bracketed [ J ESL20inn')24 NOTIF 20130619 Changes Highlighted In vellow Statements in parenthesis are optional or alternate text ( )

FIRST AID If in eyes: Hold eye open and rinse slowly and gently with water for 15-20 minutes. Remove contact lenses, if present, after the first 5 minutes, then continue rinsing eye. Call poison control center or doctor for treatment advice. If on skin or clothing: Take off contaminated clothing. Rinse skin immediately with plenty of water for 15-20 minutes. Call poison control center or doctor for treatment advice. If swallowed: Call poison control center or doctor immediately for treatment advice. Have person sip a glass of water if able to swallow. Do not induce vomiting unless to do so by poison control center or doctor. Do not give anything by mouth to an unconscious person. FOR MEDICAL EMERGENCY INFORMATION CALL 1-800-222-1222 Have the product container or label with you when calling a poison control center or doctor, or going for treatment. NOTE TO PHYSICIAN Probable mucosal damage may contraindicate the use of gastric lavage.

PRECAUTIONARY STATEMENTS Hazards to Human and Domestic Animals

Warning: Causes substantial but temporary eye injury. Harmful if swallowed or absorbed through the skin. Do not get in eyes, on skin or on clothing. Wash thoroughly with soap and water after handling and before eating, drinking, chewing gum, using tobacco, or using the toilet. Remove and wash contaminated clothing before reuse.

PHYSICAL AND CHEMICAL HAZARDS Do not use in combination with soaps, other detergents or chemicals.

DIRECTIONS FOR USE It is a violation of Federal Law to use this product in a manner that is inconsistent with

labeling.

Stera-Sheen Green Label Sanitizer & Cleaner required use dilution [for 2.0 oz. packet or jar with 2 oz. scoop:] (2 ozs. to 2 gal. water = 100 ppm Available

Chlorine) [OR] [for 1.5 oz. packet:] (1.5 ozs. to VA gal. water = 100 ppm Available Chlorine)

pH between 9 and 10

(PLEASE REFER TO YOUR OPERATOR'S MANUAL FOR DETAltEb INSTRUCTIONS.) . c U

I, c ^ ^

(When used as directed, Stera-Sheen Green Label Sanitizer & Cleaner is us^d for', 1 ^ c' cleaning and sanitizing frozen dessert and beverage machines) (and to clean hnd^sanitize •=

surfaces such as;) ' c ^^L (Acrylic;) (Aluminum;) (Brass;) (Copper;) (Chrome;) (Corian®;) (Glass;) (Glazed ceramic, enameled, and porcelain surfaces;) (fron;) (Laminated surfaces;) (Linoleum;) (Metal;) (Plastics (such as nylon, polystyrene or polypropylene);) (Porcelain;) (Rubber (such^as ' EPDM or Viton);) (Sealed granite;) (Sealed limestone;) (Sealed marble;) (Sealed slate;) (Sealed stone;) (Sealed terracotta;) (Sealed i- ' '

terrazzo;) (Stainless steel;) (Vinyl;) (and) (Vinyl graphics)

{W0258955; I)

6535336.1

Page 6: iu-1 r 0] 15 - US EPA · 2013-07-15 · iu-1 r 0] 15 IZ. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D C. 20460 OFFICE OF CHEMICAL SAFETY July 15. 2013 POLLUTION PREVENTION

c MASTER LABEL ESL20100924 NOTIF 20130619 Changes Highlighted in yellow

,r (L Notes to reviewer are bracketed | |

Statements in parenthesis are optionai or alternate text ( )

[Directions for 1.5 oz. packet, 2.0 oz. packet, and 2 oz. scoop] CLEANING AND SANITIZING FROZEN DESSERT AND BEVERAGE MACHINES (Soft-serve ice cream & shake fi-eezers, batch fi-eezers, frozen yogurt, fi-ozen custard, frozen carbonated

beverages, smoothie and granita machines, iced cappuccino machines, shaved iced machines, slush machines, and other frozen dessert and beverage machines)

CLEANING AND DISASSEMBLY INSTRUCTIONS 1. Follow manufacturer's directions to drain and rinse hopper (or dispenser) and freezing

cylinder. Rinse until water is clear. Dissolve one ((2 oz. packet) [OR] (2 oz. scoop) into 2 gallons of warm water) [OR] (1.5 oz. 2.

3.

4. 5.

6.

packet in 1 '/2 gallons of warm water). Pour into hopper/dispenser. Agitate solution per manufacturer's suggested wash cycle. Or, manually brush clean making sure solution makes contact with all surfaces. Drain solution completely. Following manufacturer's directions, take all removable parts to sink. Clean by soaking for at least one minute using one ((2 oz. packet) [OR] (2 oz. scoop) per 2 gallons) [OR] (1.5 oz. packet in 1 14 gallons) of warm water. Allow to air dry. Follow local health ordinances. Repeat procedures for each freezing cylinder or dispenser. To insure adequate cleaning, do not reuse solution.

ASSEMBLY AND SANITIZING INSTRUCTIONS 1. Assemble machine and lubricate all parts according to manufacturer's specifications. 2. Dissolve one ((2 oz. packet) [OR] (2 oz. scoop) in 2 gallons of warm water) [OR] (1.5 oz.

packet in 114 gallons of warm water). Pour into hopper (or dispenser). 3. Agitate sanitizing solution per manufacturer's suggested wash cycle, but for no less than one

minute. 4. Drain solution completely. Repeat procedures for each freezing cylinder. DO NOT REUSE

SOLUTION. Do not rinse. Follow local health codes.

[OR] [Directions for 1.5 oz. packet, 2.0 oz. packet, and 2 oz. scoop]

CLEANING AND SANITIZING FROZEN DESSERT AND BEVERAGE MACHINES (Soft-serve ice cream & shake freezers, batch freezers, frozen yogurt, frozen custard, frozen carbonated

beverages, smoothie and granita machines, iced cappuccino machines, shaved iced machines, slush machines, and other frozen dessert and beverage machines)

CLEANING AND DISASSEMBLY INSTRUCTIONS 1. Take hopper cover, gasket and mix feed device to sink for cleaning. 2. Place control switch in "Wash" position. ^ ^' c 3. Drain all product into sanitized rerun container if local health codes permit. ^^ c 4. Pour 2 gallons of cool rinse water into the hopper. Brush clean hopper and ifrlet 'no5e. 5. Place control switch in "Wash" position and agitate for two minutes. Drain rinse'water. '

Switch to "Off position. Repeat rinsing procedure until water is clear. ^ f c 6. Dissolve one ((2 oz. packet) [OR] (2 oz. scoop)) in 2 gallons) [OR] (1.5 oz. packet in l'/2''

gallons) of warm water. Pour solution into hopper. , c 11 <' 7. Place control switch in "Wash" position to agitate for five minutes. Drain solution ^ "

completely. Switch to "Off position. 8. Remove all freezing cylinder parts and door. Brush clean all disassembled parts by soaking t

in sanitizing solution for at least one minute. Allow to air dry. Follow local health codes. 9. Repeat procedures for each freezing cylinder. To insure adequate cleaning, do not reuse

solution.

{W0258955; I) 3

6635336.1

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( r MASTER LABEL ESI .7.0100924 NOTIF 20130619 Changes Highlighted in yellow

Notes to reviewer are bracketed [ | Statements in parenthesis are optional or alternate text ( )

ASSEMBLY AND SANITIZING INSTRUCTIONS 1. Assemble machine and lubricate all parts according to manufacturer's specifications. 2. Dissolve one ((2 oz. packet) [OR] (2 oz. scoop) in 2 gallons) [OR] (1.5 oz. packet in IV2

gallons) of warm water. Pour into hopper. 3. Place control in "Wash" position to agitate for five minutes. Drain solution completely.

Switch to "Off position. DO NOT RINSE. Follow local health codes. 4. Repeat procedures for each freezing cylinder. DO NOT REUSE SOLUTION.

7(^

[AND/OR] [Directions for 1.5 oz. packet, 2.0 oz. packet, and 2 oz. scoop]

CLEANING AND SANITIZING FROSTY™ * MACHINES

CLEANING AND DISASSEMBLY INSTRUCTIONS 1. Place control switch in "Wash" position. 2. Take hopper cover, gasket and mix feed device to 3-compartment sink for cleaning. 3. Drain all product into sanitized stainless steel pail, cover and place in walk-in for reuse if local

health codes permit. NOTE: Never leave machine in "Wash" position for more than 5 minutes. 4. Pour 2 gallons of cool rinse water into hopper. Brush clean hopper inlet hole and sensing probe. 5. Place control switch in "Wash" position and agitate for two minutes. Drain rinse water. Repeat

rinsing procedure until water is clear. Switch to "Off position. 6. Dissolve one ((2 oz. packet) [OR] (2 oz. scoop) in 2 gallons) [OR] (1.5-oz. packet in 1V2

gallons) of warm water in stainless steel bucket. 7. Pour sanitizing solution into hopper. Brush clean hopper, inlet hole and sensing probe. 8. Place control switch in "Wash" position, to agitate for five minutes. Drain all solution.

Switch to "Off position. 9. Unplug FrostyTM machine. 10. Remove all freezing cylinder parts and door. Brush clean all disassembled parts at the 3-

compartment sink. Wash and rinse by soaking with this product for at least one minute and allow to air dry.

11. Repeat procedures for units with two freezing cylinders. Do not reuse solution.

ASSEMBLY, SANITIZING AND OPERATION INSTRUCTIONS NOTE: Make sure Frosty^" Machine is unplugged. 1. Assemble and lubricate all disassembled parts according to manufacturer's specifications. 2. Plug in Frosty™ Machine. 3. Dissolve one ((2 oz. packet) [OR] (2 oz. scoop) in 2 gallons) [OR] (1.5-oz. packet in IV2 gallons)

of warm water in a stainless steel bucket. ^ ^ ^ o 4. Pour ((2 oz. packet) [OR] (2 oz. scoop)2 gallons) [OR] [for 1.5 oz. packet:\ {X_ Y?. gallons) of ^

sanitizing solution into hopper. As it enters the freezing cylinder, brush-clean hcpjier, inlet hole and sensing probe. luicc ..cU

5. Place control in "WASH" position, to agitate for five minutes. Drain all sanitizing solution. Switch to "Off" position. c./LC UUU

6. Pour specified amount of fresh mix into hopper. Raise draw arm to force remainfng[sanitizer from freezing cylinder. NOTE; Prime machine no sooner than 30 minutes before usi'h'g. "^DO NOT, ^ ^ RINSE. Follow local health codes. DO NOT REUSE SOLUTION.

*rrosty™ is a trademark ofWendy's/Arby's Group, Inc. ' ,

[AND/OR] [Directions for 1.5 oz. packet, 2.0 oz. packet, and 2 oz. scoop]

{W0258955; 1)

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f V

MASTER LABEL ESL20100924 NOTIF 20130619 Changes Highlighted in yellow

c II

Notes to reviewer are bracketed 1 | Statements in parenthesis are optional or alternate text ( )

(DAILY MAINTENANCE PROCEDURES FOR ALL ICED TEA BREWERS/DISPENSERS)

[OR THE FOLLOWING HEADING] (For China Mist Iced Tea Brewers/Dispensers

DAILY Maintenance Procedures For All Manufacturers and Models)

1. 2. 3.

4.

5. 6.

7. 8.

9.

Drain tea from dispenser. DO NOT KEEP TEA OVERNIGHT. Fill tea dispenser with warm water. Mix one ((2 oz. packet) [OR] (2 oz. scoop) for every 2 gallons) [OR] (1.5-oz. packet for every 1V2 gallons) of warm water to yield 100 ppm available chlorine. Stir solution until dissolved. Put brew furmel into solution. Allow solution to soak for 1 -2 minutes. Drain small amount of solution into a container to soak spigot later. Drain approximately three-quarters of solution through spigot. To drain the remainder, take dispenser to sink, swish solution and pour out from top of dispenser. Be sure to pour out any particulate matter. Allow dispenser & brew funnel to air dry. DO NOT RINSE. Follow local health codes. Dismantle spigot and soak in solution for at least 60 seconds. Remove spigot & allow to air dry. Follow local health codes. Before brewing tea, reassemble and attach spigot. Replace lid before brewing tea.

[AND/OR] [Directions for 1.5 oz. packet]

Dally Maintenance Procedures For All Iced Tea Brewers/Dispensers 1. Drain tea from dispenser. DO NOT KEEP TEA OVERNIGHT 2. Fill tea dispenser with warm water. 3. For smaller machines (1.5 gai./5.7 L)-

Add ONE 1.5 OZ. PACKET to tea dispenser. For larger machines (3 gal./11.4 L) -

Add TWO 1.5 OZ. PACKETS to tea dispenser. 4. Stir solution until dissolved. Place brew funnel into solution and allow it to soak for 1 - 2 minutes. 5. Drain small amount of solution into a container to soak spigot later. 6. Drain approximately three-quarters of solution through spigot. To drain the remainder, take

dispenser to sink, swish solution and pour out from the top of dispenser. Be sure to pour out any particulate matter. - c c c c

7. Allow dispenser & brew funnel to air dry. DO NOT RINSE. Follow local healthcoodes. ' ^ 8. Dismantle spigot and soak in solution for at least 60 seconds. Remove spigot;& allqw to air dry.

Follow local health codes. ,.,, c . J e < cd: 9. Before brewing tea, reassemble and attach spigot. Replace lid before brewing tea,, c <. <-

[AND/OR]

[Directions for 1.5 oz. packet] For China Mist Iced Tea Brewers/Dispensers

DAILY Maintenance Procedures For All Manufacturers and Models

{W0258955; 1}

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( r ii

MASTER LABEL F..SI.20100924 NOTIF 20130619 Changes Highlighted in yellow

Notes to reviewer are bracketed | | Statements in parenthesis are optional or alternate text ( )

1. 2. 3.

4. 5. 6.

7. 8.

9.

Drain tea from dispenser. DO NOT KEEP TEA OVERNIGHT Fill tea dispenser with warm water. For smaller machines (1.5 gal./5.7 L) -

Add ONE-1.5 OZ. PACKET to tea dispenser. For larger machines (3 gal./l 1.4 L) -

Add TWO-1.5 OZ. PACKETS to tea dispenser. Stir solution until dissolved. Place brew funnel into solution and allow it to soak for 1 - 2 minutes. Drain small amount of solution into a container to soak spigot later. Drain approximately three-quarters of solution through spigot. To drain the remainder, take dispenser to sink, swish solution and pour out from the top of dispenser. Be sure to pour out any particulate matter. Allow dispenser & brew funnel to air dry. DO NOT RINSE. Follow local health codes. Dismantle spigot and soak in solution for at least 60 seconds. Remove spigot & allow to air dry. Follow local health codes. Before brewing tea, reassemble and attach spigot. Replace lid before brewing tea.

[AND/OR:J [Directions for 1.5-oz. packet, 2.0-oz. packet, and 2 oz. scoop]

GENERAL PURPOSE CLEANING AND SANITIZING (Kitchen utensils, dishes, glasses, miscellaneous food-contact machine parts)

1. Rinse and remove all loose food soil substances. 2. Dissolve one ((2 oz. packet) [OR] (2 oz. scoop) in 2 gallons) [OR] (1.5 oz. packet in

1 '/z gallons) of warm water. 3. Wipe or brush clean surface. 4. Rinse with potable water. 5. Sanitize using one ((2 oz. packet) [OR] (2 oz. scoop) in 2 gallons) [OR] (1.5 oz.

packet in 1 '/z gallons) of warm water to yield 100 ppm available chlorine. 6. Immerse equipment components, kitchen utensils, dishes, or glasses, miscellaneous

food-contact machine parts into sanitizing solution for at least one minute. 7. Remove and allow to air dry. DO NOT RINSE. Follow local health codes.

[AND/OR:I [Directions for 1.5-oz. packet, 2.0 oz. packet, and 2 oz. scoop]

SEALED FLOORS, SEALED COUNTERTOPS & STATIONARY EQUIPMENT SURFACES

1.

2.

For previously cleaned surfaces, mix the appropriate amount of sanitizing sdiutioF. by ^ mixing one ((2 oz. packet) [OR] (2 oz. scoop) in 2 gallons) [OR] (1.5 bzv packet in 1 '/z gallons) of warm water to yield 100 ppm available chlorine. 1 ^ ^' Apply with a clean cloth, sponge, spray, or completely flood surface m'akingtsure the c solution completely covers the whole surface for at least 60 seconds. Cef^aif dry. ;, NOT RINSE. Follow local health codes.

[AND/OR:] [Directions for 1.5 oz. packet, 2.0 oz. packet, and 2 oz. scoop]

{W0258955; 1}

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r CO iZ

MASTER LABEL ESL20100924 NOTIF 20130619 Changes Highlighted in yellow

Notes to reviewer are bracketed | | Statements in parenthesis are optional or alternate text ( )

CLEANING AND SANITIZING ICE MACHINES

To Clean Ice Machine Evaporator 1. Turn off refrigeration. Leave machine pump on. 2. Drain unit. 3. Dissolve one ((2 oz. packet) [OR] (2 oz. scoop) for every 2 gallons) [OR] (1.5 oz.

packet for every 1 Vi gallons) of warm water needed. 4. Pour into unit per manufacturer's instructions. Allow to circulate for 30 minutes. 5. Brush clean any areas where solution does not contact surfaces needed to be cleaned. 6. Ice machine drums can be cleaned by soaking in solution prepared by mixing one ((2

oz. packet) [OR] (2 oz. scoop) in 2 gallons) [OR] (1.5 oz. packet in 1 Vi gallons) of warm water.

7. Drain unit and rinse with potable water. To Sanitize Ice Machine Evaporator

1. Follow steps 1- 4 above, making sure the sanitizing solution completely covers the whole surface for at least 60 seconds.

2. Drain solution and allow to air dry. DO NOT RINSE. Follow local health codes. 3. Discard first batch of ice.

To Clean Ice Machine Bin 1. Turn off refrigeration and water supply. 2. Remove ice from bin. 3. Mix one ((2 oz. packet) [OR] (2 oz. scoop) in 2 gallons) [OR] (1.5 oz. packet in 1 V2

gallons) of warm water in bucket. 4. Pour into ice bin. 5. Brush clean as necessary. 6. Take any removable parts that require cleaning and soak in solution prepared by

mixing one ((2 oz. packet) [OR] (2 oz. scoop) for every 2 gallons) [OR] (1.5 oz. packet for every 1 'A gallons) of warm water needed.

To Sanitize Ice Machine Bin 7. Follow steps 1 - 6 above, making sure the sanitizing solution completely covers the

whole surface for at least 60 seconds. 8. Drain solution and allow to air dry. DO NOT RINSE. Follow local health codes.

STORAGE AND DISPOSAL Do not contaminate water, food, or feed by storage or disposal. PESTICIDE STORAGE: Keep product dry in tightly closed container when not in use. Store cool, dry, well-ventilated area away from heat or open flames. c. ^^ PESTICIDE DISPOSAL: Waste resulting from the use of this product may be [lisp.ossd of on site or at an approved wasted disposal facility. ' ., i1 < > CONTAINER DISPOSAL: [1.5 oz. and 2 oz. plastic packets] (Packet:) Corttaiii'er is ' destroyed by removing product. Discard completely empty packet in trash.^ ^ ^ ^ ; [Outside carton] (Carton:) Offer for recycling, if available, or discard in tra^h. f [4 lb. Plastic jar] (Jar:) Non-refillable container: Do not reuse or refill cohtaifik. Triplp rinse (or equivalent). Offer for recycling, if available, or discard in trash.

in (. c

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r « 12. MASTER LABEL Notes to reviewer are bracketed | ) ESL20100924 NOTIF 20130619 Chanees Highlighted in vellow Statements in parenthesis are optional or alternate text ( )

[Proposed Packet Design: When complete label is not printed on packet, the following packet design will he used:]

[FRONT PANEL]

STERA-SHEEN® GREEN LABEL Sanitizer & Cleaner

[Optional Marketing Statement] (Detergent/Sanitizer/Milkstone Remover (For Frosty'^*' Machines)) (Milkstone Remover) (Tea Brewer Cleaner & Sanitizer) (Tea Brewer/Dispenser Cleanser and Sanitizer) (Sanitizer) (Sanitizer for Frozen Dessert Machines) (Sanitizer/Cleaner/Milkstone Remover) (Sanitizer/Cleaner/Milkstone Remover for Frozen Dessert Machines) (Sanitizer and Cleaner for Frozen Dessert Machines) (Cleaner and Sanitizer for Frozen Dessert and Beverage Machines) (General Purpose Cleaner and Sanitizer for Kitchen Utensils, Dishes, Glasses, Food-Contact Machine Parts, Sealed Floors, Sealed Countertops & Stationary Equipment Surfaces) (Detergent/Sanitizer/Milkstone Remover) (Detergent/Sanitizer/Milkstone Remover for Frosty'''" Machines) (Cleaner and Sanitizer for Ice Machine Bins and Evaporators) (Sanitizer and Cleaner) (Chlorinated Cleaner/Sanitizer) (Chlorinating sanitizer for kitchen utensils and other food-contact surfaces) (Cleaner and Sanitizer for Ice Machine Bins and Evaporators)

For Institutional Use

ACTIVE INGREDIENT Sodium Dichloro-S-Triazinetrione Dihydrate* 2.4%

OTHER INGREDIENTS 97.6% TOTAL 100.0%

*Available chlorine 1.34%

KEEP OUT OF REACH OF CHILDREN I. c c t.

• r I I. C (. L L C ' C I

WARNING 1 ; , . t I . « I L c t c

Read outer carton label for additional Precautionary Statements and complete Directions for Use ^ ' I

LC I C. C •

C CI c t ^ ^

MANUFACTURED BY EPA Reg. No. 178-9 tccn' PURDY PRODUCTS CO. EPA Est. No. 178-IL-I

P.O. BOX 456. WAUCONDA, IL 60084 Net Weight: (1.5 oz.) [OR] (2 oz.) c ^ ' c ' c t

(Batch Code: ) [Reviewer: Batch Code wili be piaced on front or back of packet with or without the heading "Batch Code"]

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Page 12: iu-1 r 0] 15 - US EPA · 2013-07-15 · iu-1 r 0] 15 IZ. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D C. 20460 OFFICE OF CHEMICAL SAFETY July 15. 2013 POLLUTION PREVENTION

( (Itt MASTER LABEL NotVs to reviewer are bracketed [ J ESL2Q1Q0924 NOTIF 20130619 Changes Highlighted in vellow Statements in parenthesis are optional or alternate text ( )

[Proposed Packet Design: When complete label is not printed on packet, the following packet design will be used:]

[BACK PANEL]

DIRECTIONS FOR USE It is a violation of Federal Law to use this product in a manner inconsistent with its labeling.

STERA-SHEEN GREEN LABEL SANITIZER & CLEANER required dilution:

[Reviewer: This label will include a picture similar to the picture below, depicting mixing directions required for 100 ppm available chlorine]

S'Sp! — 100 ppm

Available chlorine

(2 gals, of water) (2 oz.) [OR] (1.5 oz.) [OR] (I'A gals, of

water)

FIRST AID If in eyes: Hold eye open and rinse slowly and gently with water for 15-20 minutes. Remove contact lenses, if present, after the first 5 minutes, then continue rinsing eye. Call poison control center or doctor for treatment advice. If on skin or clothing; Take off contaminated clothing. Rinse skin immediately with plenty of water for 15-20 minutes. Call poison control center or doctor for treatment advice. If swallowed: Call poison control center or doctor immediately for treatment advice. Have person sip a glass of water if able to swallow. Do not induce vomiting unless to do so by poison control center or doctor. Do not give anything by mouth to an unconscious person. FOR MEDICAL EMERGENCY INFORMATION CALL I-800-222-I222 Have the product container or label with you when calling a poison control center or doctor, or.goiEg i. for treatment. ^ ^' 1. NOTE TO PHYSICIAN 1 l \ Probable mucosal damage may contraindicate the use of gastric lavage. L L i 11 ^ t <. 11

' t i. '• t _ c ^ ^ (Batch Code: ) [Reviewer: Batch Code will be placed on front or back of packet with or without the hea(b.ne_"Batch 60^1?"]^

t. e c c ^

(•Frosty™ i» a trademark ofWendy's/Arby's Croup, Inc.) . C c t t. i ^ ^

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6635336.1