| Entry # | U10-3120767-7 |
| Invoice # | CI1214802 nk |
| Name of Importer | Richard Shields |
| Address of Importer | 1500 E. Washington St. Muncie, IN 47305 |
| Date of Declaration | 05-01-2012 |
| Item # | lc1604 |
| Item Name | Asst Series Backyard Fun |
| Date of Mfg. | 03-29-2012 |
| Product Category | Mine & Shell Devices |
| CPSC Reg. Code | 16 CDF 1500.14(b)(7), 16 CFR 1507, 16 CFR 1500.17(a)(3), 16 CFR 1500.121 |
| Test Lot ID | TCPL2120869 |
| Test Date | 03-30-2012 |
PRODUCT IS MANUFACTURED AND TESTED IN CHINA DECLARATION: The importer shown above declares that the shipment of consumer fireworks identified above has been tested and certified by a third party as conforming to all applicable regulations, standards and bans enforced by the U.S. Consumer Product Safety Commission, except those items noted below (Includes items not required to be tested, such as fireworks samples, unfinished fireworks, fuse, punk sticks, supplies, etc.): CONTACT INFORMATION FOR LABORATORY THAT PERFORMED CONFORMITY TESTING. |
|
| Name | Tian Cheng Pyrotechnics Testing Laboratory |
| Address | Lihua Village, Yanxi Town Liuyang City Hunan, China 410304 |
| Phone | 86-731-8394 1206 |
| Fax | 86-731-8394 0679 |
| market@tcpyrolab.org | |
CONTACT INFORMATION FOR INDIVIDUAL MAINTAINING RECORDS ON WHICH DECLARTION IS BASED. |
|
| Name | Richard Shields, President/Owner |
| Address | North Central Industries, Inc 1500 E Washington St. Muncie, IN 47305 |
| Phone # | 765-284-7122 |
| Fax # | 765-284-7122 |
| Email: | lyc_nci@sbcglobal.net |