ETCH, BONDING AGENT,

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 5 OF 26 PAGES SPE2DH-23-T-0849 SECTION A Procurement History for NSN/FSC:015305578/6520 CAGE Contract Number Quantity Unit Cost AWD Date Surplus Material . 4W471 SPE2DH21P2534 1.000 22.43000 20210701 N 4W471 SPE2DH21P2273 3.000 22.43000 20210608 N 4W471 SPE2DH21P2226 6.000 22.43000 20210602 N 4W471 SPE2DH21P1969 6.000 22.43000 20210511 N 4W471 SPE2DH21P1545 1.000 22.43000 20210409 N 4W471 SPE2DH21P1543 1.000 22.43000 20210408 N CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 6 OF 26 PAGES SPE2DH-23-T-0849 SECTION B PR: 7001060767 NSN/MATERIAL:6520015305578 ITEM DESCRIPTION ETCH,BONDING AGENT, ETCH,BONDING AGENT,DENTAL ULTRA-ETCH 4PK KIT;VISCOUS,35PCT PHOSPHORIC ACID GEL. KIT INCLUDES; (4) - 1.2 ML (1.58 G) SYRINGES;AND (20) - BLUE MICRO TIPS. UNIT OF ISSUE: PACKAGE (4 EA PER PG) .. RA001: THIS DOCUMENT INCORPORATES TECHNICAL AND/OR QUALITY REQUIREMENTS

(IDENTIFIED BY AN 'R' OR AN 'I' NUMBER) SET FORTH IN FULL TEXT IN THE DLA MASTER LIST OF TECHNICAL AND QUALITY REQUIREMENTS FOUND ON THE WEB AT: http://www.dla.mil/HQ/Acquisition/Offers/eProcurement.aspx FOR SIMPLIFIED ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE SOLICITATION ISSUE DATE OR THE AWARD DATE CONTROLS. FOR LARGE ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE RFP ISSUE DATE APPLIES UNLESS A SOLICITATION AMENDMENT INCORPORATES A FOLLOW-ON REVISION, IN WHICH CASE THE AMENDMENT DATE CONTROLS. .. RD003, COVERED DEFENSE INFORMATION POTENTIALLY APPLIES .. RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT .. RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES .. .. 1 PG = 4 EA .. SHALL HAVE A SHELF LIFE OF 48 MONTHS. NOT MORE THAN 7 MONTHS SHALL HAVE ELAPSED FROM DATE OF MANUFACTURE TO DATE OF DELIVERY TO THE GOVERNMENT. . SHELF LIFE MARKINGS SHALL BE IN ACCORDANCE WITH THE LATEST REVISION OF MMS1A. . ALL LABELS SHALL INCLUDE: DATE OF MANUFACTURE, EXPIRATION, OR RETEST DATE CONTRACT NUMBER/LOT NUMBER. .. BIDDER: PLEASE SPECIFY SOURCE AND PART NUMBER BEING SUPPLIED. ADEQUATE DATA FOR THE EVALUATION OF ALTERNATE OFFERS IS NOT AVAILABLE AT THE PROCUREMENT AGENCY. THE OFFEROR MUST PROVIDE A COMPLETE DATA PACKAGE INCLUDING DATA FOR THE APPROVED AND ALTERNATE PART FOR EVALUATION. CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 7 OF 26 PAGES SPE2DH-23-T-0849 SECTION B .. . HAZARDOUS MATERIALS REQUIREMENTS. . MATERIAL SAFETY DATA SHEET (MSDS). . . A CURRENT MSDS SHALL BE PROVIDED FOR THIS ITEM. DLA'S DOD HMIRS FOCAL POINT (VBA) HAS ESTABLISHED AN ELECTRONIC MAILBOX TO WHICH ONE CAN TRANSMIT THE MSDS, TOGETHER WITH THE COVER SHEET (P-75) WHOSE CONTENTS ARE TO REFLECT LOGISTICS INFORMATION PROPER TO THE MSDS ASSOCIATED WITH THE AWARDED CONTRACT AND NSN. THE ELECTRONIC MAILBOX ADDRESS IS DLA.MSDS@DLA.MIL. . . IN ADDITION, A COPY OF THE MSDS SHALL ACCOMPANY EACH SHIPMENT OF THIS ITEM. . PACKAGING. . . PACKAGING FOR HAZARDOUS MATERIALS SHALL COMPLY WITH APPLICABLE REGULATIONS, I.E., 49 CFR, INTERNATIONAL CIVIL AVIATION ORGANIZATION (ICAO) TECHNICAL INSTRUCTIONS, EXCLUDING PARA. 1.4 OF CHAPTERS 1 AND 3), AND INTERNATIONAL MARITIME DANGEROUS GOODS CODE (IMDG). BOTH ICAO AND IMDG COMPLY WITH UNITED NATIONS RECOMMENDATIONS ON TRANSPORT OF DANGEROUS GOODS. . . WHEN A CONTRACT/ORDER FOR HAZARDOUS MATERIAL REQUIRES SHIPMENT THROUGH A MILITARY AERIAL PORT FOR SHIPMENT VIA MILITARY AIRCRAFT, PACKAGING SHALL ALSO COMPLY WITH DLAI 4145.3, PREPARING HAZARDOUS MATERIALS FOR MILITARY AIR SHIPMENT. . LABELING AND MARKING. . . ALL INTERIOR AND EXTERIOR CONTAINERS SHALL BE LABELED AND MARKED AS SPECIFIED IN THE REFERENCED PRODUCT SPECIFICATION, AND/OR AS SPECIFIED IN SECTION C OF THE CONTRACT OR ORDER. IN ADDITION, ALL LABELING AND MARKING SHALL COMPLY WITH THE REQUIREMENTS OF 49 CFR, 29 CFR, MEDICAL MARKING STANDARD NO. 1, AND EITHER ICAO TECHNICAL INSTRUCTIONS OR IMDG ANNEX 1. . . WHEN A CONTRACT/ORDER FOR HAZARDOUS MATERIAL REQUIRES SHIPMENT THROUGH A MILITARY AERIAL PORT FOR SHIPMENT VIA MILITARY AIRCRAFT, MARKING SHALL ALSO COMPLY WITH DLAI 4145.3. . . EACH AIR SHIPMENT OF HAZARDOUS MATERIAL SHALL BE ACCOMPANIED BY A PROPERLY COMPLETED COMMERCIALLY-AVAILABLE "SHIPPER'S DECLARATION FOR DANGEROUS GOODS". . CERTIFICATION. . . ALL PACKAGING PERFORMANCE TEST REQUIREMENTS SHALL BE SUPPORTED BY CERTIFICATES AND REPORTS ATTESTING TO DATE OF TESTING AND DATA RESULTS OBTAINED FROM TESTING. . . THE CONTRACTOR'S SIGNED CERTIFICATION THAT PACKAGE CONFIGURATION MEETS 49 CFR, AND EITHER ICAO OR IMDG REQUIREMENTS, SHALL BE INCLUDED ON THE DD FORM 250 (MATERIAL INSPECTION AND RECEIVING REPORT) OR ANY SUITABLE ALTERNATE CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 8 OF 26 PAGES SPE2DH-23-T-0849 SECTION B COMMERCIAL PACKING LIST. . . ALL CERTIFICATES/REPORTS SHALL BE AVAILABLE FOR INSPECTION BY AUTHORIZED U.S. GOVERNMENT REPRESENTATIVES FOR A PERIOD OF NOT LESS THAN 3 YEARS FROM DATE OF SHIPMENT. . .. Hazard Communication Standard Notice: Effective June 1, 2015, Federal Standard No. 313-E, Material Safety Data, Transportation Data and Disposal Data for Hazardous Materials Furnished to Government Activities, establishes the requirement for preparation and submission of Safety Data Sheets (SDS) in lieu of Material Safety Data Sheets (MSDS) by suppliers who provide hazardous materials to government activities. The Occupational Safety and Health Administration (OSHA) has modified its Hazard Communication Standard (HCS) to conform to the United Nations Globally Harmonized System of Classification and Labeling of Chemicals. As a result of this change, GSA revised Federal Standard No. 313-E requiring Safety Data Sheets for classifying chemicals and communicating the applicable information on labels. In accordance with the revised standard after June 1, 2015: 1. Suppliers will be required to submit, to the contracting officer for review and approval prior to award, safety data sheets consistent with the requirements found at 29 C.F.R. 1910.1200 for hazardous materials delivered to the Government. 2. Suppliers will also be required to submit, to the contracting officer for review and approval prior to award, Hazardous Communication Standard (HCS) labels in accordance with 29 C.F.R. 1910.1200 requirements or current Consumer Product Safety Act (CPSA), Federal Hazardous Substance Act (FHSA) labels when subject to labeling requirements under those statutes. This product labeling is required for hazardous materials delivered to the Government. 3. Finally, suppliers must train their employees on the new safety data sheets, hazardous communication labels, and requirements of 29 C.F.R. 1910.1200. For more information on SDS, refer to OSHAs website, available at: https://www.osha.gov/law-regs.html For information on 29 C.F.R. 1910.1200, refer to the below link: https://www.osha.gov/dsg/hazcom/index.html .. .. This device or drug is regulated by the FDA. Note to Buyers: The contracting official shall send a referral in EBS to the product specialist for confirmation. Please include bidder name and bidder contact information, manufacturer name, manufacturer part number, and item description. REGULATION 872.3690 CLASS II EVEN THOUGH A 510(K) IS REQUIRED, IT IS NECESSARY TO MEET OTHER REQUIREMENTS FOR MARKETING. THESE INCLUDE: REGISTRATION AND LISTING, LABELING OR GMP'S. .. NSN 6520-01-530-5578, 09.13.2021 ... RS021: Shelf-life requirement RS001 for a TYPE I (CODE R) item with a CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 9 OF 26 PAGES SPE2DH-23-T-0849 SECTION B shelf life of 48 months (non-extendable) applies to this item. ULTRADENT PRODUCTS, INC. 4W471 P/N 163 CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE . 0001 7001060767 0001 PG 3.000 NSN/MATERIAL:6520015305578 DELIVERY (IN DAYS):0020 DELIVER FOB: DESTINATION QTY VARIANCE: PLUS 0% MINUS 0% INSPECTION POINT: DESTINATION ACCEPTANCE POINT: DESTINATION PREP FOR DELIVERY: PKGING DATA-QUP:001 IF MATERIAL IS CONSIDERED HAZARDOUS IAW FED-STD-313, PACKAGE IN ACCORDANCE WITH TQ REQUIREMENT IP025. IF THE MATERIAL IS NOT CONSIDERED HAZARDOUS, IN ACCORDANCE WITH FED-STD-313, THE MATERIAL SHALL BE COMMERCIALLY PACKAGED IN ACCORDANCE WITH ASTM D3951. PARCEL POST ADDRESS: R3277A USS PORTLAND LPD 27 DLA DISTRIBUTION SAN DIEGO (SW3218) 3581 CUMMINGS RD BLDG 3581 SAN DIEGO CA 92136 US VESSEL SHIPMENT. TRANSPORTATION SEE DLAD PROC NOTE C19. FIRST DESTINATION TRANSPORTATION SEE DLAD PROC NOTE C20 AND CONTRACT FREIGHT SHIPPING ADDRESS: R3277A USS PORTLAND LPD 27 CONTACT NAVSUP 757-443-5434 DSN 646 DLA VENDORS: USE VSM FOR US SHIP BY TRACEABLE MEANS. DO NOT USE PARCEL POST. M/F: (TCN) R3277A2344HD44 RDD: PROJ: LK5 TP 3 SUPP ADD: YNHM01 SIG: A FOR GOVERNMENT USE ONLY: (IPD) 12 DIC: A4A DIST: 9B ADV: 2A FC: N7 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 10 OF 26 PAGES SPE2DH-23-T-0849 SECTION B PR: 7001060767 PRLI: 0001 CONT’D Need Ship Date:00/00/0000 Original Required Delivery Date:01/05/2023 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 11 OF 26 PAGES CONTINUED ON NEXT PAGE SPE2DH-23-T-0849