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					                                                        Furniture Lab Testing Protocols
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BV
3015 Tray Table (Rev. 02/08/2012)............................................................................................................................................ 2
3022 Table –Outdoor (Rev. 02/08/2012) .................................................................................................................................. 8
3035 Hammock (Rev. 02/08/2012) ...........................................................................................................................................17
3055 Stool (Rev. 02/08/2012) .......................................................................................................................... 22
3088 Park Bench (Rev. 02/08/2012) ................................................................................................................ 34
3559 Step Stool (Rev. 02/08/2012) .................................................................................................................. 41
3561 Storage Bench (Rev. 02/08/2012)...................................................................................................................................46
3567 TV / Media Stand (Rev. 02/08/2012) ...................................................................................................... 53
3569 Picnic Table (Rev. 02/08/2012)............................................................................................................... 65
3575 Computer Desk (Rev. 02/08/2012) ......................................................................................................... 70
3594 Lap Desk with Stand/ Solo Desk (Rev. 02/08/2012)..…………………………………………………..78
8002 Children’s Furniture -Non-toy (Rev. 02/08/2012) .................................................................................. 84
8002A Children’s Resin Chair -Non-Toy (Rev. 02/08/2012) ........................................................................ 105

MTS
TY-002-US Children’s Furniture (Rev. 09/01/2011) ..................................................................................... 120
                                                                                                                                                    BV Lab Number:
                                                                                                                                                   Technician Name:
                                                                                                                                                          Test Date:
                                                                                                                                                  Reviewed By/Date:

                                                                                                                                                                       Page 1 of 6


                                                               DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                     DGEN - 03015 - US
                                                                                     TRAY TABLE (V5)
                                                                    No. of
Evaluation                                 Citation / Method                                          Criteria                         PPR   VT           Results        Rating
                                                                   Samples
SUPPLEMENTAL PROTOCOLS
                                           DGEN-TY-PTCL-                     Shall meet the applicable requirements in DGEN-
*    Children’s Products                                             --                                                                X     X
                                             08001-US                        08001-US Children’s Furniture Protocol.
                                                                             The sample should be reviewed against the




                                   DOLLAR
                                           DGEN-AN-PTCL-
*    California Proposition 65                                        -      requirements of California Proposition 65 to determine    X
                                              06572-US
                                                                             if additional testing or labeling is required.
LABELING
   One Time Use Products - Fair                                              Manufacturer, Packer, or Distributor’s Name &
                                         F.P. and L. Act (16 CFR
   Packaging and Labeling Act - or all                                       Address (City, State & ZIP Code)
                                         500) OR NIST Uniform
** other products -                                                  1                                                                 X
                                          Laws and Regulations
   Uniform Packaging and Labeling
                                              Handbook 130




                                   GENERAL
   Regulations
   One Time Use Products - Fair                                              Product Identification
                                         F.P. and L. Act (16 CFR
   Packaging and Labeling Act - or all
                                         500) OR NIST Uniform
** other products -                                                  1                                                                 X
                                          Laws and Regulations
   Uniform Packaging and Labeling
                                              Handbook 130
   Regulations
   One Time Use Products - Fair                                              Net quantity of contents shall be expressed in terms of
                                         F.P. and L. Act (16 CFR
   Packaging and Labeling Act - or all                                       weight or mass, measure, numerical count, or
                                         500) OR NIST Uniform




                                 CONFIDENTIAL
** other products -                                                  1       combination so as to give accurate information to         X
                                          Laws and Regulations
   Uniform Packaging and Labeling                                            facilitate consumer comparison. (U.S. and metric
                                              Handbook 130
   Regulations                                                               units)
                                                                             Shall indicate country of origin legibly, permanently,
                                                                             and in comparable size and close proximity to any
                                                                             mention of country other than country in which the
**   Country of origin                        19 CFR 134             1                                                                 X
                                                                             article was manufactured or produced. Must be visible
                                                                             at point of purchase.

                                                                             Use/care instructions that are clear and understandable
                                           CPSD-HL-01057-                    shall be provided in language appropriate to
     Use labeling                                                    1
                                            MTHD / Visual                    destination countries.
                                                                                                                                                  BV Lab Number:
                                                                                                                                                 Technician Name:
                                                                                                                                                        Test Date:
                                                                                                                                                Reviewed By/Date:

                                                                                                                                                                     Page 2 of 6


                                                                                DGEN - 03015 - US
                                                                                TRAY TABLE (V5)
                                                               No. of
Evaluation                             Citation / Method                                         Criteria                            PPR   VT           Results        Rating
                                                              Samples
                                                                        [For US]

                                                                        A label review is only required if Composite Wood is
                                                                        present in the sample, as stated by the Sample
                                                                        Declaration Form.




                               DOLLAR
                                                                        Vendor must provide a completed and approved
                                                                        Sample Declaration Form if wood is present in the
                                                                        product. Sections A, B and D must always be
                                                                        completed.

                                                                        If Vendor selects B.3.,
                                                                        Section C must be completed.
                                                                        An acceptable label must be present on the product




                               GENERAL
                                      Title 17, CA Code of
                                                                        and/or the outer packaging.
                                       Regulations, Section
                                                                        - If a label is present, it shall consist of a stamp, tag,
                                      93120.7(d) Fabricator
    CARB formaldehyde documentation                                     or sticker and be in English. A bar code cannot
*                                      Label Requirements       1                                                                    X
    and label review                                                    replace the label information. The label shall include:
                                        CPSD-GB-08616-
                                                                        -          Name of fabricator or responsible party,
                                             MTHD
                                                                        -          Date of production for the finished good,
                                                                        -          "California" or "CARB" and
                                                                        The material complies with one of the following:




                             CONFIDENTIAL
                                                                        -          Phase I or II emissions of section code
                                                                        93120
                                                                        -          Has No Added Formaldehyde based resins
                                                                        (NAF) or Ultra Low Emitting Formaldehyde based
                                                                        resins (ULEF)

                                                                        The Emission Limit on the label must be the same as
                                                                        Section (C.3.) on the Form.
                                                                        For finished goods, if a label is NOT present, vendor
                                                                        shall indicate if the raw material was manufactured
                                                                        before September 30, 2009 for HWPW-CC (selection
                                                                        of B.2 on Form).
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 3 of 6


                                                                                         DGEN - 03015 - US
                                                                                         TRAY TABLE (V5)
                                                                        No. of
Evaluation                                     Citation / Method                                         Criteria                         PPR   VT           Results        Rating
                                                                       Samples
                                                                                 Shall provide signed / chopped document: Dollar
                                               CPSD-GB-00001-                    General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                                MTHD / Client             -      Compliance.                                              X
    Compliance - Toxics in packaging
                                                 requirement
                                                                                 Client requirement
ANALYTICAL




                                    DOLLAR
                                                                                 All accessible surface coatings in the assembled state
                                                                                 on adult furniture [exempt factory applied coatings on
                                                                                 metal components/parts] and household paint shall not
                                                                                 contain lead or lead components in which the lead
                                                                                 content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product                 of the total content.
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /             In case of insufficient coating for testing found on




                                    GENERAL
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -      number of samples specified in the protocol, vendor      X     X
                                             AOAC 974.02 modified                needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                  components/parts for testing.
                                                     MTHD
                                                                                 Report actual results or include data table within
                                                                                 report
                                                                                 Issue a program audit report
                                                                                 Component testing is allowed




                                  CONFIDENTIAL
                                                                                 Compositing is not allowed
HAZARDS
                                                                                 Shall have no sharp points/edges, other than those
                                                16 CFR 1500.48 /                 required for function.
    Sharp points / Sharp edges                                           All
                                                1500.49 modified                 Mod.=expanded scope to other products

FLAMMABILITY
                                                                                 Shall not exceed the maximum allowable limit of no
                                                                                 greater than 0.1 inches per second
                                              16 CFR 1500.3 (c) (6)
    Flammability of solids                                               1
                                              (vi) / 16 CFR 1500.44
                                                                                 If warning statement about flammability is presented
                                                                                 on the package, provide exhibit photo in report.
PHYSICAL CHARACTERISTICS
                                               CPSD-HL-01056-                    Report overall dimensions; shall meet label claims                            C:
    Dimensions                                 MTHD / Standard           1       (If applicable) (-0% / +5%).                                                  R:
                                                  measure
                                                                                                                                               BV Lab Number:
                                                                                                                                              Technician Name:
                                                                                                                                                     Test Date:
                                                                                                                                             Reviewed By/Date:

                                                                                                                                                                  Page 4 of 6


                                                                                DGEN - 03015 - US
                                                                                TRAY TABLE (V5)
                                                               No. of
Evaluation                                Citation / Method                                    Criteria                           PPR   VT           Results        Rating
                                                              Samples
                                          CPSD-HL-01056-                Report height; shall meet label claims                                         C:
    Dimensions - height - open - legs     MTHD / Standard       1       (If applicable) (-0% / +5%).                                                   R:
                                             measure
                                          CPSD-HL-01056-                Report height; shall meet label claims                                         C:
    Dimensions - height - closed - legs   MTHD / Standard       1       (If applicable) (-0% / +5%).                                                   R:
                                             measure




                                    DOLLAR
                                          CPSD-HL-01056-                Report dimensions; shall meet label claims (-0% /
                                                                                                                                                       C:
    Dimensions - leg separation           MTHD / Standard       1       +5%). (If applicable)
                                                                                                                                                       R:
                                             measure
                                          CPSD-HL-01056-                Report overall weight; shall meet label claims                                 C:
    Weight                                MTHD / Standard       1       (If applicable) (-0% / +5%)                                                    R:
                                             measure
                                                                        Shall meet label claims.                                                       C:
                                          CPSD-HL-01057-
    Parts Inventory




                                    GENERAL
                                                                1                                                                                      R:
                                           MTHD / Visual
WORKMANSHIP
                                                                        Shall have no discernible surface degradation,
                                                                        including crazing, shivering, denting, bubbles, cracks,
                                          CPSD-HL-01057-                stains, deformations, chips, fractures, heavy lines,
    Defects                                                     All
                                           MTHD / Visual                waves, shear marks, scratches, scuff marks,
                                                                        indentations, or blisters.




                                  CONFIDENTIAL
                                                                        Shall have no components missing, malformed, and /
                                          CPSD-HL-01057-
    Defects                                                     All     or fractured.
                                           MTHD / Visual
PERFORMANCE
                                          CPSD-HL-01058-                100 openings / closings with no failure
    Durability - folding                                        1
                                          MTHD / Actual use
                                          CPSD-HL-01058-                No catastrophic failure - 2 times the claimed load or
    Load capacity                                               1
                                          MTHD / Actual use             25 lbs
                                                                        [applicable when rack is included]
                                                                        Must be serviceable without any damage or
                                          CPSD-HL-01033-
    Drop Test                                                   1       malfunction when the tray table rack is dropped from a
                                              MTHD
                                                                        height of 10 in. while supporting / loaded with all
                                                                        tables
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 5 of 6


                                                                                       DGEN - 03015 - US
                                                                                       TRAY TABLE (V5)
                                                                      No. of
Evaluation                                       Citation / Method                                    Criteria                           PPR   VT           Results        Rating
                                                                     Samples
                                                                               [applicable for tables with rack]
                                                CPSD-HL-01058-
       Handle Strength                                                 1       Shall withstand 20 lbs static load for 10 seconds; No
                                                MTHD / Actual use
                                                                               failure
                                                                               [fully loaded rack]
                                                 CPSD-HL-01011-
       Tilt Resistance                                                 1       Must withstand an angle of 8° with no tipping or
                                                 MTHD / Stability
                                                                               instability




                                        DOLLAR
                                                                               No objectionable stain by most household stains after
                                                 CPSD-HL-01015-
       Stain resistance                                                1       2 hours placement (Wine, Ketchup, Mustard, Grape
                                                 MTHD / Staining
                                                                               juice and Cooking oil).
                                                                               Shall exhibit no exterior surface degradation after
                                                CPSD-HL-01016-                 being hand washed 10 times using a national brand
       Effects of hand washing                                         1
                                                MTHD / Hand wash               liquid detergent at peak of 110°F, followed by rinse in
                                                                               cold water.




                                        GENERAL
PPR - Pre-Production Review
VT - Verification Test


Key:
*                    Additional Charge For This Test
**                   Mandatory Requirement




                                      CONFIDENTIAL
#                    By Request Only

Result Key:
C                    Claimed
R                    Recorded
M                    Meets
NM                   Does Not Meet
NA                   Not Applicable
NT                   Not Tested

Rating Key:
                     Incomplete
INCOMPLETE           (PPT Rating
                     Only)
                     Complete (PPT
COMPLETE
                     Rating Only)
GOOD                 Good
                                                                                         BV Lab Number:
                                                                                        Technician Name:
                                                                                               Test Date:
                                                                                       Reviewed By/Date:

                                                                                                            Page 6 of 6


UNSAT            Unsatisfactory


 No. Of Samples Required for Complete Testing         5   Client Approval:         DECEMBER 01, 2011 /
 No. Of (Fully Packed) Cartons For Transit Testing:   1                            Chuck Rogers
                                                          Creation Date:           DECEMBER 09, 2010
 No. Of Working Days For Complete Testing:            7
                                                          Last Revision Date:      NOVEMBER 18, 2011
                                                          Pricing Review Date:
                                                          Technical Review Date:




                                    DOLLAR
                                    GENERAL
                                  CONFIDENTIAL
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                       Page 1 of 9


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                             DGEN - 03022 - US
                                                                                           TABLE OUTDOOR (V16)
                                                                           No. of
Evaluation                                       Citation / Method                                           Criteria                             PPR          VT                  Results                Rating
                                                                          Samples
SCOPE:
THIS PROTOCOL IS APPLICABLE TO TABLES (OUTDOOR)
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.




                                     DOLLAR
                                                                                      The sample should be reviewed against the
                                               DGEN-AN-PTCL-
 * California Proposition 65                                                  -       requirements of California Proposition 65 to determine        X
                                                   06572-US
                                                                                      if additional testing or labeling is required.
LABELING
     One Time Use Products - Fair                                                     Manufacturer, Packer, or Distributor’s Name &
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all                                              Address (City, State & Zip Code)
                                            500) OR NIST Uniform
** other products -                                                           1                                                                     X
                                             Laws and Regulations




                                     GENERAL
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations
     One Time Use Products - Fair                                                     Product Identification
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform
** other products -                                                           1                                                                     X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations
                                                                                      Net quantity of contents shall be expressed in terms of
     One Time Use Products - Fair




                                   CONFIDENTIAL
                                            F.P. and L. Act (16 CFR                   weight or mass, measure, numerical count, or
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform                      combination so as to give accurate information to
** other products -                                                           1                                                                     X
                                             Laws and Regulations                     facilitate consumer comparison (U.S. and metric
     Uniform Packaging and Labeling
                                                 Handbook 130                         units).
     Regulations
                                                                                      Shall indicate country of origin legibly, permanently,
                                                                                      and in comparable size and close proximity to any
**   Country Of Origin                              19 CFR 134                1       mention of country other than country in which the            X
                                                                                      article was manufactured or produced. Must be visible
                                                                                      at point of purchase.
                                                                                      Use/care instructions that are clear and understandable
                                                 CPSD-HL-01057-                       shall be provided in language appropriate to
     Use labeling                                                             1
                                                  MTHD / Visual                       destination countries.
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 2 of 9


                                                                                DGEN - 03022 - US
                                                                              TABLE OUTDOOR (V16)
                                                                No. of
Evaluation                              Citation / Method                                          Criteria                              PPR   VT           Results        Rating
                                                               Samples
                                                                         A label review is only required if Composite Wood is
                                                                         present in the sample, as stated by the Sample
                                                                         Declaration Form.

                                                                         Vendor must provide a completed and approved
                                                                         Sample Declaration Form if wood is present in the




                                  DOLLAR
                                                                         product. Sections A, B and D must always be
                                                                         completed.

                                                                         If Vendor selects B.3.,
                                                                         Section C must be completed.
                                                                         An acceptable label must be present on the product
                                                                         and/or the outer packaging.
                                       Title 17, CA Code of
                                                                         - If a label is present, it shall consist of a stamp, tag, or




                                  GENERAL
                                        Regulations, Section
                                                                         sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                      the label information. The label shall include:
*                                       Label Requirements       1                                                                       X
    and label review                                                     - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                         - Date of production for the finished good,
                                              MTHD
                                                                         - a statement of compliance which includes
                                                                         identification of the state (“California", “CA”, Calif.”,
                                                                         "CARB", or equivalent) section code 93120 for
                                                                         Formaldehyde




                                CONFIDENTIAL
                                                                         - (If Applicable) Has No Added Formaldehyde based
                                                                         resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                         based resins (ULEF)

                                                                         For finished goods, if a label is NOT present, vendor
                                                                         shall indicate if the raw material was manufactured
                                                                         before September 30, 2009 for HWPW-CC (selection
                                                                         of B.2 on Form).


                                                                         Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                   General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -      Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                         Client requirement
ANALYTICAL
                                                                                                                                                          BV Lab Number:
                                                                                                                                                         Technician Name:
                                                                                                                                                                Test Date:
                                                                                                                                                        Reviewed By/Date:

                                                                                                                                                                             Page 3 of 9


                                                                                       DGEN - 03022 - US
                                                                                     TABLE OUTDOOR (V16)
                                                                        No. of
Evaluation                                     Citation / Method                                         Criteria                            PPR   VT           Results        Rating
                                                                       Samples
                                                                                 All accessible surface coatings in the assembled state
                                                                                 on adult furniture [exempt factory applied coatings on
                                                                                 metal components/parts] and household paint shall not
                                                                                 contain lead or lead components in which the lead
                                                                                 content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product                 of the total content.




                                    DOLLAR
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /             In case of insufficient coating for testing found on
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -      number of samples specified in the protocol, vendor         X     X
                                             AOAC 974.02 modified                needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                  components/parts for testing.
                                                     MTHD
                                                                                 Report actual results or include data table within
                                                                                 report




                                    GENERAL
                                                                                 Issue a program audit report
                                                                                 Component testing is allowed
                                                                                 Compositing is not allowed
HAZARDS
                                                                                 Shall have no sharp points / edges, other than those
                                                16 CFR 1500.48 /
    Sharp points / Sharp edges                                           All     required for function.
                                                1500.49 modified




                                  CONFIDENTIAL
PERFORMANCE
                                                                                 [COFFEE TABLE]

                                                                                 Maximum ¼ in deformation or no malfunction in any
                                                                                 component when test load is applied distributed on the
                                                                                 surface. Test load based on square feet not to exceed
                                                                                 200 lbs.
                                             ANSI/BIFMA X5.5-98
    Tables and desks - distributed load      section 4.3 modified /
                                                                         1       For samples with glass top the test load shall be 50 lbs.
    capacity                                   CPSD-HL-01030-
                                                    MTHD
                                                                                 The load applied shall be based on surface area if top
                                                                                 is not glass.

                                                                                 Less than 4 ft squared - 30 lbs. per square feet
                                                                                 Greater than or equal to 4 ft squared - 40 lbs per
                                                                                 square feet
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 4 of 9


                                                                                   DGEN - 03022 - US
                                                                                 TABLE OUTDOOR (V16)
                                                                    No. of
Evaluation                                  Citation / Method                                        Criteria                            PPR   VT           Results        Rating
                                                                   Samples
                                                                             [DINETTE / CASUAL / CARD TABLE]

                                                                             Maximum ¼ in deformation or no malfunction in any
                                                                             component when test load is applied distributed on the
                                                                             surface. Test load based on square feet not to exceed
                                                                             200 lbs.




                                    DOLLAR
                                          ANSI/BIFMA X5.5-98
    Tables and desks - distributed load   section 4.3 modified /             For samples with glass top the test load shall be 100
                                                                     1
    capacity                                CPSD-HL-01030-                   lbs.
                                                 MTHD
                                                                             The load applied shall be based on surface area if top
                                                                             is not glass.

                                                                             Less than 4 ft squared - 40 lbs. per square feet




                                    GENERAL
                                                                             Greater than or equal to 4 ft squared - 50 lbs per
                                                                             square feet
                                                                             [END TABLE]

                                                                             Maximum ¼ in deformation or no malfunction in any
                                                                             component when test load is applied distributed on the
                                                                             surface. Test load based on square feet not to exceed
                                                                             200 lbs.




                                  CONFIDENTIAL
                                          ANSI/BIFMA X5.5-98
    Tables and desks - distributed load   section 4.3 modified /
                                                                     1       For samples with glass top the test load shall be 50 lbs.
    capacity                                CPSD-HL-01030-
                                                 MTHD
                                                                             The load applied shall be based on surface area if top
                                                                             is not glass.

                                                                             Less than 4 ft squared - 10 lbs. per square feet
                                                                             Greater than or equal to 4 ft squared - 20 lbs per
                                                                             square feet
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 5 of 9


                                                                                    DGEN - 03022 - US
                                                                                  TABLE OUTDOOR (V16)
                                                                     No. of
Evaluation                                   Citation / Method                                        Criteria                            PPR   VT           Results        Rating
                                                                    Samples
                                                                              [COFFEE TABLE]

                                                                              No structural failure or max. ½ In. deformation when
                                                                              test load is placed on 12 In. disc 6 In. from edge. Test
                                                                              load based on area not to exceed 300 Lbs.
                                           ANSI/BIFMA X5.5-98




                                   DOLLAR
                                                                              For samples with glass top the test load shall be 50 lbs.
    Tables and desks - concentrated load   section 4.2 modified /
                                                                      1
    test - excluding plastic table           CPSD-HL-01031-
                                                                              The load applied shall be based on surface area if top
                                                  MTHD
                                                                              is not glass.



                                                                              Less than 4 ft squared - 275 lbs.




                                   GENERAL
                                                                              Greater than or equal to 4 ft squared - 200 lbs
                                                                              [DINETTE / CASUAL / CARD TABLE]

                                                                              No structural failure or max. ½ In. deformation when
                                                                              test load is placed on 12 In. disc 6 In. from edge. Test
                                                                              load based on area not to exceed 300 Lbs.

                                           ANSI/BIFMA X5.5-98                 For samples with glass top the test load shall be 100




                                 CONFIDENTIAL
    Tables and desks - concentrated load   section 4.2 modified /             lbs.
                                                                      1
    test - excluding plastic table           CPSD-HL-01031-
                                                  MTHD                        The load applied shall be based on surface area if top
                                                                              is not glass.



                                                                              Less than 4 ft squared - 275 lbs.
                                                                              Greater than or equal to 4 ft squared - 300 lbs
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 6 of 9


                                                                                    DGEN - 03022 - US
                                                                                  TABLE OUTDOOR (V16)
                                                                     No. of
Evaluation                                   Citation / Method                                        Criteria                            PPR   VT           Results        Rating
                                                                    Samples
                                                                              [END TABLE

                                                                              No structural failure or max. ½ In. deformation when
                                                                              test load is placed on 12 In. disc 6 In. from edge. Test
                                                                              load based on area not to exceed 300 Lbs.
                                           ANSI/BIFMA X5.5-98




                                      DOLLAR
                                                                              For samples with glass top the test load shall be 50 lbs.
    Tables and desks - concentrated load   section 4.2 modified /
                                                                      1
    test - excluding plastic table           CPSD-HL-01031-
                                                                              The load applied shall be based on surface area if top
                                                  MTHD
                                                                              is not glass.



                                                                              Less than 4 ft squared - 25 lbs.




                                      GENERAL
                                                                              Greater than or equal to 4 ft squared - 50 lbs
                                                                              [COFFEE TABLE]

                                                                              Must not have any one leg lift off the floor when test
                                                                              load is applied 1 in. from the edge on 12 in disc
                                           ANSI/BIFMA X5.5-98
                                                                              For samples with glass top the test load shall be 50 lbs.
                                            section 13 modified /
    Tables and desks - stability test                                 1




                                    CONFIDENTIAL
                                             CPSD-HL-01032-
                                                                              The load applied shall be based on surface area if top
                                              MTHD modified
                                                                              is not glass


                                                                              Less than 4 ft. squared - 65lbs
                                                                              Greater than or equal to 4 ft. squared - 75lbs
                                                                                                                                                     BV Lab Number:
                                                                                                                                                    Technician Name:
                                                                                                                                                           Test Date:
                                                                                                                                                   Reviewed By/Date:

                                                                                                                                                                        Page 7 of 9


                                                                                 DGEN - 03022 - US
                                                                               TABLE OUTDOOR (V16)
                                                                  No. of
Evaluation                                Citation / Method                                        Criteria                             PPR   VT           Results        Rating
                                                                 Samples
                                                                           [DINETTE / CASUAL / CARD TABLE]

                                                                           Must not have any one leg lift off the floor when test
                                                                           load is applied 1 in. from the edge on 12 in disc

                                        ANSI/BIFMA X5.5-98                 For samples with glass top the test load shall be 100




                                      DOLLAR
                                         section 13 modified /             lbs.
    Tables and desks - stability test                              1
                                          CPSD-HL-01032-
                                           MTHD modified                   The load applied shall be based on surface area if top
                                                                           is not glass


                                                                           Less than 4 ft. squared - 90lbs
                                                                           Greater than or equal to 4 ft. squared - 100lbs




                                      GENERAL
                                                                           [END TABLE]

                                                                           Must not have any one leg lift off the floor when test
                                                                           load is applied 1 in. from the edge on 12 in disc
                                        ANSI/BIFMA X5.5-98
                                                                           For samples with glass top the test load shall be 50 lbs.
                                         section 13 modified /
    Tables and desks - stability test                              1
                                          CPSD-HL-01032-
                                                                           The load applied shall be based on surface area if top




                                    CONFIDENTIAL
                                           MTHD modified
                                                                           is not glass


                                                                           Less than 4 ft. squared - 40lbs
                                                                           Greater than or equal to 4 ft. squared - 50lbs
                                        ANSI/BIFMA X5.5-98                 Must be serviceable without any damage or
                                         section 11 modified /             malfunction when one end of table is dropped from a
    Tables and desks - end drop test                               1
                                          CPSD-HL-01033-                   height of 10 In.
                                                MTHD
                                                                           [FOLDING TABLE / END TABLE]
                                                                           [SIDE / FRONT]
                                          In-house method /
    Leg strength test                     CPSD-HL-01034-           1       No structural failure at 40 Lbs. applied vertically to the
                                               MTHD                        leg at 1 In. form the end of the leg. Force is applied in
                                                                           four directions for 1 minute. (Forward, Rearward, Side
                                                                           To Side).
                                                                                                                                                                     BV Lab Number:
                                                                                                                                                                    Technician Name:
                                                                                                                                                                           Test Date:
                                                                                                                                                                   Reviewed By/Date:

                                                                                                                                                                                        Page 8 of 9


                                                                                     DGEN - 03022 - US
                                                                                   TABLE OUTDOOR (V16)
                                                                      No. of
Evaluation                                       Citation / Method                                     Criteria                              PPR          VT               Results        Rating
                                                                     Samples
                                                                               [SIDE / FRONT]
                                                 In-house method /
                                                                               No structural failure at 75 Lbs. applied vertically to the
       Leg strength test                         CPSD-HL-01034-        1
                                                                               leg at 1 In. from the end of the leg. Force is applied in
                                                      MTHD
                                                                               four directions for 1 minute. (Forward, Rearward, Side
                                                                               To Side).




                                        DOLLAR
PPR - Pre-Production Review
VT - Verification Test


Key:
*                    Additional Charge For This Test
**                   Mandatory Requirement




                                        GENERAL
#                    By Request Only

Result Key:
C                    Claimed
R                    Recorded
M                    Meets
NM                   Does Not Meet
NA                   Not Applicable




                                      CONFIDENTIAL
NT                   Not Tested

Rating Key:
                     Incomplete
INCOMPLETE           (PPT Rating
                     Only)
                     Complete (PPT
COMPLETE
                     Rating Only)
GOOD                 Good
UNSAT                Unsatisfactory


 No. Of Samples Required for Complete Testing           3                                                                           Client Approval:           DECEMBER 01, 2011 /
 No. Of (Fully Packed) Cartons For Transit Testing:     1                                                                                                      Chuck Rogers
                                                                                                                                    Creation Date:             SEPTEMBER 21, 2005
 No. Of Working Days For Complete Testing:              7
                                                                                                                                    Last Revision Date:        NOVEMBER 18, 2011
                                    BV Lab Number:
                                   Technician Name:
                                          Test Date:
                                  Reviewed By/Date:

                                                       Page 9 of 9


         Pricing Review Date:
         Technical Review Date:




  DOLLAR
  GENERAL
CONFIDENTIAL
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                       Page 1 of 5


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                               DGEN - 03035 - US
                                                                                               HAMMOCK (V15)
                                                                           No. of
Evaluation                                       Citation / Method                                           Criteria                             PPR          VT                  Results                Rating
                                                                          Samples
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.
                                                                                      The sample should be reviewed against the
                                               DGEN-AN-PTCL-
 * California Proposition 65                                                  -       requirements of California Proposition 65 to determine         X




                                     DOLLAR
                                                   06572-US
                                                                                      if additional testing or labeling is required.
LABELING
     One Time Use Products - Fair                                                     Manufacturer, Packer, or Distributor’s Name &
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all                                              Address (City, State & Zip)
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations




                                     GENERAL
     One Time Use Products - Fair                                                     Product Identification
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations
     One Time Use Products - Fair                                                     Net quantity of contents shall be expressed in terms of
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all                                              weight or mass, measure, numerical count, or
                                            500) OR NIST Uniform
** other products -                                                           1       combination so as to give accurate information to              X
                                             Laws and Regulations




                                   CONFIDENTIAL
     Uniform Packaging and Labeling                                                   facilitate consumer comparison. (US and metric units)
                                                 Handbook 130
     Regulations
                                                                                      Shall indicate country of origin legibly, permanently,
                                                                                      and in comparable size and close proximity to any
                                                                                      mention of country other than country in which the
** Country Of Origin                              19 CFR 134                  1                                                                      X
                                                                                      article was manufactured or produced. Must be visible
                                                                                      at point of purchase.

                                                                                      Use/care instructions that are clear and understandable
                                                 CPSD-HL-01057-                       shall be provided in language appropriate to
     Use labeling                                                             1
                                                  MTHD / Visual                       destination countries.
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 2 of 5


                                                                                  DGEN - 03035 - US
                                                                                  HAMMOCK (V15)
                                                                No. of
Evaluation                              Citation / Method                                          Criteria                              PPR   VT           Results        Rating
                                                               Samples
                                                                         A label review is only required if Composite Wood is
                                                                         present in the sample, as stated by the Sample
                                                                         Declaration Form.

                                                                         Vendor must provide a completed and approved
                                                                         Sample Declaration Form if wood is present in the




                                  DOLLAR
                                                                         product. Sections A, B and D must always be
                                                                         completed.

                                                                         If Vendor selects B.3.,
                                                                         Section C must be completed.
                                                                         An acceptable label must be present on the product
                                                                         and/or the outer packaging.
                                       Title 17, CA Code of
                                                                         - If a label is present, it shall consist of a stamp, tag, or




                                  GENERAL
                                        Regulations, Section
                                                                         sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                      the label information. The label shall include:
*                                       Label Requirements       1                                                                       X
    and label review                                                     - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                         - Date of production for the finished good,
                                              MTHD
                                                                         - a statement of compliance which includes
                                                                         identification of the state (“California", “CA”, Calif.”,
                                                                         "CARB", or equivalent) section code 93120 for
                                                                         Formaldehyde




                                CONFIDENTIAL
                                                                         - (If Applicable) Has No Added Formaldehyde based
                                                                         resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                         based resins (ULEF)

                                                                         For finished goods, if a label is NOT present, vendor
                                                                         shall indicate if the raw material was manufactured
                                                                         before September 30, 2009 for HWPW-CC (selection
                                                                         of B.2 on Form).


                                                                         Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                   General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -      Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                         Client requirement
ANALYTICAL
                                                                                                                                                        BV Lab Number:
                                                                                                                                                       Technician Name:
                                                                                                                                                              Test Date:
                                                                                                                                                      Reviewed By/Date:

                                                                                                                                                                           Page 3 of 5


                                                                                         DGEN - 03035 - US
                                                                                         HAMMOCK (V15)
                                                                        No. of
Evaluation                                     Citation / Method                                        Criteria                           PPR   VT           Results        Rating
                                                                       Samples
                                                                                 All accessible surface coatings in the assembled state
                                                                                 on adult furniture [exempt factory applied coatings on
                                                                                 metal components/parts] and household paint shall not
                                                                                 contain lead or lead components in which the lead
                                                                                 content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product                 of the total content.




                                     DOLLAR
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /             In case of insufficient coating for testing found on
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -      number of samples specified in the protocol, vendor       X     X
                                             AOAC 974.02 modified                needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                  components/parts for testing.
                                                     MTHD
                                                                                 Report actual results or include data table within
                                                                                 report




                                     GENERAL
                                                                                 Issue a program audit report
                                                                                 Component testing is allowed
                                                                                 Compositing is not allowed
HAZARDS
                                                                                 Shall have no sharp points/edges, other than those
                                                16 CFR 1500.48 /                 required for function.
    Sharp points / Sharp edges                                           All
                                                1500.49 modified                 Mod.=expanded scope to other products




                                   CONFIDENTIAL
PHYSICAL CHARACTERISTICS
                                                                                 Sample Cutter & Balance - As Approval Sample
    Fabric weight                             ASTM D3776-09ae1           3
                                                                                 Face & Lining
*   Fiber analysis: quantitative                 AATCC 20A               1       Must Conform To Label (Nylon Unacceptable)
                                               CPSD-HL-01057-                    Rigid material required
    Material type - headrail                                             1
                                                MTHD / Visual
WORKMANSHIP
                                                                                 Shall have no discernible surface degradation,
                                                                                 including crazing, shivering, denting, bubbles, cracks,
                                               CPSD-HL-01057-
    Defects                                                              All     stains, deformations, chips, fractures, heavy lines,
                                                MTHD / Visual
                                                                                 waves, shear marks, scratches, scuff marks,
                                                                                 indentations, or blisters.
                                               CPSD-HL-01057-                    Shall have no components missing, malformed, and/or
    Defects                                                              All
                                                MTHD / Visual                    fractured.
                                                                                                                                                   BV Lab Number:
                                                                                                                                                  Technician Name:
                                                                                                                                                         Test Date:
                                                                                                                                                 Reviewed By/Date:

                                                                                                                                                                      Page 4 of 5


                                                                                       DGEN - 03035 - US
                                                                                       HAMMOCK (V15)
                                                                      No. of
Evaluation                                      Citation / Method                                    Criteria                         PPR   VT           Results        Rating
                                                                     Samples
                                                CPSD-HL-01057-                 Shall provide uniform color from end to end, as from
       Type of finish - color uniformity        MTHD / Visual or       All     component to component
                                                  Microscopic
PERFORMANCE
                                               CPSD-HL-01058-                  Shall Hold Min. 500 Lbs. Load For 1 Minute
       Loading Test                                                    1
                                               MTHD / Actual use




                                        DOLLAR
                                                                               [LENGTH]
       Breaking strength of textile fabrics:
                                                  ASTM D5034           1
       Grab test
                                                                               Minimum 150 Lbs. / In.
                                                                               [WIDTH]
       Breaking strength of textile fabrics:
                                                  ASTM D5034           1
       Grab test
                                                                               Minimum 150 Lbs. / In.
                                                                               [SEAM STRENGTH]
       Failure in sewn seams: Woven




                                        GENERAL
                                                ASTM D1683-11          1       Minimum 100 Lbs. / In.
       Apparel
                                               CPSD-HL-01058-                  Minimum 150 Lbs. / In.
       Rope Strength                                                   1
                                               MTHD / Actual use
                                                                               Withstand 24 hours in 1% salt spray (fog) with no
                                                 ASTM B117-07
       Resistance to corrosion - metal                                         major corrosion or visual change. Modification = 1%
                                               modified / CPSD-HL-     1
       components                                                              salt (fog) spray.
                                                  01010-MTHD




                                      CONFIDENTIAL
COLORFASTNESS
                                                                               [DRY]

       Colorfastness to rotary crocking            AATCC 116           1       Min. Class 4.0


                                                                               [WET]
       Colorfastness to rotary crocking            AATCC 116           1
                                                                               Min. Class 3.0


PPR - Pre-Production Review
VT - Verification Test


Key:
                                                                                         BV Lab Number:
                                                                                        Technician Name:
                                                                                               Test Date:
                                                                                       Reviewed By/Date:

                                                                                                            Page 5 of 5


*                 Additional Charge For This Test
**                Mandatory Requirement
#                 By Request Only

Result Key:
C                 Claimed
R                 Recorded
M                 Meets
NM                Does Not Meet
NA                Not Applicable




                                     DOLLAR
NT                Not Tested

Rating Key:
                  Incomplete
INCOMPLETE        (PPT Rating
                  Only)
                  Complete (PPT
COMPLETE
                  Rating Only)




                                     GENERAL
GOOD              Good
UNSAT             Unsatisfactory


 No. Of Samples Required for Complete Testing         3   Client Approval:         JANUARY 07, 2012 /
 No. Of (Fully Packed) Cartons For Transit Testing:   1                            Chuck Rogers
                                                          Creation Date:           NOVEMBER 08, 2002
 No. Of Working Days For Complete Testing:            7
                                                          Last Revision Date:      DECEMBER 30, 2011




                                   CONFIDENTIAL
                                                          Pricing Review Date:     APRIL 23, 2008
                                                          Technical Review Date:
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                      Page 1 of 12


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                        DGEN - 03055 - US
                                                                              ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                           No. of
Evaluation                                       Citation / Method                                 Criteria                                       PPR          VT                  Results                Rating
                                                                          Samples
SCOPE:
This protocol applicable to adult indoor/outdoor chair, stool and office chair
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.




                                     DOLLAR
                                                                                      The sample should be reviewed against the
                                                 DGEN-AN-PTCL-
 * California Proposition 65                                                   -      requirements of California Proposition 65 to determine        X
                                                     06572-US
                                                                                      if additional testing or labeling is required.
LABELING
                                              NIST Uniform Laws and                   Manufacturer, Packer, or Distributor’s Name &
     Uniform packaging and labeling
**                                             Regulations Handbook            1      Address (City, State & ZIP Code)                              X
     regulations
                                                          130




                                     GENERAL
                                              NIST Uniform Laws and                   Product Identification
     Uniform packaging and labeling
**                                             Regulations Handbook            1                                                                    X
     regulations
                                                          130
                                                                                      Net quantity of contents shall be expressed in terms of
                                                                                      weight or mass, measure, numerical count, or
                                              NIST Uniform Laws and
     Uniform packaging and labeling                                                   combination so as to give accurate information to
**                                             Regulations Handbook            1                                                                    X
     regulations                                                                      facilitate consumer comparison (U.S. and metric
                                                          130
                                                                                      units).




                                   CONFIDENTIAL
                                                                                      Shall indicate country of origin legibly, permanently,
                                                                                      and in comparable size and close proximity to any
                                                                                      mention of country other than country in which the
**   Country Of Origin                              19 CFR 134                1                                                                     X
                                                                                      article was manufactured or produced. Must be visible
                                                                                      at point of purchase.

                                                                                      Use/care instructions that are clear and understandable
                                                 CPSD-HL-01057-                       shall be provided in language appropriate to
     Use labeling                                                             1
                                                  MTHD / Visual                       destination countries.

                                                 CPSD-HL-01057-                       Must be included if it contains filling material
     Bedding Tag                                                             All
                                                  MTHD / Visual
     Accuracy or adequacy of instructions        CPSD-HL-01057-                       Shall be easy to follow
                                                                              1
     - layout                                     MTHD / Visual
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 2 of 12


                                                                                DGEN - 03055 - US
                                                                   ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                No. of
Evaluation                              Citation / Method                                      Criteria                                   PPR   VT           Results         Rating
                                                               Samples
                                                                       A label review is only required if Composite Wood is
                                                                       present in the sample, as stated by the Sample
                                                                       Declaration Form.

                                                                          Vendor must provide a completed and approved
                                                                          Sample Declaration Form if wood is present in the




                                  DOLLAR
                                                                          product. Sections A, B and D must always be
                                                                          completed.

                                                                          If Vendor selects B.3.,
                                                                          Section C must be completed.
                                                                          An acceptable label must be present on the product
                                                                          and/or the outer packaging.
                                       Title 17, CA Code of
                                                                          - If a label is present, it shall consist of a stamp, tag, or




                                  GENERAL
                                        Regulations, Section
                                                                          sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                       the label information. The label shall include:
*                                       Label Requirements        1                                                                       X
    and label review                                                      - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                          - Date of production for the finished good,
                                              MTHD
                                                                          - a statement of compliance which includes
                                                                          identification of the state (“California", “CA”, Calif.”,
                                                                          "CARB", or equivalent) section code 93120 for
                                                                          Formaldehyde




                                CONFIDENTIAL
                                                                          - (If Applicable) Has No Added Formaldehyde based
                                                                          resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                          based resins (ULEF)

                                                                          For finished goods, if a label is NOT present, vendor
                                                                          shall indicate if the raw material was manufactured
                                                                          before September 30, 2009 for HWPW-CC (selection
                                                                          of B.2 on Form).


                                                                          Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                    General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -       Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                          Client requirement
ANALYTICAL
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 3 of 12


                                                                                        DGEN - 03055 - US
                                                                           ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                        No. of
Evaluation                                     Citation / Method                                       Criteria                           PPR   VT           Results         Rating
                                                                       Samples
                                                                               All accessible surface coatings in the assembled state
                                                                               on adult furniture [exempt factory applied coatings on
                                                                               metal components/parts] and household paint shall not
                                                                               contain lead or lead components in which the lead
                                                                               content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product               of the total content.




                                    DOLLAR
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /              In case of insufficient coating for testing found on
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -       number of samples specified in the protocol, vendor     X     X
                                             AOAC 974.02 modified                 needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                   components/parts for testing.
                                                     MTHD
                                                                                  Report actual results or include data table within
                                                                                  report




                                    GENERAL
                                                                                  Issue a program audit report
                                                                                  Component testing is allowed
                                                                                  Compositing is not allowed
                                                                                  The following products shall not contain detectable
                                                                                  (less than 50 mg/kg) PentaBDE , OctaBDE and
                                                                                  DecaBDE.
                                                                                  a. textile in mattresses and mattress pads,
                                             Various US State Laws /              b. textile and foam in indoor upholstered furniture,




                                  CONFIDENTIAL
*   Flame retardant contents                   CPSD-AN-00051-             1       c. plastic housing of TVs and computers                 X
                                                     MTHD
                                                                                  Vendor shall be responsible for the compliance of all
                                                                                  other accessible and inaccessible materials.

                                                                                  Client requirement
HAZARDS
                                                                                  Shall have no sharp points/edges, other than those
                                                16 CFR 1500.48 /                  required for function.
    Sharp points / Sharp edges                                           All
                                                1500.49 modified                  Mod.=expanded scope to other products

FLAMMABILITY
                                                                                                                                                    BV Lab Number:
                                                                                                                                                   Technician Name:
                                                                                                                                                          Test Date:
                                                                                                                                                  Reviewed By/Date:

                                                                                                                                                                       Page 4 of 12


                                                                                    DGEN - 03055 - US
                                                                      ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                   No. of
Evaluation                                 Citation / Method                                       Criteria                            PPR   VT           Results         Rating
                                                                  Samples
                                                                          Only applicable to product claimed to meet California
                                                                          Technical Bulletin 116. Shall meet the specified
    Flame retardance of upholstered        California Technical           flammability requirements for testing the flame
                                                                    --                                                                 X
    furniture - document review                Bulletin 116               retardance of resilient filling materials used in
                                                                          upholstered furniture. In lieu of testing, test report can
                                                                          be submitted if dated within one year.




                                        DOLLAR
                                                                          Shall meet the specified flammability requirements for
                                                                          testing the flame retardance of resilient filling
    Flammability for filling materials -   California Technical
                                                                    --    materials used in upholstered furniture. In lieu of          X
    document review                            Bulletin 117
                                                                          testing, test report can be submitted if dated within one
                                                                          year.
PHYSICAL CHARACTERISTICS
                                            CPSD-HL-01056-                   Report overall dimensions; shall meet label claims
                                                                                                                                                            C:
    Dimensions - length x width x height    MTHD / Standard          1       (If applicable) (-0% / +5%)




                                        GENERAL
                                                                                                                                                            R:
                                               measure
                                            CPSD-HL-01056-                   Report actual & shall comply to requirement of 1.2mm
                                            MTHD / Standard                  (front leg); 1.0mm (back leg); 1.0mm (side leg) with                           C:
    Dimensions - thickness - leg frame                               1
                                               measure                       tolerance of (-5%, +5%)                                                        R:

                                            CPSD-HL-01056-                   Report actual & shall comply to the requirement of
                                            MTHD / Standard                  16mm (all leg frame) with tolerance of (-5%, +5%)                              C:
    Dimensions - diameter - leg frame                                1




                                      CONFIDENTIAL
                                               measure                                                                                                      R:

                                            CPSD-HL-01057-                   Shall Conform To Claimed Features
    Leg height adjustment                                           All
                                             MTHD / Visual
                                            CPSD-HL-01057-                   Shall conform to claimed features
    Base - caster or non-caster                                     All
                                             MTHD / Visual
    Type of seat - rotating or non-         CPSD-HL-01057-                   Shall Conform To Claimed Feature
                                                                    All
    rotating                                 MTHD / Visual
                                            CPSD-HL-01057-                   Shall conform to claimed features
    Type of seat - tilt or non-tilt                                 All
                                             MTHD / Visual
                                            CPSD-HL-01057-                   Shall conform to claimed features
    Back - with or without                                          All
                                             MTHD / Visual
                                            CPSD-HL-01057-                   Shall Conform To Claimed Features
    Arm - with or without arm                                       All
                                             MTHD / Visual
WORKMANSHIP
                                                                                                                                              BV Lab Number:
                                                                                                                                             Technician Name:
                                                                                                                                                    Test Date:
                                                                                                                                            Reviewed By/Date:

                                                                                                                                                                 Page 5 of 12


                                                                              DGEN - 03055 - US
                                                                 ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                              No. of
Evaluation                             Citation / Method                                    Criteria                             PPR   VT           Results         Rating
                                                             Samples
                                       CPSD-HL-01057-                Shall have no components missing, malformed, and/or
    Defects                                                    All
                                        MTHD / Visual                fractured.
                                       CPSD-HL-01057-                Shall be present proper and even adhesion.
    Defects                                                    All
                                        MTHD / Visual
                                       CPSD-HL-01057-                  Shall be present uniform adhesion (wood).
    Defects                                                    All
                                        MTHD / Visual




                                       DOLLAR
                                       CPSD-HL-01057-                  Shall have finished edges.
    Defects                                                    All
                                        MTHD / Visual
                                       CPSD-HL-01057-                  Components shall be even in color.
    Defects                                                    All
                                        MTHD / Visual
                                                                       Shall have no discernible surface degradation,
                                                                       including crazing, shivering, denting, bubbles, cracks,
                                       CPSD-HL-01057-                  stains, deformations, chips, fractures, heavy lines,
    Defects                                                    All




                                       GENERAL
                                        MTHD / Visual                  waves, shear marks, scratches, scuff marks,
                                                                       indentations, or blisters.

PERFORMANCE
                                                                       [Not for office style chairs]
                                       CPSD-HL-01018-
    Seating - seat static load                                  1      No structural failure when 500 lb is applied to each
                                       MTHD / Static load
                                                                       seat area compression for 1 minute. If no failure, note




                                     CONFIDENTIAL
                                                                       any changes.
                                                                       [Not for office style chairs]

                                                                       No complete collapse/ structural breakage, max 1/4
                                       CPSD-HL-01019-                  inch deformation when 200 lb (or as per claimed load)
    Seating - impact durability                                 1
                                      MTHD / Dynamic load              test load free-falls from 6 inches to the center of the
                                                                       seat (1 drop)
                                                                       Modification = Test load changed from 225 lb to 200
                                                                       lb
                                                                       [Not for office style chairs]
                                     BIFMA X5.1-02 section
    Seating - back pull durability   5 modified / CPSD-HL-      1
                                                                       No failure at 100 lbs. for 1 min. applied to 90° from
                                         01017-MTHD
                                                                       back at 16 in. above the seat
                                                                                                                                                    BV Lab Number:
                                                                                                                                                   Technician Name:
                                                                                                                                                          Test Date:
                                                                                                                                                  Reviewed By/Date:

                                                                                                                                                                       Page 6 of 12


                                                                                   DGEN - 03055 - US
                                                                       ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                    No. of
Evaluation                                  Citation / Method                                      Criteria                            PPR   VT           Results         Rating
                                                                   Samples
                                                                           [Not for office style chairs]

                                                                           The chair is obstructed by 1 in bar in the front base,
                                            CPSD-HL-01020-
    Seating - front stability                                        1     tipping force is measured in the 45° to the test
                                            MTHD / Stability
                                                                           platform. The tipping force shall not be less than 40%
                                                                           of the total chair weight.




                                        DOLLAR
                                                                           Record the sample weight and the tipping force.
                                            CPSD-HL-01022-                 [Not for office style chairs]
    Seating - front seating capacity         MTHD / Force            1
                                              application                  No failure under 300 lb loading at edge (6 in)
                                                                           [Not for office style chairs]
                                            CPSD-HL-01023-
    Seating - arm strength vertical          MTHD / Force            1     No permanent deformation at 300 lbs for 1 minute.
                                              application                  The vertical load is uniformly applied through a 5 in.




                                        GENERAL
                                                                           area at the apparent weakest point.
                                          ANSI / BIFMA X5.1-02             [Not for office style chairs]
                                           section 14 modified /
                                            CPSD-HL-01029-                 No permanent deformation at 75 lbs. For 1 min. The
    Seating - arm strength - horizontal                              1
                                                  MTHD                     load is applied to the arm rest horizontally at the most
                                                                           forward point of the arm rest area.




                                      CONFIDENTIAL
                                            CPSD-HL-01057-                 Shall be non-marring
    Protective caps on legs                                          1
                                              MTHD / Visual
                                          ANSI/BIFMA X5.5-98               No failure at 75 lb applied to the leg at 1 inch from the
                                           section 12 modified /           end of the leg. Force is applied in four directions
    Furniture - leg strength test                                    1
                                            CPSD-HL-01034-                 Forward / rearward - Record results
                                                  MTHD                     side / side - Record results
                                                                           Shall not tip over at an 10° incline in the direction of
                                            CPSD-HL-01011-                 least stability with 150 lb distributed load.
    Tip resistance - stool only                                      1
                                            MTHD / Stability               Modification = Tipping angle changed form 8° to 10°

                                                                           [Stool Only]
                                            CPSD-HL-01058-
    Stability                                                        1
                                            MTHD / Actual use              Min. 20 lb pull force after 150 lb distributed load on
                                                                           the seat.
                                            CPSD-HL-03027-                 Shall Provide Ease Of Assembly And Shall Be
    Ease of assembly                         MTHD / Ease of          1     Accurate
                                               assembly
                                                                                                                                                     BV Lab Number:
                                                                                                                                                    Technician Name:
                                                                                                                                                           Test Date:
                                                                                                                                                   Reviewed By/Date:

                                                                                                                                                                        Page 7 of 12


                                                                                   DGEN - 03055 - US
                                                                      ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                   No. of
Evaluation                                    Citation / Method                                  Criteria                               PPR   VT           Results         Rating
                                                                  Samples
                                                                          Report leg, back, and base.
                                              CPSD-HL-01063-
                                                                          Shall not exceed 8%-12%. Report the actual moisture
    Moisture content - frame                  MTHD / Moisture        1
                                                                          content.
                                                verification
                                                                            Shall function as intended as received. Report details
    Actual use - functionality - not          CPSD-HL-01058-                of evaluation (features tested / methods used /




                                     DOLLAR
                                                                     1
    covered by other tests                    MTHD / Actual Use             materials used / etc.) Report any features not
                                                                            evaluated.
                                                                            [if appropriate]
                                                                            Sample shall not exhibit cracking, chipping, warping,
                                                                            deformation, breakage, discoloration, loss of
                                              CPSD-HL-03053-
*   Fold or cycle test                                               1      functionality and serviceability, or any other aesthetic
                                              MTHD / Fold cycle
                                                                            changes from its original as received state after
                                                                            subjected to 100 cycles.




                                     GENERAL
                                                                            [For office chair]
                                                                            [Type I Chairs]
                                                                            No structural breakage or loss of serviceability when
                                             ANSI BIFMA X5.1-11
*   Back strength static - functional load                           -      200 Lbs. (890 N) is applied for 1 minute. Also
                                                Section 5.4.1
                                                                            applied to 90° from back at 16 inch above the seat. If
                                                                            the back is less than 16 inches, the load is applied at




                                   CONFIDENTIAL
                                                                            the top of the back.
                                                                            [For office chair]
                                                                            [Type I Chairs ]
                                                                            No sudden and major change in the structural integrity
                                             ANSI BIFMA X5.1-11
*   Back strength static - proof load                                -      (loss of serviceability is acceptable) when 300 Lbs.
                                                Section 5.4.2
                                                                            (1334 N) is applied for 1 minute. Applied to 90° from
                                                                            back at 16 In. above the seat. If the back is less than
                                                                            16 inches, the load is applied at the top of the back.
                                                                            [For office chair]
                                                                            [Type II & III]
                                                                            No structural breakage or loss of serviceability when
                                             ANSI BIFMA X5.1-11
*   Back strength static - functional load                           -      150 Lbs. (667 N) is applied for 1 minute applied to
                                                section 6.4.1
                                                                            90° from back at 16 inches above the seat. If the back
                                                                            is less than 16 inches, the load is applied at the top of
                                                                            the back.
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 8 of 12


                                                                                       DGEN - 03055 - US
                                                                         ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                      No. of
Evaluation                                      Citation / Method                                      Criteria                           PPR   VT           Results         Rating
                                                                     Samples
                                                                             [For office chair]
                                                                             [Type II & III]
                                                                             No sudden and major change in the structural integrity
                                              ANSI BIFMA X5.1-11             (loss of serviceability is acceptable) when 250 Lbs.
*   Back strength static - proof load                                   -
                                                 section 6.4.2               (1112 N) is applied for 1 minute applied to 90° from
                                                                             back at 16 inches above the seat. If the back is less




                                      DOLLAR
                                                                             than 16 inches, the load is applied at the top of the
                                                                             back.
                                                                             [For office chair]
                                              ANSI BIFMA X5.1-11             No structural breakage or loss of serviceability when
*   Drop test dynamic - functional load                                 -
                                                 section 8.4.1               225 Lbs. (102 kg) free falls from 152 mm (6 inches)
                                                                             height to the center of the seat.
                                                                             [For office chair]
                                                                             No sudden and major change in the structural integrity




                                      GENERAL
                                              ANSI BIFMA X5.1-11
*   Drop test dynamic - proof load                                      -    (loss of serviceability is acceptable) when 300 Lbs.
                                                 section 8.4.2
                                                                             (136 kg) free falls from 152 mm (6 inches) height to
                                                                             the center of the seat.
                                                                             [For office chair]
                                                                             [Type I and Type II chairs]
                                                                             The chair shall not tip over.
                                                                             Load the chair with 13 disks (See Appendix B). Place




                                    CONFIDENTIAL
                                                                             the first disk on the seat so it touches the support
                                                                             fixture. As each disk is added to the stack slide it along
                                                                             the lower disk until it contacts the support fixture as
    Stability test dynamic - rear stability   BIFMA X5.1-11 clause           shown in Figure 12b. As each disk is added, the
*                                                                       -
    test                                            12.3.2                   backrest may move such that the lower disks do not
                                                                             remain against the support fixture; this is acceptable,
                                                                             do not reposition the disks. If the chair does not tip
                                                                             over and the tilt mechanism does not tilt to its most
                                                                             rearward position (i.e., at its tilt stop) when the disks
                                                                             are placed in the chair, the chair shall also be tested
                                                                             according to 12.3.1 with the chair in the unlocked
                                                                             position.
                                                                                                                                                        BV Lab Number:
                                                                                                                                                       Technician Name:
                                                                                                                                                              Test Date:
                                                                                                                                                      Reviewed By/Date:

                                                                                                                                                                           Page 9 of 12


                                                                                       DGEN - 03055 - US
                                                                          ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                       No. of
Evaluation                                       Citation / Method                                     Criteria                            PPR   VT           Results         Rating
                                                                      Samples
                                                                              [For office chair]
                                                                              [Type III chairs]
                                                                              The chair shall not tip over.

                                                                              Load the chair with 6 disks (See Appendix B). Place
                                                                              the first disk on the seat so it touches the support




                                       DOLLAR
                                                                              fixture. As each disk is added to the stack slide it along
                                                                              the lower disk until it contacts the support fixture as
                                                                              shown in Figure 12a. As each disk is added, the
                                                                              backrest may move such that the lower disks do not
                                                                              remain against the support fixture; this is acceptable,
                                                                              do not reposition the disks.
    Stability test dynamic - rear stability    BIFMA X5.1-11 clause
*                                                                       -     Apply a horizontal force to the highest disk. The




                                       GENERAL
    test                                             12.3.1
                                                                              location of the force application is 6 mm (0.25 in.)
                                                                              from the top of the disk. (See Figure 12a) For chairs
                                                                              with seat height (as measured at the front of the
                                                                              bottom of the lowest disk when all disks are in the
                                                                              chair) less than 710 mm (28.0 in.), calculate the force
                                                                              as follows:
                                                                              • F = 0.1964 (1195 – H) Newton. H is the seat height
                                                                              in mm.




                                     CONFIDENTIAL
                                                                              • [F = 1.1 (47 – H) pounds force.]. H is the seat height
                                                                              in inches.
                                                                              For chairs with seat height equal to or greater than 710
                                                                              mm (28.0 in.), a fixed force of 93 N (20.9 lbf.) shall be
                                                                              applied.
                                                                              [For office chair]
                                                                              The chair is obstructed with a ½ In. obstruction to the
                                               ANSI BIFMA X5.1-11             chair casters or feet. A downward load of 600N (135
*   Stability test dynamic - front stability                            -
                                                   section 12.4               lbs) is centered 2.4 inches from the seat front center
                                                                              edge. The seat shall withstand a 4.5 lbf. horizontally
                                                                              from the front seat edge without tipping
                                                                              [For office chair]
                                                                              No structural breakage or loss of serviceability when
    Arm strength test - vertical - static -    ANSI BIFMA X5.1-11
*                                                                       -     750N (169 lbs.) for 1 minute is applied. The vertical
    functional load                               section 13.4.1
                                                                              load is uniformly applied through a 5 inch area at the
                                                                              apparent weakest point.
                                                                                                                                                   BV Lab Number:
                                                                                                                                                  Technician Name:
                                                                                                                                                         Test Date:
                                                                                                                                                 Reviewed By/Date:

                                                                                                                                                                      Page 10 of 12


                                                                                     DGEN - 03055 - US
                                                                       ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                    No. of
Evaluation                                     Citation / Method                                     Criteria                         PPR   VT           Results           Rating
                                                                   Samples
                                                                           [For office chair]
                                                                           No sudden and major change in the structural integrity
    Arm strength test - vertical - static -   ANSI BIFMA X5.1-11           (loss of serviceability is acceptable) when 1125N (253
*                                                                     -
    proof load                                   section 13.4.2            lbs.) for 1 minute is applied. The vertical load is
                                                                           uniformly applied through a 5 inch area at the apparent
                                                                           weakest point.




                                        DOLLAR
                                                                           [For office chair]
                                                                           No structural breakage or loss of serviceability when
    Arm strength test - horizontal - static   ANSI BIFMA X5.1-11
*                                                                     -    445N (100 lbs.) for 1 minute is applied horizontally
    - functional load                            section 14.4.1
                                                                           outward to the arm rest at the apparent weakest point
                                                                           of the arm rest.
                                                                           [For office chair]
                                                                           No sudden and major change in the structural integrity
    Arm strength test - horizontal - static   ANSI BIFMA X5.1-11           (loss of serviceability is acceptable) when 667N (150




                                        GENERAL
*                                                                     -
    - proof load                                 section 14.4.2            lbs.) for 1 minute is applied horizontally outward to
                                                                           the armrest at the apparent weakest point of the
                                                                           armrest.
                                                                           [For office chair]
                                                                           [Chairs Without Pedestal Bases ]
    Leg strength test - front load -          ANSI BIFMA X5.1-11
*                                                                     -    No loss of serviceability when a force of 334 N (75
    functional load                             section 18.3.2.1
                                                                           Lbs.) is applied to each front leg individually for a




                                      CONFIDENTIAL
                                                                           period of 1 minute.
                                                                           [For office chair]
                                                                           [Chairs Without Pedestal Bases ]
                                                                           No sudden and major change in the structural integrity
    Leg strength test - front load - proof    ANSI BIFMA X5.1-11
*                                                                     -    of the chair shall occur (loss of serviceability is
    load                                        section 18.3.2.2
                                                                           acceptable) when a force of 503 N (113 Lbs.) Is
                                                                           applied to each front leg individually for a period of 1
                                                                           minute.
                                                                           [For office chair]
                                                                           [Chairs Without Pedestal Bases ]
    Leg strength test - side load -           ANSI BIFMA X5.1-11
*                                                                     -    No loss of serviceability when a force of 334 N (75
    functional load                             section 18.4.2.1
                                                                           Lbs.) is applied once to the front and rear leg
                                                                           individually for a period of 1 minute.
                                                                                                                                                               BV Lab Number:
                                                                                                                                                              Technician Name:
                                                                                                                                                                     Test Date:
                                                                                                                                                             Reviewed By/Date:

                                                                                                                                                                                  Page 11 of 12


                                                                                       DGEN - 03055 - US
                                                                          ADULT CHAIR STOOL OFFICE CHAIR (V17)
                                                                       No. of
Evaluation                                        Citation / Method                                    Criteria                            PPR       VT              Results           Rating
                                                                      Samples
                                                                              [For office chair]
                                                                              [Chairs Without Pedestal Bases ]
                                                                              No sudden and major change in the structural integrity
       Leg strength test - side load - proof   ANSI BIFMA X5.1-11
*                                                                        -    of the chair shall occur (loss of serviceability is
       load                                      section 18.4.2.2
                                                                              acceptable) when a force of 503 N (113 Lbs.) Is
                                                                              applied once to the front and rear leg individually for a




                                        DOLLAR
                                                                              period of 1 minute.

PPR - Pre-Production Review
VT - Verification Test


Key:
*                    Additional Charge For This Test




                                        GENERAL
**                   Mandatory Requirement
#                    By Request Only

Result Key:
C                    Claimed
R                    Recorded
M                    Meets
NM                   Does Not Meet




                                      CONFIDENTIAL
NA                   Not Applicable
NT                   Not Tested

Rating Key:
                     Incomplete
INCOMPLETE           (PPT Rating
                     Only)
                     Complete (PPT
COMPLETE
                     Rating Only)
GOOD                 Good
UNSAT                Unsatisfactory


    No. Of Samples Required for Complete Testing         3                                                                        Client Approval:        NOVEMBER 17, 2011
    No. Of (Fully Packed) Cartons For Transit Testing:   -                                                                                                / Chuck Rogers
                                                                                                                                  Creation Date:          AUGUST 30, 2004
                                                                              BV Lab Number:
                                                                             Technician Name:
                                                                                    Test Date:
                                                                            Reviewed By/Date:

                                                                                                 Page 12 of 12


No. Of Working Days For Complete Testing:   7   Last Revision Date:      NOVEMBER 23, 2011
                                                Pricing Review Date:     DECEMBER 13, 2006
                                                Technical Review Date:




                                DOLLAR
                                GENERAL
                              CONFIDENTIAL
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                       Page 1 of 7


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                          DGEN - 03088 - US
                                                                                   PARK BENCH - THREE SEATER (V15)
                                                                           No. of
Evaluation                                       Citation / Method                                              Criteria                          PPR          VT                  Results                Rating
                                                                          Samples
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.
                                                                                      The sample should be reviewed against the
                                               DGEN-AN-PTCL-
 * California Proposition 65                                                  -       requirements of California Proposition 65 to determine         X




                                     DOLLAR
                                                   06572-US
                                                                                      if additional testing or labeling is required.
LABELING
     One Time Use Products - Fair                                                     Manufacturer, Packer, or Distributor’s Name &
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all                                              Address (City, State & Zip)
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations




                                     GENERAL
     One Time Use Products - Fair                                                     Product Identification
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations
                                                                                      Net quantity of contents shall be expressed in terms of
     One Time Use Products - Fair
                                            F.P. and L. Act (16 CFR                   weight or mass, measure, numerical count, or
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform                      combination so as to give accurate information to
** other products -                                                           1                                                                      X




                                   CONFIDENTIAL
                                             Laws and Regulations                     facilitate consumer comparison (U.S. and metric
     Uniform Packaging and Labeling
                                                 Handbook 130                         units).
     Regulations
                                                                                      Shall indicate country of origin legibly, permanently,
                                                                                      and in comparable size and close proximity to any
                                                                                      mention of country other than country in which the
**   Country Of Origin                              19 CFR 134                1                                                                     X
                                                                                      article was manufactured or produced. Must be visible
                                                                                      at point of purchase.

                                                                                      Use/care instructions that are clear and understandable
                                                 CPSD-HL-01057-                       shall be provided in language appropriate to
     Use labeling                                                             1
                                                  MTHD / Visual                       destination countries.

     Accuracy or adequacy of instructions        CPSD-HL-01057-                       Shall be easy to follow
                                                                              1
     - layout                                     MTHD / Visual
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 2 of 7


                                                                             DGEN - 03088 - US
                                                                      PARK BENCH - THREE SEATER (V15)
                                                                No. of
Evaluation                              Citation / Method                                          Criteria                              PPR   VT           Results        Rating
                                                               Samples
                                                                         A label review is only required if Composite Wood is
                                                                         present in the sample, as stated by the Sample
                                                                         Declaration Form.

                                                                         Vendor must provide a completed and approved
                                                                         Sample Declaration Form if wood is present in the




                                  DOLLAR
                                                                         product. Sections A, B and D must always be
                                                                         completed.

                                                                         If Vendor selects B.3.,
                                                                         Section C must be completed.
                                                                         An acceptable label must be present on the product
                                                                         and/or the outer packaging.
                                       Title 17, CA Code of
                                                                         - If a label is present, it shall consist of a stamp, tag, or




                                  GENERAL
                                        Regulations, Section
                                                                         sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                      the label information. The label shall include:
*                                       Label Requirements       1                                                                       X
    and label review                                                     - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                         - Date of production for the finished good,
                                              MTHD
                                                                         - a statement of compliance which includes
                                                                         identification of the state (“California", “CA”, Calif.”,
                                                                         "CARB", or equivalent) section code 93120 for
                                                                         Formaldehyde




                                CONFIDENTIAL
                                                                         - (If Applicable) Has No Added Formaldehyde based
                                                                         resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                         based resins (ULEF)

                                                                         For finished goods, if a label is NOT present, vendor
                                                                         shall indicate if the raw material was manufactured
                                                                         before September 30, 2009 for HWPW-CC (selection
                                                                         of B.2 on Form).


                                                                         Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                   General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -      Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                         Client requirement
                                                                                                                                        BV Lab Number:
                                                                                                                                       Technician Name:
                                                                                                                                              Test Date:
                                                                                                                                      Reviewed By/Date:

                                                                                                                                                           Page 3 of 7


                                                                    DGEN - 03088 - US
                                                             PARK BENCH - THREE SEATER (V15)
                                                       No. of
Evaluation                        Citation / Method                                    Criteria                            PPR   VT           Results        Rating
                                                      Samples
                                                                Examine the retail packaging (or submitted artwork).

                                                                Record each objective (factual) claim which can be
                                                                substantiated by the testing within the protocols and
                                                                rate accordingly.




                                   DOLLAR
                                                                Additional testing required outside of the protocol
                                                                shall be approved. Any objective claim not approved
                                                                by the client shall be recorded as “NT” and rate as “-”.
                                  CPSD-GB-08612-
*   Claim verification level 3                           -      If additional testing cannot be conducted due to
                                      MTHD
                                                                capability issues, the claims shall be recorded as “NT”
                                                                and rated as “Data”




                                   GENERAL
                                                                All subjective (opinion) claims shall be recorded as
                                                                “Not Tested” and rated as “-”.

                                                                Record information evaluated between the graphic
                                                                imagery and the product

                                                                Record disclaimers on datasheet
ANALYTICAL




                                 CONFIDENTIAL
                                                                                                                                                           BV Lab Number:
                                                                                                                                                          Technician Name:
                                                                                                                                                                 Test Date:
                                                                                                                                                         Reviewed By/Date:

                                                                                                                                                                              Page 4 of 7


                                                                                      DGEN - 03088 - US
                                                                               PARK BENCH - THREE SEATER (V15)
                                                                        No. of
Evaluation                                     Citation / Method                                         Criteria                             PPR   VT           Results        Rating
                                                                       Samples
                                                                                 All accessible surface coatings in the assembled state
                                                                                 on adult furniture [exempt factory applied coatings on
                                                                                 metal components/parts] and household paint shall not
                                                                                 contain lead or lead components in which the lead
                                                                                 content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product                 of the total content.




                                       DOLLAR
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /             In case of insufficient coating for testing found on
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -      number of samples specified in the protocol, vendor          X     X
                                             AOAC 974.02 modified                needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                  components/parts for testing.
                                                     MTHD
                                                                                 Report actual results or include data table within
                                                                                 report




                                       GENERAL
                                                                                 Issue a program audit report
                                                                                 Component testing is allowed
                                                                                 Compositing is not allowed
HAZARDS
                                                                                 Shall have no sharp points/edges, other than those
                                                16 CFR 1500.48 /                 required for function.
    Sharp points / Sharp edges                                           All
                                                1500.49 modified                 Mod.=expanded scope to other products




                                     CONFIDENTIAL
FLAMMABILITY
                                                                                 Only applicable to product claimed to meet California
                                                                                 Technical Bulletin 116. Shall meet the specified
    Flame retardance of upholstered           California Technical               flammability requirements for testing the flame
                                                                         --                                                                   X
    furniture - document review                   Bulletin 116                   retardance of resilient filling materials used in
                                                                                 upholstered furniture. In lieu of testing, test report can
                                                                                 be submitted if dated within one year.
                                                                                 Shall meet the specified flammability requirements for
                                                                                 testing the flame retardance of resilient filling
    Flammability for filling materials -      California Technical
                                                                         --      materials used in upholstered furniture. In lieu of          X
    document review                               Bulletin 117
                                                                                 testing, test report can be submitted if dated within one
                                                                                 year.
PERFORMANCE
                                                                                 No Failure At 100 Lbs. For 1 Min. Applied To 90°
                                              CPSD-HL-01017-
    Seating - back pull durability                                       1       From Back At 16 In. Above The Seat
                                             MTHD / Dynamic load
                                                                                                                                                   BV Lab Number:
                                                                                                                                                  Technician Name:
                                                                                                                                                         Test Date:
                                                                                                                                                 Reviewed By/Date:

                                                                                                                                                                      Page 5 of 7


                                                                              DGEN - 03088 - US
                                                                       PARK BENCH - THREE SEATER (V15)
                                                                  No. of
Evaluation                               Citation / Method                                         Criteria                           PPR   VT           Results        Rating
                                                                 Samples
                                                                           [BASE DURABILITY]

                                                                           No Structural Failure
                                                                           First condition - 400 lbs. is applied to one end of the
                                        CPSD-HL-01018-
    Seating - seat static load                                     1       seat for 1 minute
                                        MTHD / Static load




                                       DOLLAR
                                                                           Second condition - 400 lbs. is applied to one end of
                                                                           the seat and 400 lbs. is applied to the other end of the
                                                                           seat (total 800 lbs.) for 1 minute
                                                                           No Structural Breakage, Max 1/4 In. Deformation
                                                                           First condition - When 160 lbs test load free falls from
                                                                           6 in. height to one end of the seat (1 drop).

                                                                           Second condition - When 160 lbs test load free falls




                                       GENERAL
                                                                           from 6 in. height to the center of the seat (1 drop).
                                        CPSD-HL-01019-
    Seating - impact durability                                    1
                                       MTHD / Dynamic load                 Third condition - When 160 lbs test load free falls
                                                                           from 6 in. height to the other end of the seat (1 drop).

                                                                           Fourth condition - When 160 lbs test load free falls
                                                                           from 6 in. height to one end of the seat while a static
                                                                           load of 400 lbs is placed on the center seat area.(1




                                     CONFIDENTIAL
                                                                           drop).
                                         CPSD-HL-01022-                    No Failure Under 300 Lbs. Loading At Edge (6 In.)
    Seating - front seating capacity      MTHD / Force             1
                                           application
                                                                           Min 35 Lbs. Pulling Force A 173 Lb. Weight Is Placed
                                       ANSI/BIFMA X5.1-02
                                                                           On One Of The Seat Areas, Tipping Force Is
                                       section 12.3 modified /
    Stability - rear - condition a                                 1       Measured As Pulled Rearward Against 1 In.
                                         CPSD-HL-01021-
                                                                           Obstruction
                                               MTHD
                                                                           Min 35 Lbs. Pulling Force A 173 Lb. Weight Is Placed
                                       ANSI/BIFMA X5.1-02
                                                                           On Both Of The Seat Areas, Tipping Force Is
                                       section 12.3 modified /
    Stability - rear - condition b                                 1       Measured As Pulled Rearward Against 1 In.
                                         CPSD-HL-01021-
                                                                           Obstruction
                                               MTHD
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 6 of 7


                                                                                   DGEN - 03088 - US
                                                                            PARK BENCH - THREE SEATER (V15)
                                                                       No. of
Evaluation                                        Citation / Method                                    Criteria                           PPR   VT           Results        Rating
                                                                      Samples
                                                                                The chair is obstructed by 1 in bar in the front base,
                                                                                tipping force is measured in the 45° to the test
                                                                                platform. The tipping force shall not be less than 40%
                                                                                of the total chair weight.
                                                  CPSD-HL-01020-
       Seating - front stability                                        1
                                                  MTHD / Stability
                                                                                Record sample weight




                                           DOLLAR
                                                                                Record tipping force

                                                  CPSD-HL-01023-                No permanent deformation at 300 lbs. For 1 min. The
       Seating - arm strength vertical             MTHD / Force         1       vertical load is uniformly applied through a 5 in. Area
                                                    application                 at the apparent weakest point
                                                                                No Permanent Deformation At 75 Lbs. For 1 Min. The
                                                  In-house method /
                                                                                Load Is Applied To The Arm Rest Horizontally At The




                                           GENERAL
       Seating - arm strength horizontal          CPSD-HL-01029-        1
                                                                                Most Forward Point Of The Arm Rest Area.
                                                       MTHD
                                                                                No Failure At 75 Lbs. Applied To The Leg At 1 In.
                                                                                From The End Of The Leg. Force Is Applied In Four
                                                                                Directions
                                                  In-house method /
       Leg strength test                          CPSD-HL-01034-        1
                                                                                Forward / Rearward - Record Results
                                                       MTHD




                                         CONFIDENTIAL
                                                                                Side / Side - Record Results

                                                  CPSD-HL-03027-                Shall Provide Ease Of Assembly And Shall Be
*      Ease of assembly                            MTHD / Ease of       1       Accurate
                                                     assembly

PPR - Pre-Production Review
VT - Verification Test


Key:
*                     Additional Charge For This Test
**                    Mandatory Requirement
#                     By Request Only

Result Key:
                                                                                         BV Lab Number:
                                                                                        Technician Name:
                                                                                               Test Date:
                                                                                       Reviewed By/Date:

                                                                                                            Page 7 of 7


C                 Claimed
R                 Recorded
M                 Meets
NM                Does Not Meet
NA                Not Applicable
NT                Not Tested

Rating Key:
                  Incomplete
INCOMPLETE        (PPT Rating




                                     DOLLAR
                  Only)
                  Complete (PPT
COMPLETE
                  Rating Only)
GOOD              Good
UNSAT             Unsatisfactory


 No. Of Samples Required for Complete Testing         2   Client Approval:         JANUARY 06, 2012 /




                                     GENERAL
 No. Of (Fully Packed) Cartons For Transit Testing:   1                            Chuck Rogers
                                                          Creation Date:           NOVEMBER 02, 2005
 No. Of Working Days For Complete Testing:            7
                                                          Last Revision Date:      DECEMBER 21, 2011
                                                          Pricing Review Date:     APRIL 23, 2008
                                                          Technical Review Date:




                                   CONFIDENTIAL
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                       Page 1 of 5


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                              DGEN - 03559 - US
                                                                                              STEP STOOL (V14)
                                                                           No. of
Evaluation                                       Citation / Method                                           Criteria                             PPR          VT                  Results                Rating
                                                                          Samples
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.
                                                                                      The sample should be reviewed against the
                                               DGEN-AN-PTCL-
 * California Proposition 65                                                  -       requirements of California Proposition 65 to determine         X




                                     DOLLAR
                                                   06572-US
                                                                                      if additional testing or labeling is required.
LABELING
     One Time Use Products - Fair                                                     Manufacturer, Packer, or Distributor’s Name &
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all                                              Address (City, State & Zip Code)
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations




                                     GENERAL
     One Time Use Products - Fair                                                     Product Identification
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations
                                                                                      Net quantity of contents shall be expressed in terms of
     One Time Use Products - Fair
                                            F.P. and L. Act (16 CFR                   weight or mass, measure, numerical count, or
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform                      combination so as to give accurate information to
** other products -                                                           1                                                                      X




                                   CONFIDENTIAL
                                             Laws and Regulations                     facilitate consumer comparison (U.S. and metric
     Uniform Packaging and Labeling
                                                 Handbook 130                         units).
     Regulations
                                                                                      Shall indicate country of origin legibly, permanently,
                                                                                      and in comparable size and close proximity to any
                                                                                      mention of country other than country in which the
**   Country Of Origin                              19 CFR 134                1                                                                     X
                                                                                      article was manufactured or produced. Must be visible
                                                                                      at point of purchase.

                                                                                      Use/care instructions that are clear and understandable
                                                 CPSD-HL-01057-                       shall be provided in language appropriate to
     Use labeling                                                             1
                                                  MTHD / Visual                       destination countries.
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 2 of 5


                                                                                 DGEN - 03559 - US
                                                                                 STEP STOOL (V14)
                                                                No. of
Evaluation                              Citation / Method                                          Criteria                              PPR   VT           Results        Rating
                                                               Samples
                                                                         A label review is only required if Composite Wood is
                                                                         present in the sample, as stated by the Sample
                                                                         Declaration Form.

                                                                         Vendor must provide a completed and approved
                                                                         Sample Declaration Form if wood is present in the




                                  DOLLAR
                                                                         product. Sections A, B and D must always be
                                                                         completed.

                                                                         If Vendor selects B.3.,
                                                                         Section C must be completed.
                                                                         An acceptable label must be present on the product
                                                                         and/or the outer packaging.
                                       Title 17, CA Code of
                                                                         - If a label is present, it shall consist of a stamp, tag, or




                                  GENERAL
                                        Regulations, Section
                                                                         sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                      the label information. The label shall include:
*                                       Label Requirements       1                                                                       X
    and label review                                                     - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                         - Date of production for the finished good,
                                              MTHD
                                                                         - a statement of compliance which includes
                                                                         identification of the state (“California", “CA”, Calif.”,
                                                                         "CARB", or equivalent) section code 93120 for
                                                                         Formaldehyde




                                CONFIDENTIAL
                                                                         - (If Applicable) Has No Added Formaldehyde based
                                                                         resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                         based resins (ULEF)

                                                                         For finished goods, if a label is NOT present, vendor
                                                                         shall indicate if the raw material was manufactured
                                                                         before September 30, 2009 for HWPW-CC (selection
                                                                         of B.2 on Form).


                                                                         Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                   General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -      Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                         Client requirement
ANALYTICAL
                                                                                                                                                           BV Lab Number:
                                                                                                                                                          Technician Name:
                                                                                                                                                                 Test Date:
                                                                                                                                                         Reviewed By/Date:

                                                                                                                                                                              Page 3 of 5


                                                                                         DGEN - 03559 - US
                                                                                         STEP STOOL (V14)
                                                                        No. of
Evaluation                                     Citation / Method                                         Criteria                             PPR   VT           Results        Rating
                                                                       Samples
                                                                                 All accessible surface coatings in the assembled state
                                                                                 on adult furniture [exempt factory applied coatings on
                                                                                 metal components/parts] and household paint shall not
                                                                                 contain lead or lead components in which the lead
                                                                                 content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product                 of the total content.




                                     DOLLAR
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /             In case of insufficient coating for testing found on
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -      number of samples specified in the protocol, vendor          X     X
                                             AOAC 974.02 modified                needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                  components/parts for testing.
                                                     MTHD
                                                                                 Report actual results or include data table within
                                                                                 report




                                     GENERAL
                                                                                 Issue a program audit report
                                                                                 Component testing is allowed
                                                                                 Compositing is not allowed
HAZARDS
                                                                                 Shall have no sharp points/edges, other than those
                                                16 CFR 1500.48 /                 required for function.
    Sharp points / Sharp edges                                           All
                                                1500.49 modified                 Mod.=expanded scope to other products




                                   CONFIDENTIAL
FLAMMABILITY
                                                                                 Only applicable to product claimed to meet California
                                                                                 Technical Bulletin 116. Shall meet the specified
    Flame retardance of upholstered           California Technical               flammability requirements for testing the flame
                                                                         --                                                                   X
    furniture - document review                   Bulletin 116                   retardance of resilient filling materials used in
                                                                                 upholstered furniture. In lieu of testing, test report can
                                                                                 be submitted if dated within one year.
                                                                                 Shall meet the specified flammability requirements for
                                                                                 testing the flame retardance of resilient filling
    Flammability for filling materials -      California Technical
                                                                         --      materials used in upholstered furniture. In lieu of          X
    document review                               Bulletin 117
                                                                                 testing, test report can be submitted if dated within one
                                                                                 year.
WORKMANSHIP
                                                                                                                                                         BV Lab Number:
                                                                                                                                                        Technician Name:
                                                                                                                                                               Test Date:
                                                                                                                                                       Reviewed By/Date:

                                                                                                                                                                            Page 4 of 5


                                                                                        DGEN - 03559 - US
                                                                                        STEP STOOL (V14)
                                                                       No. of
Evaluation                                      Citation / Method                                       Criteria                            PPR   VT           Results        Rating
                                                                      Samples
                                                                                Shall have no discernible surface degradation,
                                                                                including crazing, shivering, denting, bubbles, cracks,
                                                CPSD-HL-01057-                  stains, deformations, chips, fractures, heavy lines,
       Defects                                                          All
                                                 MTHD / Visual                  waves, shear marks, scratches, scuff marks,
                                                                                indentations, or blisters.




                                      DOLLAR
                                                                                Shall have no components missing, malformed, and/or
                                                CPSD-HL-01057-
       Defects                                                          All     fractured.
                                                 MTHD / Visual
PERFORMANCE
                                                                                [WOOD FRAME]
                                                CPSD-HL-01063-
                                                                                Cut Cross-Sections Of Item With Area >2" In
       Moisture content - solid wood only       MTHD / Moisture         1
                                                                                Diameter, Taking Moisture Reading 1½ " From Core.




                                      GENERAL
                                                  verification
                                                                                8%-12% Max. Report actual value.

                                                                                [STEP STOOL ONLY]

                                               CPSD-HL-01058-                   No tipping - 150 lb concentrated weight applied at
       Tip Resistance                                                   1
                                               MTHD / Actual use                center point of cross-piece or leg-separator. Step- stool
                                                                                only.




                                    CONFIDENTIAL
                                                                                A uniformly distributed load of 200 pounds shall be
                                                                                placed on the second highest step. A horizontal pulling
                                                                                force of 35 pounds, statically applied to the bottom of
                                              ANSI A14.2-07 section             the ladder at a distance of 1 inch above the test
       Stepladder Slip Test                                             1
                                                    7.5.13                      surface, shall not cause any movement in excess of ¼
                                                                                inch across the test surface. The test surface shall be a
                                                                                dry, unwaxed, vinyl tile floor.


PPR - Pre-Production Review
VT - Verification Test


Key:
*                   Additional Charge For This Test
**                  Mandatory Requirement
                                                                                            BV Lab Number:
                                                                                           Technician Name:
                                                                                                  Test Date:
                                                                                          Reviewed By/Date:

                                                                                                               Page 5 of 5


#                    By Request Only

Result Key:
C                    Claimed
R                    Recorded
M                    Meets
NM                   Does Not Meet
NA                   Not Applicable
NT                   Not Tested




                                        DOLLAR
Rating Key:
                     Incomplete
INCOMPLETE           (PPT Rating
                     Only)
                     Complete (PPT
COMPLETE
                     Rating Only)
GOOD                 Good
UNSAT                Unsatisfactory




                                        GENERAL
    No. Of Samples Required for Complete Testing         3   Client Approval:         DECEMBER 01, 2011 /
    No. Of (Fully Packed) Cartons For Transit Testing:   -                            Chuck Rogers
                                                             Creation Date:           AUGUST 30, 2004
    No. Of Working Days For Complete Testing:            7
                                                             Last Revision Date:      NOVEMBER 18, 2011
                                                             Pricing Review Date:
                                                             Technical Review Date:




                                      CONFIDENTIAL
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                       Page 1 of 7


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                           DGEN - 03561 - US
                                                                                      ADULT STORAGE BENCH (V14)
                                                                           No. of
Evaluation                                       Citation / Method                                           Criteria                             PPR          VT                  Results                Rating
                                                                          Samples
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.
                                                                                      The sample should be reviewed against the
                                                                                      requirements of California Proposition 65 to determine




                                     DOLLAR
                                               CPSD-AN-PTCL-
 * California Proposition 65                                                  -       if additional testing is required.                             X
                                                   06572-US
                                                                                      All products containing CA Prop 65 Warning label
                                                                                      will be reported as fail, except garden hoses.
                                                                                      Storage units marketed and intended to hold clothes,
                                                                                      blankets, or linens shall meet the requirements of
     Clothing, blanket, or linen storage    CPSD-HL-PTCL-03613-                       CPSD-HL-PTCL-03613-US if the product contains:
 *                                                                            1                                                                      X          X
     chests                                           US                              - A single volume opening of 1.1 ft³ (0.031 m³) or




                                     GENERAL
                                                                                      greater, and
                                                                                      - Contain a vertically opening hinged lid
LABELING
     One Time Use Products - Fair                                                     Manufacturer, Packer, or Distributor’s Name &
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all                                              Address (City, State & Zip)
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations




                                   CONFIDENTIAL
     One Time Use Products - Fair                                                     Product Identification
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations
                                                                                      Net quantity of contents shall be expressed in terms of
     One Time Use Products - Fair
                                            F.P. and L. Act (16 CFR                   weight or mass, measure, numerical count, or
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform                      combination so as to give accurate information to
** other products -                                                           1                                                                      X
                                             Laws and Regulations                     facilitate consumer comparison (U.S. and metric
     Uniform Packaging and Labeling
                                                 Handbook 130                         units).
     Regulations
                                                                                      Shall indicate country of origin legibly, permanently,
                                                                                      and in comparable size and close proximity to any
                                                                                      mention of country other than country in which the
**   Country Of Origin                              19 CFR 134                1                                                                     X
                                                                                      article was manufactured or produced. Must be visible
                                                                                      at point of purchase.
                                                                                                                                                     BV Lab Number:
                                                                                                                                                    Technician Name:
                                                                                                                                                           Test Date:
                                                                                                                                                   Reviewed By/Date:

                                                                                                                                                                        Page 2 of 7


                                                                             DGEN - 03561 - US
                                                                        ADULT STORAGE BENCH (V14)
                                                               No. of
Evaluation                             Citation / Method                                          Criteria                              PPR   VT           Results        Rating
                                                              Samples
                                                                        Use/care instructions that are clear and understandable
                                       CPSD-HL-01057-                   shall be provided in language appropriate to
    Use labeling                                                1
                                        MTHD / Visual                   destination countries.

                                       CPSD-HL-01057-                   Must be included if it contains filling material
    Bedding Tag                                                 1
                                        MTHD / Visual




                               DOLLAR
                                                                        A label review is only required if Composite Wood is
                                                                        present in the sample, as stated by the Sample
                                                                        Declaration Form.

                                                                        Vendor must provide a completed and approved
                                                                        Sample Declaration Form if wood is present in the
                                                                        product. Sections A, B and D must always be
                                                                        completed.




                               GENERAL
                                                                        If Vendor selects B.3.,
                                                                        Section C must be completed.
                                                                        An acceptable label must be present on the product
                                                                        and/or the outer packaging.
                                      Title 17, CA Code of
                                                                        - If a label is present, it shall consist of a stamp, tag, or
                                       Regulations, Section
                                                                        sticker and be in English. A bar code cannot replace
                                      93120.7(d) Fabricator
    CARB formaldehyde documentation                                     the label information. The label shall include:




                             CONFIDENTIAL
*                                      Label Requirements       1                                                                       X
    and label review                                                    - Name of fabricator or responsible party,
                                        CPSD-GB-08616-
                                                                        - Date of production for the finished good,
                                             MTHD
                                                                        - a statement of compliance which includes
                                                                        identification of the state (“California", “CA”, Calif.”,
                                                                        "CARB", or equivalent) section code 93120 for
                                                                        Formaldehyde
                                                                        - (If Applicable) Has No Added Formaldehyde based
                                                                        resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                        based resins (ULEF)

                                                                        For finished goods, if a label is NOT present, vendor
                                                                        shall indicate if the raw material was manufactured
                                                                        before September 30, 2009 for HWPW-CC (selection
                                                                        of B.2 on Form).
                                                                                                                                                           BV Lab Number:
                                                                                                                                                          Technician Name:
                                                                                                                                                                 Test Date:
                                                                                                                                                         Reviewed By/Date:

                                                                                                                                                                              Page 3 of 7


                                                                                      DGEN - 03561 - US
                                                                                 ADULT STORAGE BENCH (V14)
                                                                        No. of
Evaluation                                     Citation / Method                                         Criteria                             PPR   VT           Results        Rating
                                                                       Samples
                                                                                 Shall provide signed / chopped document: Dollar
                                               CPSD-GB-00001-                    General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                                MTHD / Client             -      Compliance.                                                  X
    Compliance - Toxics in packaging
                                                 requirement
                                                                                 Client requirement
ANALYTICAL




                                    DOLLAR
                                                                                 All accessible surface coatings in the assembled state
                                                                                 on adult furniture [exempt factory applied coatings on
                                                                                 metal components/parts] and household paint shall not
                                                                                 contain lead or lead components in which the lead
                                                                                 content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product                 of the total content.
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /             In case of insufficient coating for testing found on




                                    GENERAL
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -      number of samples specified in the protocol, vendor          X     X
                                             AOAC 974.02 modified                needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                  components/parts for testing.
                                                     MTHD
                                                                                 Report actual results or include data table within
                                                                                 report
                                                                                 Issue a program audit report
                                                                                 Component testing is allowed




                                  CONFIDENTIAL
                                                                                 Compositing is not allowed
HAZARDS
                                                                                 Shall have no sharp points/edges, other than those
                                                16 CFR 1500.48 /                 required for function.
    Sharp points / Sharp edges                                           All
                                                1500.49 modified                 Mod.= expanded scope to other products

FLAMMABILITY
                                                                                 Only applicable to product claimed to meet California
                                                                                 Technical Bulletin 116. Shall meet the specified
    Flame retardance of upholstered           California Technical               flammability requirements for testing the flame
                                                                         --                                                                   X
    furniture - document review                   Bulletin 116                   retardance of resilient filling materials used in
                                                                                 upholstered furniture. In lieu of testing, test report can
                                                                                 be submitted if dated within one year.
                                                                                                                                                     BV Lab Number:
                                                                                                                                                    Technician Name:
                                                                                                                                                           Test Date:
                                                                                                                                                   Reviewed By/Date:

                                                                                                                                                                        Page 4 of 7


                                                                                 DGEN - 03561 - US
                                                                            ADULT STORAGE BENCH (V14)
                                                                   No. of
Evaluation                                 Citation / Method                                        Criteria                            PPR   VT           Results        Rating
                                                                  Samples
                                                                            Shall meet the specified flammability requirements for
                                                                            testing the flame retardance of resilient filling
    Flammability for filling materials -   California Technical
                                                                    --      materials used in upholstered furniture. In lieu of         X
    document review                            Bulletin 117
                                                                            testing, test report can be submitted if dated within one
                                                                            year.
PHYSICAL CHARACTERISTICS




                                     DOLLAR
                                            CPSD-HL-01056-                  Report overall dimensions; shall meet label claims
                                                                                                                                                             C:
    Dimensions - length x width x height    MTHD / Standard         1       (If applicable)
                                                                                                                                                             R:
                                               measure
                                            CPSD-HL-01056-                  Report overall dimensions; shall meet label claims
                                                                                                                                                             C:
    Dimensions - length x width - seat      MTHD / Standard         1       (If applicable)
                                                                                                                                                             R:
                                               measure
                                            CPSD-HL-01056-                  Report overall height; shall meet label claims
                                                                                                                                                             C:
    Dimensions - height - seat              MTHD / Standard




                                     GENERAL
                                                                    1       (If applicable).
                                                                                                                                                             R:
                                               measure
                                            CPSD-HL-01056-                  Report overall weight; shall meet label claims
                                                                                                                                                             C:
    Weight                                  MTHD / Standard         1       (If applicable).
                                                                                                                                                             R:
                                               measure
                                            CPSD-HL-01057-                  Shall conform to claimed features                                                C:
    Number of drawers                                               All
                                             MTHD / Visual                                                                                                   R:
                                            CPSD-HL-01057-                  Shall conform to claimed features                                                C:
    Drawer stops                                                    All




                                   CONFIDENTIAL
                                             MTHD / Visual                                                                                                   R:
                                                                            Shall conform to claimed features                                                C:
                                            CPSD-HL-01057-
    Number of doors                                                 All                                                                                      R:
                                             MTHD / Visual
                                            CPSD-HL-01057-                  Shall conform to claimed feature
    Back - fixed or non-fixed                                       All
                                             MTHD / Visual
                                            CPSD-HL-01057-                  Shall conform to claimed feature.
    Arm - with or without arm                                       All
                                             MTHD / Visual
WORKMANSHIP
                                                                            Shall have no discernible surface degradation,
                                                                            including crazing, shivering, denting, bubbles, cracks,
                                            CPSD-HL-01057-                  stains, deformations, chips, fractures, heavy lines,
    Defects                                                         All
                                             MTHD / Visual                  waves, shear marks, scratches, scuff marks,
                                                                            indentations, or blisters.
                                                                                                                                                   BV Lab Number:
                                                                                                                                                  Technician Name:
                                                                                                                                                         Test Date:
                                                                                                                                                 Reviewed By/Date:

                                                                                                                                                                      Page 5 of 7


                                                                                DGEN - 03561 - US
                                                                           ADULT STORAGE BENCH (V14)
                                                                  No. of
Evaluation                               Citation / Method                                         Criteria                           PPR   VT           Results        Rating
                                                                 Samples
                                                                           Shall have no components missing, malformed, and/or
                                         CPSD-HL-01057-
    Defects                                                        All     fractured.
                                          MTHD / Visual
PERFORMANCE
                                                                           No failure at 100 Lbf. for 1 min. applied to 90° from
                                        CPSD-HL-01017-
    Seating - back pull durability                                 1       back at 16 In. above the seat




                                       DOLLAR
                                       MTHD / Dynamic load
                                                                           No structural failure when 400 Lbf. is applied to each
                                        CPSD-HL-01018-                     seat area compression for 1 min. If no failure, note any
    Seating - seat static load                                     1
                                        MTHD / Static load                 changes

                                                                           No structural breakage when 200lb test load falls free
                                        CPSD-HL-01019-
    Seating - impact durability                                    1       from 6 inches to the center of the seat with 400 lb
                                       MTHD / Dynamic load




                                       GENERAL
                                                                           static load in the other seat area.
                                       ANSI/BIFMA X5.1-02                  Minimum 35 lbs pulling force a 173 lbs weight is
                                       section 12.3 modified /             placed on the seat (strap), tipping force is measured as
    Seating - rear stability                                       1
                                         CPSD-HL-01021-                    pulled rearward against 1 in. obstruction
                                               MTHD
                                                                           The chair is obstructed by 1 In. bar in the front base,
                                                                           tipping force is measured in the 45° to the test
                                                                           platform. The tipping force shall not be less than 40%




                                     CONFIDENTIAL
                                                                           of the total chair weight.
                                         CPSD-HL-01020-
    Seating - front stability                                      1
                                         MTHD / Stability
                                                                           Record sample weight

                                                                           Record tipping force

                                         CPSD-HL-01022-                    No failure under 300 Lbs. loading at edge (6 In.)
    Seating - front seating capacity      MTHD / Force             1
                                           application
                                                                           No failure at 75 Lbf. applied to the leg at 1 In. from
                                       ANSI/BIFMA X5.5-98                  the end of the leg. Force is applied in four directions
                                        section 12 modified /
    Furniture - leg strength test                                  1
                                         CPSD-HL-01034-                    Forward / Rearward - Record results
                                               MTHD
                                                                           Side / Side - Record results
                                                                                                                                                         BV Lab Number:
                                                                                                                                                        Technician Name:
                                                                                                                                                               Test Date:
                                                                                                                                                       Reviewed By/Date:

                                                                                                                                                                            Page 6 of 7


                                                                                      DGEN - 03561 - US
                                                                                 ADULT STORAGE BENCH (V14)
                                                                        No. of
Evaluation                                       Citation / Method                                       Criteria                           PPR   VT           Results        Rating
                                                                       Samples
                                                                                 Shall not separate minimum holding force @ 2.0 Lbs.
       Cap removal strength - end of            CPSD-HL-03056-
                                                                         1       Mod. = expanded scope to other products
       furniture legs                          MTHD / Tensile force
                                                 CPSD-HL-03027-                  Shall provide ease of assembly and shall be accurate
*      Ease of assembly                           MTHD / Ease of         1
                                                    assembly




                                           DOLLAR
                                                                                 [CHAIRS WITH ARMS]

                                                                                 No permanent deformation at 300 Lbs. for 1 min. the
                                                                                 vertical load is uniformly applied through a 5 In.
                                                 CPSD-HL-01023-
                                                                                 Prior to testing identify the dimensional measurements
*      Seating - arm strength vertical            MTHD / Force           1
                                                                                 taken. After testing identify the dimensional
                                                   application
                                                                                 measurement that has exceeded the allowable




                                           GENERAL
                                                                                 tolerance for deformation, record and report the
                                                                                 dimensional measurement prior to and after testing. If
                                                                                 necessary, attach a digital image of the sample.

                                                                                 [CHAIRS WITH ARMS]

                                                                                 No permanent deformation at 75 Lbs. for 1 min. The




                                         CONFIDENTIAL
                                                                                 load is applied to the arm rest horizontally at the most
                                                                                 forward point of the arm rest area.
                                              ANSI/ BIFMA X5.1-02
                                               section 14 modified /
*      Seating - arm strength horizontal                                 1       Prior to testing identify the dimensional measurements
                                                CPSD-HL-01029-
                                                                                 taken. After testing identify the dimensional
                                                      MTHD
                                                                                 measurement that has exceeded the allowable
                                                                                 tolerance for deformation, record and report the
                                                                                 dimensional measurement prior to and after testing. If
                                                                                 necessary, attach a digital image of the sample.


PPR - Pre-Production Review
VT - Verification Test


Key:
*                    Additional Charge For This Test
                                                                                         BV Lab Number:
                                                                                        Technician Name:
                                                                                               Test Date:
                                                                                       Reviewed By/Date:

                                                                                                            Page 7 of 7


**                Mandatory Requirement
#                 By Request Only

Result Key:
C                 Claimed
R                 Recorded
M                 Meets
NM                Does Not Meet
NA                Not Applicable
NT                Not Tested




                                     DOLLAR
Rating Key:
                  Incomplete
INCOMPLETE        (PPT Rating
                  Only)
                  Complete (PPT
COMPLETE
                  Rating Only)
GOOD              Good




                                     GENERAL
UNSAT             Unsatisfactory


 No. Of Samples Required for Complete Testing         5   Client Approval:         DECEMBER 01, 2011 /
 No. Of (Fully Packed) Cartons For Transit Testing:   -                            Chuck Rogers
                                                          Creation Date:           MARCH 01, 2005
 No. Of Working Days For Complete Testing:            7
                                                          Last Revision Date:      NOVEMBER 18, 2011
                                                          Pricing Review Date:     AUGUST 04, 2010




                                   CONFIDENTIAL
                                                          Technical Review Date:
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                      Page 1 of 12


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                             DGEN - 03567 - US
                                                                                           TV MEDIA STAND (V14)
                                                                           No. of
Evaluation                                       Citation / Method                                           Criteria                             PPR          VT                  Results                Rating
                                                                          Samples
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.
                                                                                      The sample should be reviewed against the
                                               DGEN-AN-PTCL-
 * California Proposition 65                                                  -       requirements of California Proposition 65 to determine         X




                                     DOLLAR
                                                   06572-US
                                                                                      if additional testing or labeling is required.
LABELING
     One Time Use Products - Fair                                                     Manufacturer, Packer, or Distributor’s Name &
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all                                              Address (City, State & Zip)
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations




                                     GENERAL
     One Time Use Products - Fair                                                     Product Identification
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations
                                                                                      Net quantity of contents shall be expressed in terms of
     One Time Use Products - Fair
                                            F.P. and L. Act (16 CFR                   weight or mass, measure, numerical count, or
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform                      combination so as to give accurate information to
** other products -                                                           1                                                                      X




                                   CONFIDENTIAL
                                             Laws and Regulations                     facilitate consumer comparison (U.S. and metric
     Uniform Packaging and Labeling
                                                 Handbook 130                         units).
     Regulations
                                                                                      Shall indicate country of origin legibly, permanently,
                                                                                      and in comparable size and close proximity to any
                                                                                      mention of country other than country in which the
**   Country Of Origin                              19 CFR 134                1                                                                     X
                                                                                      article was manufactured or produced. Must be visible
                                                                                      at point of purchase.

                                                                                      Use / care instructions that are clear and
                                                 CPSD-HL-01057-                       understandable shall be provided in language
     Use labeling                                                             1
                                                  MTHD / Visual                       appropriate to destination countries.

                                                                                      Shall have valid UL, CSA, ETL or BV Safety Agency
     Client acceptable safety agency             CPSD-HL-01057-
                                                                              1       Listing mark for USA and Canada. Report Mark.                 X
     labeling                                     MTHD / Visual
                                                                                                                                              BV Lab Number:
                                                                                                                                             Technician Name:
                                                                                                                                                    Test Date:
                                                                                                                                            Reviewed By/Date:

                                                                                                                                                                 Page 2 of 12


                                                                               DGEN - 03567 - US
                                                                             TV MEDIA STAND (V14)
                                                                No. of
Evaluation                                Citation / Method                                    Criteria                          PPR   VT           Results         Rating
                                                               Samples
                                                                         Verify Client Acceptable Safety Agency Listing by
                                          CPSD-EL-01090-
                                                                         contacting Listing Agency with the sample's Listing
    Safety agency listing verification   MTHD / Verification     1                                                               X
                                                                         Number, Manufacturer, Model Number, and/or
                                             procedure
                                                                         Agency Control Number. Shall be verified.
                                                                         Product is to comply with all marking and labeling
                                                                         requirements of this section regarding cautions and




                                     DOLLAR
                                         ANSI / UL 1678 4th              warnings, manufacturer’s name, trade name, catalog or
    Marking                                                      All
                                          edition section 23             model number, date or manufacture, factory
                                                                         identification, etc.




                                     GENERAL
                                   CONFIDENTIAL
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 3 of 12


                                                                                DGEN - 03567 - US
                                                                              TV MEDIA STAND (V14)
                                                                No. of
Evaluation                              Citation / Method                                          Criteria                              PPR   VT           Results         Rating
                                                               Samples
                                                                         A label review is only required if Composite Wood is
                                                                         present in the sample, as stated by the Sample
                                                                         Declaration Form.

                                                                         Vendor must provide a completed and approved
                                                                         Sample Declaration Form if wood is present in the




                                  DOLLAR
                                                                         product. Sections A, B and D must always be
                                                                         completed.

                                                                         If Vendor selects B.3.,
                                                                         Section C must be completed.
                                                                         An acceptable label must be present on the product
                                                                         and/or the outer packaging.
                                       Title 17, CA Code of
                                                                         - If a label is present, it shall consist of a stamp, tag, or




                                  GENERAL
                                        Regulations, Section
                                                                         sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                      the label information. The label shall include:
*                                       Label Requirements       1                                                                       X
    and label review                                                     - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                         - Date of production for the finished good,
                                              MTHD
                                                                         - a statement of compliance which includes
                                                                         identification of the state (“California", “CA”, Calif.”,
                                                                         "CARB", or equivalent) section code 93120 for
                                                                         Formaldehyde




                                CONFIDENTIAL
                                                                         - (If Applicable) Has No Added Formaldehyde based
                                                                         resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                         based resins (ULEF)

                                                                         For finished goods, if a label is NOT present, vendor
                                                                         shall indicate if the raw material was manufactured
                                                                         before September 30, 2009 for HWPW-CC (selection
                                                                         of B.2 on Form).


                                                                         Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                   General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -      Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                         Client requirement
ANALYTICAL
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 4 of 12


                                                                                       DGEN - 03567 - US
                                                                                     TV MEDIA STAND (V14)
                                                                        No. of
Evaluation                                     Citation / Method                                         Criteria                         PPR   VT           Results         Rating
                                                                       Samples
                                                                                 All accessible surface coatings in the assembled state
                                                                                 on adult furniture [exempt factory applied coatings on
                                                                                 metal components/parts] and household paint shall not
                                                                                 contain lead or lead components in which the lead
                                                                                 content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product                 of the total content.




                                    DOLLAR
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /             In case of insufficient coating for testing found on
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -      number of samples specified in the protocol, vendor      X     X
                                             AOAC 974.02 modified                needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                  components/parts for testing.
                                                     MTHD
                                                                                 Report actual results or include data table within
                                                                                 report




                                    GENERAL
                                                                                 Issue a program audit report
                                                                                 Component testing is allowed
                                                                                 Compositing is not allowed
HAZARDS
                                                                                 Shall have no sharp points / edges, other than those
                                                16 CFR 1500.48 /
    Sharp points / Sharp edges                                           All     required for function.
                                                1500.49 modified




                                  CONFIDENTIAL
PHYSICAL CHARACTERISTICS
                                               CPSD-HL-01056-                    Report overall dimensions; shall meet label claims
                                                                                                                                                               C:
    Dimensions                                 MTHD / Standard           1       (If applicable).
                                                                                                                                                               R:
                                                  measure
                                               CPSD-HL-01056-                    Report dimensions; shall meet label claims
    Dimensions - height x width - flat                                                                                                                         C:
                                               MTHD / Standard           1       (If applicable) (-0% / +5%)
    panel tv rack - if applicable                                                                                                                              R:
                                                  measure
                                                                                 Report maximum and minimum height; shall meet
    Dimensions - adjustment height - flat      CPSD-HL-01056-
                                                                                 label claims                                                                  C:
    panel tv - maximum and minimum -           MTHD / Standard           1
                                                                                 (If applicable) (-0% / +5%)                                                   R:
    if applicable                                 measure
                                               CPSD-HL-01056-                    Report overall weight; shall meet label claims
                                                                                                                                                               C:
    Weight                                     MTHD / Standard           1       (If applicable) (-0% / +5%).
                                                                                                                                                               R:
                                                  measure
                                               CPSD-HL-01057-                    Shall meet label claims.                                                      C:
    Parts Inventory                                                      1
                                                MTHD / Visual                                                                                                  R:
WORKMANSHIP
                                                                                                                                                 BV Lab Number:
                                                                                                                                                Technician Name:
                                                                                                                                                       Test Date:
                                                                                                                                               Reviewed By/Date:

                                                                                                                                                                    Page 5 of 12


                                                                                DGEN - 03567 - US
                                                                              TV MEDIA STAND (V14)
                                                                 No. of
Evaluation                                Citation / Method                                      Criteria                           PPR   VT           Results         Rating
                                                                Samples
                                                                          Shall have no discernible surface degradation,
                                                                          including crazing, shivering, denting, bubbles, cracks,
                                          CPSD-HL-01057-                  stains, deformations, chips, fractures, heavy lines,
    Defects                                                       All
                                           MTHD / Visual                  waves, shear marks, scratches, scuff marks,
                                                                          indentations, or blisters.




                                     DOLLAR
                                                                          Shall have no components missing, malformed, and /
                                          CPSD-HL-01057-
    Defects                                                       All     or fractured.
                                           MTHD / Visual
PERFORMANCE
                                                                          As described in section, shall not tip over when placed
                                                                          at the center of a plane to 10 degrees with the
                                                                          horizontal with a simulated load per Table 13.2
                                                                          attached to the flat panel TV rack.




                                     GENERAL
                                                                          Modification = Added Flat panel TV rack tip stability
                                          UL 1678 4th edition             test requirement in Table 13.2
    Tip stability - flat panel TV stand                           1
                                          section 15 modified             Report if wall-mounting hardware is provided. The TV
                                                                          stand shall not tip over without wall-mounting
                                                                          hardware installed.

                                                                          {See corresponding Table T-0046 at the end of this




                                   CONFIDENTIAL
                                                                          Protocol}
                                                                                                                                        BV Lab Number:
                                                                                                                                       Technician Name:
                                                                                                                                              Test Date:
                                                                                                                                      Reviewed By/Date:

                                                                                                                                                           Page 6 of 12


                                                                      DGEN - 03567 - US
                                                                    TV MEDIA STAND (V14)
                                                       No. of
Evaluation                     Citation / Method                                       Criteria                            PPR   VT           Results         Rating
                                                      Samples
                                                                [Conventional TV stand]
                                                                [*Report tipping angle on request only]

                                                                A cart or stand not intended for use with a television,
                                                                shall not tip over when placed at the center of a plane
                                                                inclined to make an angle of 10 degrees with the




                                DOLLAR
                                                                horizontal and loaded as specified in Table 13.1 of this
                                                                standard. A cart or stand intended for use with a
                                                                television shall not tip over when placed at the center
                               ANSI / UL 1678 4th               of a plane to 10 degrees with the horizontal with the
    Tip stability test                                  1
                                edition section 15              surface intended to support a television loaded with
                                                                the simulated television load described in section 13.4.
                                                                If the manufacturer specifies a television range, then
                                                                the test is to be conducted with the simulated loads




                                GENERAL
                                                                within the range specified. The test is to be conducted
                                                                according to all of the stipulations of this section of
                                                                the standard.

                                                                * RECORD TIP ANGLE IF SAMPLE DOES NOT
                                                                MEET
                                                                A cart or stand shall be constructed so that there is no
                                                                collapse or permanent damage that results in risk of




                              CONFIDENTIAL
                                                                injury to persons when each supporting surface it
                                                                individually loaded with:
                                                                - Two times the load specified in Table 13.1 plus 100
                                                                pounds for the surface intended to support a television;
                                                                - Four times the load specified in Table 13.1, not to
                               ANSI / UL 1678 4th               exceed 100 pounds for all other supporting surfaces;
    Individual loading test                             1
                               edition section 16.1             or
                                                                - The maximum intended load for a dedicated storage
                                                                area intended to accommodate a specific accessory.
                                                                Each supporting surface shall be tested for one minute
                                                                with the other supporting surfaces unloaded.

                                                                {See corresponding Table T-0006 at the end of this
                                                                Protocol}
                                                                                                                                                    BV Lab Number:
                                                                                                                                                   Technician Name:
                                                                                                                                                          Test Date:
                                                                                                                                                  Reviewed By/Date:

                                                                                                                                                                       Page 7 of 12


                                                                                  DGEN - 03567 - US
                                                                                TV MEDIA STAND (V14)
                                                                   No. of
Evaluation                                 Citation / Method                                        Criteria                           PPR   VT           Results         Rating
                                                                  Samples
                                                                            A cart or stand shall be constructed so that there is no
                                                                            collapse or permanent damage that results in risk of
                                                                            injury to persons when each supporting surface it
                                                                            individually loaded with:
                                                                            - 200 pounds for flat panel TV rack;
                                                                            - Four times the load specified in Table 13.1, not to




                                     DOLLAR
                                                                            exceed 100 pounds for all other supporting surfaces;
                                                                            or
    Loading test - individual loading -    UL 1678 4th edition              - The maximum intended load for a dedicated storage
                                                                    1
    flat panel TV stand                   section 16.1 modified             area intended to accommodate a specific accessory.
                                                                            Each supporting surface shall be tested for one minute
                                                                            with the other supporting surfaces unloaded.
                                                                            Modification = Expanded scope to the flat panel TV
                                                                            stand




                                     GENERAL
                                                                            {See corresponding Table T-0006 at the end of this
                                                                            Protocol}

                                                                            [CONVENTIONAL TV STAND]

                                                                            The cart or stand shall be constructed so that there is
                                                                            no collapse or permanent damage that results in a risk




                                   CONFIDENTIAL
                                                                            of injury to persons when each supporting surface is
    Loading Test – Simultaneous           UL 1678 4th Edition
                                                                    1       simultaneously loaded with the load specified in Table
    Loading                               Section 16.2 (Mod.)
                                                                            13.1 for a period of one minute. Modification = test to
                                                                            300 pounds.

                                                                            {See corresponding Table T-0006 at the end of this
                                                                            Protocol}
                                                                                                                                            BV Lab Number:
                                                                                                                                           Technician Name:
                                                                                                                                                  Test Date:
                                                                                                                                          Reviewed By/Date:

                                                                                                                                                               Page 8 of 12


                                                                         DGEN - 03567 - US
                                                                       TV MEDIA STAND (V14)
                                                          No. of
Evaluation                         Citation / Method                                       Criteria                            PPR   VT           Results         Rating
                                                         Samples
                                                                   [FLAT PANEL TV STAND]

                                                                   The cart or stand shall be constructed so that there is
                                                                   no collapse or permanent damage that results in a risk
                                                                   of injury to persons when each supporting surface is
    Loading Test – Simultaneous    UL 1678 4th Edition             simultaneously loaded with the load specified in Table
                                                           1




                                    DOLLAR
    Loading                        Section 16.2 (Mod.)             13.1 for a period of one minute. Modification = Test
                                                                   flat panel TV rack to 200 lbs or manufacturer's
                                                                   specified load, whichever is greater.

                                                                   {See corresponding Table T-0006 at the end of this
                                                                   Protocol}
                                                                   A cart or stand shall sustain no damage or deformation
                                                                   that would result in risk of injury to persons when each




                                    GENERAL
                                                                   shelf, drawer or door that is accessible to a child is
                                                                   separately loaded with a force of 50 lbf (222 Nm)
                                                                   applied in the downward direction for one minute.
                                   ANSI / UL 1678 4th
    Appurtenance loading test                              1       Prior to testing identify the dimensional measurements
                                    edition section 18
                                                                   taken. After testing identify the dimensional
                                                                   measurement that has exceeded the allowable
                                                                   tolerance for deformation, record and report the




                                  CONFIDENTIAL
                                                                   dimensional measurement prior to and after testing. If
                                                                   necessary, attach a digital image of the sample.

                                                                   A cart or stand shall withstand a single impact of 5 ft.-
                                   ANSI / UL 1678 4th              lbs (6.8 Nm) without damage to the cart or stand that
    Impact Test                                            1
                                    edition section 19             results in non-compliance to this standard.

                                                                   Structural glass parts shall comply with the
                                                                   requirements in the impact test, Section 19. A
                                                                   decorative glass part having an area greater than 1 ft²
                                   ANSI / UL 1678 4th
    Impact test - glass parts                              1       or having a major dimension greater than 18 inches,
                                    edition section 20
                                                                   shall not be broken, shattered (totally or in part), or
                                                                   displaced when tested as described in 20.3 of this
                                                                   section.
                                                     BV Lab Number:
                                                    Technician Name:
                                                           Test Date:
                                                   Reviewed By/Date:

                                                                        Page 9 of 12


PPR - Pre-Production Review
VT - Verification Test


Key:
*                Additional Charge For This Test
**               Mandatory Requirement
#                By Request Only

Result Key:




                                    DOLLAR
C                Claimed
R                Recorded
M                Meets
NM               Does Not Meet
NA               Not Applicable
NT               Not Tested

Rating Key:




                                    GENERAL
                 Incomplete
INCOMPLETE       (PPT Rating
                 Only)
                 Complete (PPT
COMPLETE
                 Rating Only)
GOOD             Good
UNSAT            Unsatisfactory




                                  CONFIDENTIAL
Image Appendix
                                   BV Lab Number:
                                  Technician Name:
                                         Test Date:
                                 Reviewed By/Date:

                                                      Page 10 of 12


T-0006 Table
13.1 Supporting
Surface Loading
Parameters.jpg




                    DOLLAR
                    GENERAL
                  CONFIDENTIAL
                                                                                         BV Lab Number:
                                                                                        Technician Name:
                                                                                               Test Date:
                                                                                       Reviewed By/Date:

                                                                                                            Page 11 of 12


T-0046 - 15
DEGREE
ANGLE- Table
13.2 - Simulated
Television Load
Parameters.JPG




                                    DOLLAR
                                    GENERAL
                                  CONFIDENTIAL
 No. Of Samples Required for Complete Testing         3   Client Approval:         DECEMBER 01, 2011 /
 No. Of (Fully Packed) Cartons For Transit Testing:   1                            Chuck Rogers
                                                          Creation Date:           APRIL 03, 2007
 No. Of Working Days For Complete Testing:            7
                                                          Last Revision Date:      NOVEMBER 18, 2011
                                                          Pricing Review Date:
                                                          Technical Review Date:
                 BV Lab Number:
                Technician Name:
                       Test Date:
               Reviewed By/Date:

                                    Page 12 of 12




  DOLLAR
  GENERAL
CONFIDENTIAL
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                       Page 1 of 5


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                       DGEN - 03569 - US
                                                                             FOLDABLE ONE PIECE PICNIC TABLE (V14)
                                                                           No. of
Evaluation                                       Citation / Method                                Criteria                                        PPR          VT                  Results                Rating
                                                                          Samples
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.
                                                                                      The sample should be reviewed against the
                                               DGEN-AN-PTCL-
 * California Proposition 65                                                  -       requirements of California Proposition 65 to determine         X




                                     DOLLAR
                                                   06572-US
                                                                                      if additional testing or labeling is required.
LABELING
     One Time Use Products - Fair                                                     Manufacturer, Packer, or Distributor’s Name &
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all                                              Address (City, State & Zip Code)
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations




                                     GENERAL
     One Time Use Products - Fair                                                     Product Identification
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations
                                                                                      Net quantity of contents shall be expressed in terms of
     One Time Use Products - Fair
                                            F.P. and L. Act (16 CFR                   weight or mass, measure, numerical count, or
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform                      combination so as to give accurate information to
** other products -                                                           1                                                                      X




                                   CONFIDENTIAL
                                             Laws and Regulations                     facilitate consumer comparison (U.S. and metric
     Uniform Packaging and Labeling
                                                 Handbook 130                         units).
     Regulations
                                                                                      Shall indicate country of origin legibly, permanently,
                                                                                      and in comparable size and close proximity to any
                                                                                      mention of country other than country in which the
**   Country Of Origin                              19 CFR 134                1                                                                     X
                                                                                      article was manufactured or produced. Must be visible
                                                                                      at point of purchase.

                                                                                      Use/care instructions that are clear and understandable
                                                 CPSD-HL-01057-                       shall be provided in language appropriate to
     Use labeling                                                             1
                                                  MTHD / Visual                       destination countries.

     Accuracy or adequacy of instructions        CPSD-HL-01057-                       Shall be easy to follow.
                                                                              1
     - layout                                     MTHD / Visual
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 2 of 5


                                                                                DGEN - 03569 - US
                                                                  FOLDABLE ONE PIECE PICNIC TABLE (V14)
                                                                No. of
Evaluation                              Citation / Method                                      Criteria                                   PPR   VT           Results        Rating
                                                               Samples
                                                                       A label review is only required if Composite Wood is
                                                                       present in the sample, as stated by the Sample
                                                                       Declaration Form.

                                                                          Vendor must provide a completed and approved
                                                                          Sample Declaration Form if wood is present in the




                                  DOLLAR
                                                                          product. Sections A, B and D must always be
                                                                          completed.

                                                                          If Vendor selects B.3.,
                                                                          Section C must be completed.
                                                                          An acceptable label must be present on the product
                                                                          and/or the outer packaging.
                                       Title 17, CA Code of
                                                                          - If a label is present, it shall consist of a stamp, tag, or




                                  GENERAL
                                        Regulations, Section
                                                                          sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                       the label information. The label shall include:
*                                       Label Requirements        1                                                                       X
    and label review                                                      - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                          - Date of production for the finished good,
                                              MTHD
                                                                          - a statement of compliance which includes
                                                                          identification of the state (“California", “CA”, Calif.”,
                                                                          "CARB", or equivalent) section code 93120 for
                                                                          Formaldehyde




                                CONFIDENTIAL
                                                                          - (If Applicable) Has No Added Formaldehyde based
                                                                          resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                          based resins (ULEF)

                                                                          For finished goods, if a label is NOT present, vendor
                                                                          shall indicate if the raw material was manufactured
                                                                          before September 30, 2009 for HWPW-CC (selection
                                                                          of B.2 on Form).


                                                                          Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                    General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -       Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                          Client requirement
ANALYTICAL
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 3 of 5


                                                                                        DGEN - 03569 - US
                                                                          FOLDABLE ONE PIECE PICNIC TABLE (V14)
                                                                        No. of
Evaluation                                     Citation / Method                                       Criteria                          PPR   VT           Results        Rating
                                                                       Samples
                                                                               All accessible surface coatings in the assembled state
                                                                               on adult furniture [exempt factory applied coatings on
                                                                               metal components/parts] and household paint shall not
                                                                               contain lead or lead components in which the lead
                                                                               content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product               of the total content.




                                    DOLLAR
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /              In case of insufficient coating for testing found on
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -       number of samples specified in the protocol, vendor    X     X
                                             AOAC 974.02 modified                 needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                   components/parts for testing.
                                                     MTHD
                                                                                  Report actual results or include data table within
                                                                                  report




                                    GENERAL
                                                                                  Issue a program audit report
                                                                                  Component testing is allowed
                                                                                  Compositing is not allowed
HAZARDS
                                                                                  Shall have no sharp points/edges, other than those
                                                16 CFR 1500.48 /                  required for function.
    Sharp points / Sharp edges                                           All
                                                1500.49 modified                  Mod.=expanded scope to other products




                                  CONFIDENTIAL
WORKMANSHIP
                                                                                  Shall have no components missing, malformed, and/or
                                               CPSD-HL-01057-
    Defects                                                              All      fractured.
                                                MTHD / Visual
                                               CPSD-HL-01057-                     Shall have no hardware missing.
    Defects                                                              All
                                                MTHD / Visual
                                               CPSD-HL-01057-                     Welds shall be smoothly ground, not over-ground and
    Defects                                                              All
                                                MTHD / Visual                     free of pits and splatter.
PERFORMANCE
                                                                                                                                                        BV Lab Number:
                                                                                                                                                       Technician Name:
                                                                                                                                                              Test Date:
                                                                                                                                                      Reviewed By/Date:

                                                                                                                                                                           Page 4 of 5


                                                                                    DGEN - 03569 - US
                                                                         FOLDABLE ONE PIECE PICNIC TABLE (V14)
                                                                       No. of
Evaluation                                     Citation / Method                               Criteria                                    PPR   VT           Results        Rating
                                                                      Samples
                                                                              [TABLE]

                                             ANSI/BIFMA X5.5-98               Max. 1/4 In Deformation Or No Malfunction In Any
       Tables and desks - distributed load   section 4.3 modified /           Component When Test Load Is Applied Distributed
                                                                        1
       capacity                                CPSD-HL-01030-                 On The Surface. Test Load Based On Sq. Ft Not To
                                                    MTHD                      Exceed 200 Lbs.




                                         DOLLAR
                                                                              <4 SQ FT =40LBS/SQ FT
                                                                              >/=4 SQ FT = 50 LBS/SQ FT
                                                                              [TABLE]
                                             ANSI/BIFMA X5.5-98
                                                                              Must Not Have Any One Wheel / Leg Lift Off The
                                              section 13 modified /
       Tables and desks - stability test                                1     Floor When Test Load Is Applied 1 In. From The
                                               CPSD-HL-01032-
                                                                              Edge On 12 In. Disc
                                                MTHD modified
                                                                              > 4 Sq. Ft.= 100 Lbs.




                                         GENERAL
                                                                              <4 Sq. Ft. = 90 Lbs.
                                                                              [TABLE]
                                             ANSI/BIFMA X5.5-98
                                              section 11 modified /
       Tables and desks - end drop test                                 1     Must be serviceable without any damage or
                                               CPSD-HL-01033-
                                                                              malfunction when one end of table is dropped from a
                                                     MTHD
                                                                              height of 10 in.
                                                                              [TABLE]




                                       CONFIDENTIAL
                                               In-house method /
       Leg strength test                       CPSD-HL-01034-           1     No structural failure at 40 lbs. applied vertically to the
                                                    MTHD                      leg at 1 inch from the end of the leg. Force is applied
                                                                              in four directions (forward, rearward, side to side).
                                              CPSD-HL-01058-                  Shall Be Non - Marring
       Protective Caps On Legs                                          1
                                              MTHD / Actual use
       Cap removal strength - end of          CPSD-HL-03056-                  Shall Not Separate. Minimum - No Failure/Permanent
                                                                        1
       furniture legs                        MTHD / Tensile force             Deformation Force Of 5.0 Lbs.
                                              CPSD-HL-03027-                  Shall Provide Ease Of Assembly And Shall Be
*      Ease of assembly                        MTHD / Ease of           1     Accurate
                                                 assembly

PPR - Pre-Production Review
VT - Verification Test


Key:
                                                                                         BV Lab Number:
                                                                                        Technician Name:
                                                                                               Test Date:
                                                                                       Reviewed By/Date:

                                                                                                            Page 5 of 5


*                Additional Charge For This Test
**               Mandatory Requirement
#                By Request Only

Result Key:
C                Claimed
R                Recorded
M                Meets
NM               Does Not Meet
NA               Not Applicable




                                    DOLLAR
NT               Not Tested

Rating Key:
                 Incomplete
INCOMPLETE       (PPT Rating
                 Only)
                 Complete (PPT
COMPLETE
                 Rating Only)




                                    GENERAL
GOOD             Good
UNSAT            Unsatisfactory


 No. Of Samples Required for Complete Testing         5   Client Approval:         DECEMBER 01, 2011 /
 No. Of (Fully Packed) Cartons For Transit Testing:   -                            Chuck Rogers
                                                          Creation Date:           JULY 29, 2004
 No. Of Working Days For Complete Testing:            7
                                                          Last Revision Date:      NOVEMBER 18, 2011




                                  CONFIDENTIAL
                                                          Pricing Review Date:
                                                          Technical Review Date:
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                       Page 1 of 8


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                             DGEN - 03575 - US
                                                                                           COMPUTER DESK (V13)
                                                                           No. of
Evaluation                                       Citation / Method                                           Criteria                             PPR          VT                  Results                Rating
                                                                          Samples
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.
                                                                                      The sample should be reviewed against the
                                               DGEN-AN-PTCL-
 * California Proposition 65                                                  -       requirements of California Proposition 65 to determine         X




                                     DOLLAR
                                                   06572-US
                                                                                      if additional testing or labeling is required.
LABELING
     One Time Use Products - Fair                                                     Manufacturer, Packer, or Distributor’s Name &
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all                                              Address (City, State & Zip Code)
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations




                                     GENERAL
     One Time Use Products - Fair                                                     Product Identification
                                            F.P. and L. Act (16 CFR
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform
** other products -                                                           1                                                                      X
                                             Laws and Regulations
     Uniform Packaging and Labeling
                                                 Handbook 130
     Regulations
                                                                                      Net quantity of contents shall be expressed in terms of
     One Time Use Products - Fair
                                            F.P. and L. Act (16 CFR                   weight or mass, measure, numerical count, or
     Packaging and Labeling Act - or all
                                            500) OR NIST Uniform                      combination so as to give accurate information to
** other products -                                                           1                                                                      X




                                   CONFIDENTIAL
                                             Laws and Regulations                     facilitate consumer comparison (U.S. and metric
     Uniform Packaging and Labeling
                                                 Handbook 130                         units).
     Regulations
                                                                                      Shall indicate country of origin legibly, permanently,
                                                                                      and in comparable size and close proximity to any
                                                                                      mention of country other than country in which the
**   Country Of Origin                              19 CFR 134                1                                                                     X
                                                                                      article was manufactured or produced. Must be visible
                                                                                      at point of purchase.

                                                                                      Use/care instructions that are clear and understandable
                                                 CPSD-HL-01057-                       shall be provided in language appropriate to
     Use labeling                                                             1
                                                  MTHD / Visual                       destination countries.
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 2 of 8


                                                                                DGEN - 03575 - US
                                                                              COMPUTER DESK (V13)
                                                                No. of
Evaluation                              Citation / Method                                          Criteria                              PPR   VT           Results        Rating
                                                               Samples
                                                                         A label review is only required if Composite Wood is
                                                                         present in the sample, as stated by the Sample
                                                                         Declaration Form.

                                                                         Vendor must provide a completed and approved
                                                                         Sample Declaration Form if wood is present in the




                                  DOLLAR
                                                                         product. Sections A, B and D must always be
                                                                         completed.

                                                                         If Vendor selects B.3.,
                                                                         Section C must be completed.
                                                                         An acceptable label must be present on the product
                                                                         and/or the outer packaging.
                                       Title 17, CA Code of
                                                                         - If a label is present, it shall consist of a stamp, tag, or




                                  GENERAL
                                        Regulations, Section
                                                                         sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                      the label information. The label shall include:
*                                       Label Requirements       1                                                                       X
    and label review                                                     - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                         - Date of production for the finished good,
                                              MTHD
                                                                         - a statement of compliance which includes
                                                                         identification of the state (“California", “CA”, Calif.”,
                                                                         "CARB", or equivalent) section code 93120 for
                                                                         Formaldehyde




                                CONFIDENTIAL
                                                                         - (If Applicable) Has No Added Formaldehyde based
                                                                         resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                         based resins (ULEF)

                                                                         For finished goods, if a label is NOT present, vendor
                                                                         shall indicate if the raw material was manufactured
                                                                         before September 30, 2009 for HWPW-CC (selection
                                                                         of B.2 on Form).


                                                                         Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                   General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -      Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                         Client requirement
ANALYTICAL
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 3 of 8


                                                                                       DGEN - 03575 - US
                                                                                     COMPUTER DESK (V13)
                                                                        No. of
Evaluation                                     Citation / Method                                        Criteria                          PPR   VT           Results        Rating
                                                                       Samples
                                                                                 All accessible surface coatings in the assembled state
                                                                                 on adult furniture [exempt factory applied coatings on
                                                                                 metal components/parts] and household paint shall not
                                                                                 contain lead or lead components in which the lead
                                                                                 content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product                 of the total content.




                                    DOLLAR
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /             In case of insufficient coating for testing found on
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -      number of samples specified in the protocol, vendor      X     X
                                             AOAC 974.02 modified                needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                  components/parts for testing.
                                                     MTHD
                                                                                 Report actual results or include data table within
                                                                                 report




                                    GENERAL
                                                                                 Issue a program audit report
                                                                                 Component testing is allowed
                                                                                 Compositing is not allowed
HAZARDS
                                                                                 Shall have no sharp points/edges, other than those
                                                16 CFR 1500.48 /                 required for function.
    Sharp points / Sharp edges                                           All
                                                1500.49 modified                 Mod.=expanded scope to other products




                                  CONFIDENTIAL
FLAMMABILITY
                                                                                 Shall not exceed the maximum allowable limit of no
                                                                                 greater than 0.1 inches per second
                                              16 CFR 1500.3 (c) (6)
    Flammability of solids                                               1
                                              (vi) / 16 CFR 1500.44
                                                                                 If warning statement about flammability is presented
                                                                                 on the package, provide exhibit photo in report.
PHYSICAL CHARACTERISTICS
                                               CPSD-HL-01056-                    Report overall dimensions; shall meet label claims (If                        C:
    Dimensions                                 MTHD / Standard           1       applicable) (-0%/+5% report dimensions for                                    R:
                                                  measure                        handmade product as data only).
                                               CPSD-HL-01056-                    Report overall dimensions; shall meet label claims (If                        C:
    Dimensions - size - keyboard tray          MTHD / Standard           1       applicable) (-0%/+5% report dimensions for                                    R:
                                                  measure                        handmade product as data only).
                                               CPSD-HL-01056-                    Report overall weight; shall meet label claims                                C:
    Weight                                     MTHD / Standard           1       (If applicable) (-0% / +5%)                                                   R:
                                                  measure
                                                                                                                                       BV Lab Number:
                                                                                                                                      Technician Name:
                                                                                                                                             Test Date:
                                                                                                                                     Reviewed By/Date:

                                                                                                                                                          Page 4 of 8


                                                                      DGEN - 03575 - US
                                                                    COMPUTER DESK (V13)
                                                       No. of
Evaluation                        Citation / Method                                    Criteria                           PPR   VT           Results        Rating
                                                      Samples
                                                                Shall meet label claims.                                                       C:
                                  CPSD-HL-01057-
    Parts Inventory                                     1                                                                                      R:
                                   MTHD / Visual
                                  Visual / CPSD-HL-             Shall meet label claims.                                                       C:
    Number of drawers                                   All
                                    01057-MTHD                                                                                                 R:
                                  Visual / CPSD-HL-             Shall meet label claims.                                                       C:




                                   DOLLAR
    Drawer stops                                        All
                                    01057-MTHD                                                                                                 R:
                                  Visual / CPSD-HL-             Shall meet label claims.                                                       C:
    Number of doors                                     All
                                    01057-MTHD                                                                                                 R:
                                  Visual / CPSD-HL-             Shall meet label claims.                                                       C:
    Number of shelves or tiers                          All
                                    01057-MTHD                                                                                                 R:
                                  Visual / CPSD-HL-             Shall meet label claims.
    Leg height adjustment                               All
                                    01057-MTHD




                                   GENERAL
WORKMANSHIP
                                                                Shall have no discernible surface degradation,
                                                                including crazing, shivering, denting, bubbles, cracks,
                                  CPSD-HL-01057-                stains, deformations, chips, fractures, heavy lines,
    Defects                                             All
                                   MTHD / Visual                waves, shear marks, scratches, scuff marks,
                                                                indentations, or blisters.

                                                                Shall have no components missing, malformed, and /
                                  CPSD-HL-01057-




                                 CONFIDENTIAL
    Defects                                             All     or fractured.
                                   MTHD / Visual
                                  CPSD-HL-01057-                As Claimed
    Material type                                       All
                                   MTHD / Visual
PERFORMANCE
                                  CPSD-HL-03027-                Shall provide ease of assembly and shall be accurate
*   Ease of assembly               MTHD / Ease of       1
                                     assembly
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 5 of 8


                                                                                   DGEN - 03575 - US
                                                                                 COMPUTER DESK (V13)
                                                                    No. of
Evaluation                                  Citation / Method                                        Criteria                            PPR   VT           Results        Rating
                                                                   Samples
                                                                             Max. 1/4 in. deformation and /or no loss of
                                                                             serviceability when the sample's primary use surface
                                                                             and extendable surfaces are subjected to a distributed
                                                                             load as calculated per sample's primary use surface for
                                          ANSI/BIFMA X5.5-98                 60 minutes. Refer to table below.
    Tables and desks - distributed load   section 4.3 modified /
                                                                     1




                                      DOLLAR
    capacity                                CPSD-HL-01030-                   Record and report pre and post test dimensional
                                                 MTHD                        measurements.


                                                                             {See corresponding Table T-0039 at end of the
                                                                             protocol}
                                                                             Shall not exhibit any instances of instability when test
                                                                             load is applied through a 12 in. disc (9 In. loading disc




                                      GENERAL
                                                                             if the sample's length, width or diameter is 12 in. or
                                                                             less) 1 in. from the edge of primary use surface.

                                          ANSI/BIFMA X5.5-98                 [See corresponding Table T-0040 at end of the
                                           section 13 modified /             protocol]
    Tables and desks - stability test                                1
                                            CPSD-HL-01032-
                                             MTHD modified                   Modification:
                                                                             1. Application outside of its intended scope




                                    CONFIDENTIAL
                                                                             2. The test load requirements have been modified for
                                                                             different kind of samples.
                                                                             3. 9 in. diameter loading area disc is applied for
                                                                             smaller sized table/desk.
                                                                             No structural failure and / or permanent deformation
                                                                             after subjecting each leg to a loading force (at 1 in.
                                                                             distance from the end of the support member) of 75-lbf
                                            CPSD-HL-01034-
                                                                             for one minute. Force is applied in four directions
    Furniture - leg strength test            MTHD / Force            1
                                                                             (forward, rearward, and each lateral side).
                                              application
                                                                             Record and report the applied force and type of failure
                                                                             if any is observed


PPR - Pre-Production Review
VT - Verification Test
                                                     BV Lab Number:
                                                    Technician Name:
                                                           Test Date:
                                                   Reviewed By/Date:

                                                                        Page 6 of 8



Key:
*                Additional Charge For This Test
**               Mandatory Requirement
#                By Request Only

Result Key:
C                Claimed
R                Recorded
M                Meets




                                    DOLLAR
NM               Does Not Meet
NA               Not Applicable
NT               Not Tested

Rating Key:
                 Incomplete
INCOMPLETE       (PPT Rating
                 Only)




                                    GENERAL
                 Complete (PPT
COMPLETE
                 Rating Only)
GOOD             Good
UNSAT            Unsatisfactory

Image Appendix




                                  CONFIDENTIAL
                                 BV Lab Number:
                                Technician Name:
                                       Test Date:
                               Reviewed By/Date:

                                                    Page 7 of 8


T-0039 Tables
and Desks-
Stability
Test.JPG




                  DOLLAR
                  GENERAL
                CONFIDENTIAL
                                                                                         BV Lab Number:
                                                                                        Technician Name:
                                                                                               Test Date:
                                                                                       Reviewed By/Date:

                                                                                                            Page 8 of 8


T-0040 Tables
and Desks-
Distributed
Load
Capacity.JPG




                                    DOLLAR
 No. Of Samples Required for Complete Testing         2   Client Approval:         DECEMBER 01, 2011 /
                                                                                   Chuck Rogers




                                    GENERAL
 No. Of (Fully Packed) Cartons For Transit Testing:   1
                                                          Creation Date:           JANUARY 21, 2008
 No. Of Working Days For Complete Testing:            7
                                                          Last Revision Date:      NOVEMBER 18, 2011
                                                          Pricing Review Date:
                                                          Technical Review Date:




                                  CONFIDENTIAL
                                                                                                                                                    BV Lab Number:
                                                                                                                                                   Technician Name:
                                                                                                                                                          Test Date:
                                                                                                                                                  Reviewed By/Date:

                                                                                                                                                                       Page 1 of 6


                                                                  DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                    DGEN - 03594 - US
                                                                          LAP DESK WITH STAND / SOLO DESK (V7)
                                                                      No. of
Evaluation                                    Citation / Method                                Criteria                                PPR   VT           Results        Rating
                                                                     Samples
SUPPLEMENTAL PROTOCOLS
                                                                             The sample should be reviewed against the
                                              DGEN-AN-PTCL-
*    California Proposition 65                                         -     requirements of California Proposition 65 to determine    X
                                                 06572-US
                                                                             if additional testing or labeling is required.




                                    DOLLAR
LABELING
   One Time Use Products Fair               F.P. & L. Act (16 CFR            Manufacturer, packer, or distributor’s name & address
   Packaging and Labeling Act OR All        500) OR NIST Uniform             (city, state & zip)
**                                                                     -                                                               X
   Other Products Uniform Packaging          Laws and Regulations
   and Labeling Regulations                     Handbook 130
   One Time Use Products Fair               F.P. & L. Act (16 CFR            Product Identification
   Packaging and Labeling Act OR All        500) OR NIST Uniform
**                                                                     -                                                               X




                                    GENERAL
   Other Products Uniform Packaging          Laws and Regulations
   and Labeling Regulations                     Handbook 130
                                                                             Net quantity of contents shall be expressed in terms of
     One Time Use Products Fair             F.P. & L. Act (16 CFR            weight or mass, measure, numerical count, or
     Packaging and Labeling Act OR All      500) OR NIST Uniform             combination so as to give accurate information to
**                                                                     -                                                               X
     Other Products Uniform Packaging        Laws and Regulations            facilitate consumer comparison (U.S. and metric
     and Labeling Regulations                   Handbook 130                 units).




                                  CONFIDENTIAL
                                                                             Shall indicate country of origin legibly, permanently,
                                                                             and in comparable size and close proximity to any
                                                                             mention of country other than country in which the
**   Country of origin                           19 CFR 134            1                                                               X
                                                                             article was manufactured or produced. Must be visible
                                                                             at point of purchase.

                                                                             Use / care instructions that are clear and
                                              CPSD-HL-01057-                 understandable shall be provided in language
     Use labeling                                                      1
                                               MTHD / Visual                 appropriate to destination countries.

     Accuracy or adequacy of instructions     CPSD-HL-01057-                 Shall be easy to follow
                                                                       1
     - layout                                  MTHD / Visual
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 2 of 6


                                                                                  DGEN - 03594 - US
                                                                    LAP DESK WITH STAND / SOLO DESK (V7)
                                                                No. of
Evaluation                              Citation / Method                                        Criteria                                 PPR   VT           Results        Rating
                                                               Samples
                                                                         A label review is only required if Composite Wood is
                                                                         present in the sample, as stated by the Sample
                                                                         Declaration Form.

                                                                          Vendor must provide a completed and approved
                                                                          Sample Declaration Form if wood is present in the




                                  DOLLAR
                                                                          product. Sections A, B and D must always be
                                                                          completed.

                                                                          If Vendor selects B.3.,
                                                                          Section C must be completed.
                                                                          An acceptable label must be present on the product
                                                                          and/or the outer packaging.
                                       Title 17, CA Code of
                                                                          - If a label is present, it shall consist of a stamp, tag, or




                                  GENERAL
                                        Regulations, Section
                                                                          sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                       the label information. The label shall include:
*                                       Label Requirements        1                                                                       X
    and label review                                                      - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                          - Date of production for the finished good,
                                              MTHD
                                                                          - a statement of compliance which includes
                                                                          identification of the state (“California", “CA”, Calif.”,
                                                                          "CARB", or equivalent) section code 93120 for
                                                                          Formaldehyde




                                CONFIDENTIAL
                                                                          - (If Applicable) Has No Added Formaldehyde based
                                                                          resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                          based resins (ULEF)

                                                                          For finished goods, if a label is NOT present, vendor
                                                                          shall indicate if the raw material was manufactured
                                                                          before September 30, 2009 for HWPW-CC (selection
                                                                          of B.2 on Form).


                                                                          Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                    General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -       Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                          Client requirement
ANALYTICAL
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 3 of 6


                                                                                          DGEN - 03594 - US
                                                                            LAP DESK WITH STAND / SOLO DESK (V7)
                                                                        No. of
Evaluation                                     Citation / Method                                         Criteria                         PPR   VT           Results        Rating
                                                                       Samples
                                                                                 All accessible surface coatings in the assembled state
                                                                                 on adult furniture [exempt factory applied coatings on
                                                                                 metal components/parts] and household paint shall not
                                                                                 contain lead or lead components in which the lead
                                                                                 content is in exceed of 0.009% (90ppm) of the weight
                                                Consumer Product                 of the total content.




                                    DOLLAR
                                             Safety Improvement Act
                                             of 2008 / 16 CFR 1303 /              In case of insufficient coating for testing found on
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -       number of samples specified in the protocol, vendor     X     X
                                             AOAC 974.02 modified                 needs to provide additional samples, dipped parts or
                                               / CPSD-AN-00001-                   components/parts for testing.
                                                     MTHD
                                                                                  Report actual results or include data table within
                                                                                  report




                                    GENERAL
                                                                                  Issue a program audit report
                                                                                  Component testing is allowed
                                                                                  Compositing is not allowed
HAZARDS
                                                                                  Shall have no sharp points / edges, other than those
                                                16 CFR 1500.48 /
    Sharp points / Sharp edges                                           All      required for function.
                                                1500.49 modified
                                                                                  Modification = Expanded scope to other products




                                  CONFIDENTIAL
PHYSICAL CHARACTERISTICS
                                               CPSD-HL-01056-                     Report overall dimensions; shall meet label claims
    Dimensions - length x width x height       MTHD / Standard            1       (If applicable).
                                                    measure
                                               CPSD-HL-01056-                     Report overall diameter; shall meet label claims (if
                                                                                                                                                               C:
    Dimensions - diameter                      MTHD / Standard            1       applicable).
                                                                                                                                                               R:
                                                    measure
                                               CPSD-HL-01056-                     Report overall weight; shall meet label claims (If
                                                                                                                                                               C:
    Weight                                     MTHD / Standard            1       applicable)
                                                                                                                                                               R:
                                                    measure
                                               CPSD-HL-01057-                     As claimed                                                                   C:
    Parts Inventory                                                       1
                                                MTHD / Visual                                                                                                  R:
                                               CPSD-HL-01057-                     As claimed                                                                   C:
    Material Type                                                        All
                                                MTHD / Visual                                                                                                  R:
                                               Visual / CPSD-HL-                  As claimed                                                                   C:
    Height adjustment                                                    All
                                                 01057-MTHD                                                                                                    R:
                                                                                                                                          BV Lab Number:
                                                                                                                                         Technician Name:
                                                                                                                                                Test Date:
                                                                                                                                        Reviewed By/Date:

                                                                                                                                                             Page 4 of 6


                                                                             DGEN - 03594 - US
                                                                LAP DESK WITH STAND / SOLO DESK (V7)
                                                            No. of
Evaluation                             Citation / Method                                  Criteria                           PPR   VT           Results        Rating
                                                           Samples
                                       CPSD-HL-01057-                Shall be non-marring
    Protective Caps On Legs                                   1
                                        MTHD / Visual
                                       Visual / CPSD-HL-           As claimed                                                                     C:
    Base - caster or non-caster                              All
                                         01057-MTHD                                                                                               R:
WORKMANSHIP
                                       CPSD-HL-01057-              Shall have no components missing, malformed, and /




                                     DOLLAR
    Defects                                                  All
                                        MTHD / Visual              or fractured.
                                                                   Shall have no discernible surface degradation,
                                                                   including crazing, shivering, denting, bubbles, cracks,
                                       CPSD-HL-01057-
    Defects                                                  All   stains, deformations, chips, fractures, heavy lines,
                                        MTHD / Visual
                                                                   waves, shear marks, scratches, scuff marks,
                                                                   indentations, or blisters.
PERFORMANCE




                                     GENERAL
                                                                    Shall function as intended as received. Report details
    Actual use - functionality - not   CPSD-HL-01058-              of evaluation (features tested / methods used /
                                                             1
    covered by other tests             MTHD / Actual use           materials used / etc.) Report any features not
                                                                   evaluated.
                                       CPSD-HL-03027-              Shall provide ease of assembly and shall be accurate
*   Ease Of Assembly                    MTHD / Ease of       1
                                          assembly
                                                                   Maximum ¼ In. deformation and no structural




                                   CONFIDENTIAL
                                                                   breakage
                                                                   (Test load dependent upon shelf width and depth):
                                                                   < 8 In. depth (3 Lbs. x shelf width)
                                                                   8 - 16 In. depth (5 Lbs. x shelf width)
                                                                   >16 In. depth (7 Lbs. x shelf width)
                                       CPSD-HL-01030-
    Distributed load capacity                                1
                                           MTHD                                Prior to testing identify the dimensional
                                                                   measurements taken. After testing identify the
                                                                   dimensional measurement that has exceeded the
                                                                   allowable tolerance for deformation, record and report
                                                                   the dimensional measurement prior to and after
                                                                   testing. If necessary, attach a digital image of the
                                                                   sample.
                                       CPSD-HL-01031-              Measure before & after. Load 50 Lbs. applied on a 12
    Concentrated load test                                   1
                                           MTHD                    In. diameter disk with no breakage or failure
                                                                                                                                                         BV Lab Number:
                                                                                                                                                        Technician Name:
                                                                                                                                                               Test Date:
                                                                                                                                                       Reviewed By/Date:

                                                                                                                                                                            Page 5 of 6


                                                                                          DGEN - 03594 - US
                                                                             LAP DESK WITH STAND / SOLO DESK (V7)
                                                                         No. of
Evaluation                                        Citation / Method                                     Criteria                            PPR   VT           Results        Rating
                                                                        Samples
                                                  In-house method /               No tipping @ 8 degree inclination
       Tilt resistance                            CPSD-HL-01011-           1
                                                        MTHD
                                                  CPSD-HL-01058-                 No damage after 100 repeated open / close cycles
       Hinge Operability                                                  1
                                                 MTHD / Actual use
                                                Actual use / CPSD-HL-            No failure after 100 times cycling




                                       DOLLAR
       Locking device                                                     1
                                                    01058-MTHD
                                                  CPSD-HL-01055-                 Surface shall not be marred or scratched after 6 cycles
       Surface scratching - wood panel                                     -
                                                 MTHD / Scratching               of 6 In. (back and forth) with standard office supplies
                                                  CPSD-HL-01058-                 Report the maximum force to move desk in unloaded
       Caster Performance                                                 1
                                                 MTHD / Actual use               state on a non-carpeted floor.
                                                                                 No structural failure or permanent deformation when
                                                                                 75 Lbs. static load is applied 1 In. from the end of leg




                                       GENERAL
                                                                                 on front and side
                                                 CPSD-HL-01034-
                                                                                 Prior to testing identify the dimensional measurements
       Leg strength                             MTHD / Furniture leg      1
                                                                                 taken. After testing identify the dimensional
                                                    strength
                                                                                 measurement that has exceeded the allowable
                                                                                 tolerance for deformation, record and report the
                                                                                 dimensional measurement prior to and after testing. If
                                                                                 necessary, attach a digital image of the sample.




                                     CONFIDENTIAL
                                                 CPSD-HL-01063-                  [Leg and Top]
       Moisture content - solid wood only        MTHD / Moisture          1      Report actual value
                                                   verification
                                                 CPSD-HL-01007-                  No rusting after 24 hours @ 95% RH and 100°F.
       Humidity Exposure                                                  1
                                                 MTHD / Humidity
                                                 CPSD-HL-01012-                  24 hours @ 0 ° F and 120 ° F - no failure or visual
       Effects of extreme temperature
                                                MTHD / Temperature        1      change
       change
                                                     change

Remark:
PPR - Pre-Production Review
VT - Verification Test


Key:
*                     Additional Charge For This Test
**                    Mandatory Requirement
                                                                                            BV Lab Number:
                                                                                           Technician Name:
                                                                                                  Test Date:
                                                                                          Reviewed By/Date:

                                                                                                               Page 6 of 6


#                   By Request Only

Result Key:
C                   Claimed
R                   Recorded
M                   Meets
NM                  Does Not Meet
NA                  Not Applicable
NT                  Not Tested




                                       DOLLAR
Rating Key:
                    Incomplete
INCOMPLETE          (PPT Rating
                    Only)
                    Complete (PPT
COMPLETE
                    Rating Only)
GOOD                Good
UNSAT               Unsatisfactory




                                       GENERAL
    No. Of Samples Required for Complete Testing         5   Client Approval:         DECEMBER 01, 2011 /
    No. Of (Fully Packed) Cartons For Transit Testing:   1                            Chuck Rogers
                                                             Creation Date:           JANUARY 05, 2010
    No. Of Working Days For Complete Testing:            7
                                                             Last Revision Date:      NOVEMBER 18, 2011
                                                             Pricing Review Date:
                                                             Technical Review Date:




                                     CONFIDENTIAL
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                      Page 1 of 21


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                           DGEN - 08002 - US
                                                                                      CHILDREN'S FURNITURE (V25)
                                                                          No. of
Evaluation                                      Citation / Method                                            Criteria                             PPR         VT                   Results                Rating
                                                                         Samples
SCOPE:
THIS PROTOCOL DOES NOT APPLY TO RESIN CHAIR WHICH SHOULD BE TESTED TO PRODUCT SPECIFIC PROTOCOL
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.




                                     DOLLAR
                                                                                     The sample should be reviewed against the
                                              DGEN-AN-PTCL-
* California Proposition 65                                                   -      requirements of California Proposition 65 to determine         X
                                                  06572-US
                                                                                     if additional testing or labeling is required.
LABELING
                                                                                     [PACKAGING AND LABELING EVALUATION]

                                                                                     -Shall be labeled with product identification.




                                     GENERAL
                                                                                     -Shall be labeled with the manufacturer, packer, or
                                                                                     distributor's name and address (city, state and ZIP).
    One Time Use Products - Fair
                                             F.P. and L. Act (16 CFR                 -Net quantity of contents shall be on PDP and be
    Packaging and Labeling Act - or all
                                             500) OR NIST Uniform                    expressed in terms of weight or mass, measure,
    other products -                                                         --                                                                    X
                                              Laws and Regulations                   numerical count, or combination so as to give accurate
    Uniform Packaging and Labeling
                                                  Handbook 130                       information to facilitate consumer comparison (English
    Regulations
                                                                                     and metric units).
                                                                                     -Glue and Adhesives sold with the product shall




                                   CONFIDENTIAL
                                                                                     comply with the labeling requirements of 16 CFR 500,
                                                                                     "Regulations under section 4 of the Fair Packaging and
                                                                                     Labeling Act"
                                                                                     Shall be labeled on packaging to indicate adult
    Toys intended to be assembled by an          16 CFR 1500.50
                                                                             --      assembly required due to the presence of small parts,         X
    adult                                           (b)(ii)(5)
                                                                                     sharp points, sharp edges as received.
                                                                                     [PACKAGING AND LABELING EVALUATION]
                                                CPSD-HL-01057-
    Parts Labeling                                                           --
                                                 MTHD / Visual                       Shall match the actual content if present

                                                                                     [PACKAGING AND LABELING EVALUATION]
                                                CPSD-HL-01057-
    Accuracy or adequacy of instructions                                     --
                                                 MTHD / Visual                       Shall be legible and easy to understand; instructions
                                                                                     shall be consistent with sample performance
                                                                                                                                                  BV Lab Number:
                                                                                                                                                 Technician Name:
                                                                                                                                                        Test Date:
                                                                                                                                                Reviewed By/Date:

                                                                                                                                                                     Page 2 of 21


                                                                               DGEN - 08002 - US
                                                                          CHILDREN'S FURNITURE (V25)
                                                                 No. of
Evaluation                               Citation / Method                                        Criteria                           PPR   VT           Results         Rating
                                                                Samples
                                                                          [PACKAGING AND LABELING EVALUATION]

                                                                          Shall be marked with the country of origin when
                                                                          imported into the U.S. in a conspicuous place to
    Country Of Origin                       19 CFR 134            --      indicate to the ultimate purchaser in the U.S., the        X
                                                                          English name of the country of origin. - All




                                    DOLLAR
                                                                          individually packaged items shall contain the country
                                                                          of origin - All items shipped in bulk or displayed in
                                                                          bulk must contain the country of origin
                                                                          Substances (glues and adhesives) have a special
    Labeling of hazardous substances   16 CFR 1500.14(b)(1-5)     --      hazards to health shall have conform labeling              X     X
                                                                          requirement as defined by 16 CFR 1500.14(b)(1-5)
                                                                          Shall have a label securely affixed that contains: - The
                                                                          name and manufacturer or other marketing or




                                    GENERAL
    Labeling review: fiber               16 CFR 300 / 303         --      registration number - The country of origin - The          X
                                                                          generic name and percentage of all fibers in the
                                                                          product.
                                                                          [GENERAL REQUIREMENTS]

                                                                          For wearing apparel covered by 16 CFR 423:With care
                                                                          label: Conduct laundry test according to the labeled




                                  CONFIDENTIAL
                                                                          care instruction. Evaluate for general appearance as
                                                                          acceptance criteria.Without care label: Failed for
*   Labeling review: care                   16 CFR 423            --                                                                 X
                                                                          labeling requirement. No softline test will be
                                                                          conducted. For wearing apparel not covered by 16
                                                                          CFR 423:With care label: Conduct laundry test
                                                                          according to the labeled care instruction. Evaluate for
                                                                          general appearance as acceptance criteria.Without care
                                                                          label: No softline test is required.
                                                                                                                                                     BV Lab Number:
                                                                                                                                                    Technician Name:
                                                                                                                                                           Test Date:
                                                                                                                                                   Reviewed By/Date:

                                                                                                                                                                        Page 3 of 21


                                                                                 DGEN - 08002 - US
                                                                            CHILDREN'S FURNITURE (V25)
                                                                  No. of
Evaluation                               Citation / Method                                         Criteria                             PPR   VT           Results         Rating
                                                                 Samples
                                                                           All filling materials shall have a securely affixed tag or
                                                                           label which contains the following information:
                                                                           -The statement, "UNDER PENALTY OF LAW THIS
                                                                           TAG NOT TO BE REMOVED EXCEPT BY THE
                                                                           CONSUMER"
                                                                           -A description of the filling contents preceded by the
   Bedding and upholstered furniture   Association of Bedding




                                      DOLLAR
                                                                   --      statement, "ALL NEW MATERIALS CONSISTING                     X
   labeling                                and Furniture
                                                                           OF"
                                                                           -The assigned state number (i.e. REG. NO. PA")
                                                                           -The statements, "Certification is made by the
                                                                           manufacturer that the materials used in this article are
                                                                           described in accordance with law"

                                                                           Each mattress and mattress pads shall bear a




                                      GENERAL
   Mattresses and mattress pads
                                          16 CFR 1632.31           --      permanent, accessible, and legible label containing the      X     X
   Labeling
                                                                           information specified in the regulation.
                                                                           All Mattress sets manufactured, imported, or renovated
                                                                           on or after July 1st 2007 shall bear a permanent,
   Mattress Set Labeling                  16 CFR 1633.12           --                                                                   X     X
                                                                           conspicuous, and legible label(s) containing the
                                                                           information in English as specified in the regulation.
                                                                           Product shall not contain the following Illinois lead




                                    CONFIDENTIAL
                                                                           warning label per client's requirement. Refer to the
                                                                           analytical section for details.
                                       Illinois Lead Poisoning
   Illinois lead warning label                                      -                                                                   X
                                            Prevention Act
                                                                           "WARNING: CONTAINS LEAD. MAY BE
                                                                           HARMFUL IF EATEN OR CHEWED. COMPLIES
                                                                           WITH FEDERAL STANDARDS."
                                                                           A permanent and distinguishing mark or code on the
                                                                           product and its packaging, to the extent practicable,
                                                                           allows the manufacturer and purchaser to ascertain the
                                         Consumer Product
   Tracking labels for children's                                          name of the manufacturer or private labeler, location
                                       Safety Improvement Act       -                                                                   X     X
   products                                                                and date of production of the product.
                                               of 2008
                                                                           Verified the Presence only. The accuracy of tracking
                                                                           label will not be verified.
                                                                                                                                                  BV Lab Number:
                                                                                                                                                 Technician Name:
                                                                                                                                                        Test Date:
                                                                                                                                                Reviewed By/Date:

                                                                                                                                                                     Page 4 of 21


                                                                                DGEN - 08002 - US
                                                                           CHILDREN'S FURNITURE (V25)
                                                                 No. of
Evaluation                               Citation / Method                                        Criteria                           PPR   VT           Results         Rating
                                                                Samples
                                                                          Consumer registration requirement:
                                                                          Required to provide consumers with a postage-paid
                                                                          consumer registration form with each such product and
                                                                          to permanently place the manufacturer name and
                                                                          contact information, model name and number, and the
                                                                          date of manufacture on each durable infant or toddler




                                     DOLLAR
                                                                          product.

                                                                          Requirements for registration form:
                                                                          The registration form shall
                                                                          (A) include spaces for a consumer to provide the
                                                                          consumer's name, address, telephone number, and e-
                                                                          mail address;
                                                                          (B) include space sufficiently large to permit easy,




                                     GENERAL
                                                                          legible recording of all desired information;
                                                                          (C) be attached to the surface of each durable infant or
                                                                          toddler product so that, as a practical matter, the
                                                                          consumer must notice and handle the form after
                                                                          purchasing the product;
    Registration for durable nursery   CPSIA section 104(d) /
*                                                                 --      (D) include the manufacturer's name, model name and
    product                                16 CFR 1130
                                                                          number for the product, and the date of manufacture;
                                                                          (E) include a message explaining the purpose of the




                                   CONFIDENTIAL
                                                                          registration and designed to encourage consumers to
                                                                          complete the registration;
                                                                          (F) include an option for consumers to register through
                                                                          the Internet; and
                                                                          (G) include a statement that information provided by
                                                                          the consumer shall not be used for any purpose other
                                                                          than to facilitate a recall of or safety alert regarding
                                                                          that product.

                                                                          "Durable infant or toddler product" means full-size
                                                                          cribs and nonfull-size cribs, toddler beds, high chairs,
                                                                          booster chairs, hook-on chairs, bath seats, gates and
                                                                          other enclosures for confining a child, play yards,
                                                                          stationary activity centers, infant carriers, strollers,
                                                                          walkers, swings, bassinets and cradles, children's
                                                                          folding chairs, changing tables, bouncers, infant bath
                                                                          tubs, bed rails and infant sling.
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 5 of 21


                                                                               DGEN - 08002 - US
                                                                          CHILDREN'S FURNITURE (V25)
                                                                No. of
Evaluation                              Citation / Method                                          Criteria                              PPR   VT           Results         Rating
                                                               Samples
                                                                         A label review is only required if Composite Wood is
                                                                         present in the sample, as stated by the Sample
                                                                         Declaration Form.

                                                                         Vendor must provide a completed and approved
                                                                         Sample Declaration Form if wood is present in the




                                   DOLLAR
                                                                         product. Sections A, B and D must always be
                                                                         completed.

                                                                         If Vendor selects B.3.,
                                                                         Section C must be completed.
                                                                         An acceptable label must be present on the product
                                                                         and/or the outer packaging.
                                       Title 17, CA Code of
                                                                         - If a label is present, it shall consist of a stamp, tag, or




                                   GENERAL
                                        Regulations, Section
                                                                         sticker and be in English. A bar code cannot replace
                                       93120.7(d) Fabricator
    CARB formaldehyde documentation                                      the label information. The label shall include:
*                                       Label Requirements       1                                                                       X
    and label review                                                     - Name of fabricator or responsible party,
                                         CPSD-GB-08616-
                                                                         - Date of production for the finished good,
                                              MTHD
                                                                         - a statement of compliance which includes
                                                                         identification of the state (“California", “CA”, Calif.”,
                                                                         "CARB", or equivalent) section code 93120 for
                                                                         Formaldehyde




                                 CONFIDENTIAL
                                                                         - (If Applicable) Has No Added Formaldehyde based
                                                                         resins (NAF) or Ultra Low Emitting Formaldehyde
                                                                         based resins (ULEF)

                                                                         For finished goods, if a label is NOT present, vendor
                                                                         shall indicate if the raw material was manufactured
                                                                         before September 30, 2009 for HWPW-CC (selection
                                                                         of B.2 on Form).


                                                                         Shall provide signed / chopped document: Dollar
                                        CPSD-GB-00001-                   General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                         MTHD / Client            -      Compliance.                                                     X
    Compliance - Toxics in packaging
                                          requirement
                                                                         Client requirement
                                                                                                                                                         BV Lab Number:
                                                                                                                                                        Technician Name:
                                                                                                                                                               Test Date:
                                                                                                                                                       Reviewed By/Date:

                                                                                                                                                                            Page 6 of 21


                                                                                      DGEN - 08002 - US
                                                                                 CHILDREN'S FURNITURE (V25)
                                                                        No. of
Evaluation                                     Citation / Method                                         Criteria                           PPR   VT           Results         Rating
                                                                       Samples
                                                                                 Examine the retail packaging (or submitted artwork).

                                                                                 Record each objective (factual) claim which can be
                                                                                 substantiated by the testing within the protocols and
                                                                                 rate accordingly.




                                      DOLLAR
                                                                                 Additional testing required outside of the protocol
                                                                                 shall be approved. Any objective claim not approved
                                                                                 by the client shall be recorded as “NT” and rate as “-”.
                                                CPSD-GB-08612-
*   Claim verification level 3                                            -      If additional testing cannot be conducted due to
                                                    MTHD
                                                                                 capability issues, the claims shall be recorded as “NT”
                                                                                 and rated as “Data”




                                      GENERAL
                                                                                 All subjective (opinion) claims shall be recorded as
                                                                                 “Not Tested” and rated as “-”.

                                                                                 Record information evaluated between the graphic
                                                                                 imagery and the product

                                                                                 Record disclaimers on datasheet
ANALYTICAL




                                    CONFIDENTIAL
                                                                                 All accessible surface coatings, before and after use
                                                                                 and abuse testing, on items intended for children ages
                                                                                 12 and under shall not contain lead or lead components
                                                                                 in which the lead content is in excess of 0.009%
                                                                                 (90ppm) of the weight of the total content.
                                                Consumer Product
                                             Safety Improvement Act
                                                                                 In case of insufficient coating for testing found on
                                             of 2008 / 16 CFR 1303 /
                                                                                 number of samples specified in the protocol, vendor
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -                                                                 X     X
                                                                                 needs to provide additional samples for testing.
                                             AOAC 974.02 modified /
                                                CPSD-AN-00001-
                                                                                 Report actual results or include data table within
                                                     MTHD
                                                                                 report.
                                                                                 Issue a third party test report.

                                                                                 Component testing is not allowed.
                                                                                 Composite testing is not allowed.
                                                                                                                                                   BV Lab Number:
                                                                                                                                                  Technician Name:
                                                                                                                                                         Test Date:
                                                                                                                                                 Reviewed By/Date:

                                                                                                                                                                      Page 7 of 21


                                                                               DGEN - 08002 - US
                                                                          CHILDREN'S FURNITURE (V25)
                                                                No. of
Evaluation                              Citation / Method                                        Criteria                             PPR   VT           Results         Rating
                                                               Samples
                                                                         All accessible substrates, before and after use and
                                                                         abuse testing, on items intended for children ages 12
                                                                         and under shall not contain lead in excess of 0.01%
                                                                         (100ppm) of the weight of the total content.

                                                                         In case of insufficient material for testing found on




                                        DOLLAR
                                                                         number of samples specified in the protocol, vendor
                                                                         needs to provide components/parts for testing.
                                         Consumer Product
                                      Safety Improvement Act             Report actual results or include data table within
                                        of 2008 / CPSC-CH-               report.
    Total lead content in substrate
*                                     E1001-08.1 / CPSC-CH-      --      Issue a program audit report (until December 2011).          X     X
    materials
                                      E1002-08.1 / CPSD-AN-
                                       00185-MTHD / CPSD-                Component testing is allowed.




                                        GENERAL
                                         AN-00196-MTHD                   Composite up to 3 like materials except for IL law
                                                                         compliance (see below in note) and metal.

                                                                         Note:
                                                                         - For IL law compliance, compositing is not allowed
                                                                         for children's jewelry (< 12 yrs.), child care articles (<
                                                                         6 yrs.); otherwise compositing of up to 3 like materials
                                                                         is conducted. Refer to IL lead line for compliance to




                                      CONFIDENTIAL
                                                                         this law.
                                                                                                                                                          BV Lab Number:
                                                                                                                                                         Technician Name:
                                                                                                                                                                Test Date:
                                                                                                                                                        Reviewed By/Date:

                                                                                                                                                                             Page 8 of 21


                                                                                        DGEN - 08002 - US
                                                                                   CHILDREN'S FURNITURE (V25)
                                                                         No. of
Evaluation                                     Citation / Method                                          Criteria                           PPR   VT           Results         Rating
                                                                        Samples
                                                                                  The following surface coatings shall contain less than
                                                                                  0.004% (40ppm) lead or lead compounds in which the
                                                                                  lead content is the weight of the total content:
                                                                                  a.         All accessible surface coatings, in the as
                                                                                  received state, on jewelry for children under 12 years
                                                                                  of age,




                                      DOLLAR
                                                                                  b.         All accessible surface coatings, before and
                                                                                  after use and abuse testing, on child care articles for
                                                                                  children under 6 years of age, and on toys for children
                                                                                  under 12 years of age.

                                                                                  As a client requirement, the warning label is not
                                                                                  allowed.
                                              Illinois Lead Poisoning




                                      GENERAL
                                             Prevention Act / CPSC-               In case of insufficient coating for testing found on the
*   Total lead content in surface coatings                                 -                                                                 X
                                             CH-E1003-09.1 / CPSD-                number of samples specified in the protocol, vendor
                                                 AN-00001-MTHD                    needs to provide additional samples/component parts
                                                                                  (including raw materials) for testing. The vendor is
                                                                                  responsible for compliance of all other products
                                                                                  outside of the above scope.

                                                                                  Report actual results or include data table within




                                    CONFIDENTIAL
                                                                                  report.
                                                                                  Component testing is allowed.
                                                                                  Compositing is not allowed.

                                                                                  Note: Child care article shall mean items intended to be
                                                                                  used directly in the mouth by the child or components
                                                                                  likely to be mouthed, chewed, sucked, or licked by the
                                                                                  child.
                                                                                                                                                    BV Lab Number:
                                                                                                                                                   Technician Name:
                                                                                                                                                          Test Date:
                                                                                                                                                  Reviewed By/Date:

                                                                                                                                                                       Page 9 of 21


                                                                                 DGEN - 08002 - US
                                                                            CHILDREN'S FURNITURE (V25)
                                                                  No. of
Evaluation                              Citation / Method                                          Criteria                            PPR   VT           Results         Rating
                                                                 Samples
                                                                           The following substrate materials shall contain less
                                                                           than 0.004% (40ppm) lead or lead compounds in
                                                                           which the lead content is the weight of the total
                                                                           content:
                                                                           a.         All accessible substrate materials, in the as
                                                                           received state, on jewelry for children under 12 years




                                        DOLLAR
                                                                           of age,
                                                                           b.         All accessible substrate materials, before and
                                                                           after use and abuse testing, on child care articles for
                                                                           children under 6 years of age.

                                                                           As a client requirement, the warning label is not
                                                                           allowed.
                                       Illinois Lead Poisoning




                                        GENERAL
                                      Prevention Act / CPSC-
                                                                           In case of insufficient material for testing found on the
                                      CH-E1001-08.1 / CPSC-
    Total lead content in substrate                                        number of samples specified in the protocol, vendor
*                                     CH-E1002-08.1 / CPSD-         -                                                                  X
    materials                                                              needs to provide additional samples/components/parts
                                         AN-00185-MTHD /
                                                                           for testing. Materials exempted from testing under
                                          CPSD-AN-00196-
                                                                           CPSIA (e.g., textiles) under 16 CFR 1500.88 and
                                                MTHD
                                                                           1500.91(d) and (e) will not be tested. The vendor is
                                                                           responsible for compliance of all other products
                                                                           outside of the above scope.




                                      CONFIDENTIAL
                                                                           Report actual results or include data table within
                                                                           report.
                                                                           Component testing is allowed.
                                                                           Compositing is not allowed.

                                                                           Note: Child care article shall mean items intended to be
                                                                           used directly in the mouth by the child or components
                                                                           likely to be mouthed, chewed, sucked, or licked by the
                                                                           child.
                                                                                                                                            BV Lab Number:
                                                                                                                                           Technician Name:
                                                                                                                                                  Test Date:
                                                                                                                                          Reviewed By/Date:

                                                                                                                                                               Page 10 of 21


                                                                         DGEN - 08002 - US
                                                                    CHILDREN'S FURNITURE (V25)
                                                           No. of
Evaluation                            Citation / Method                                     Criteria                           PPR   VT           Results           Rating
                                                          Samples
                                                                    All accessible surface coatings, before and after use
                                                                    and abuse testing, on:
                                                                    - toys intended for children up to age 14;
                                                                    - child care articles;
                                                                    - children’s food contact items;
                                                                    - all jewelries (including jewelry making craft kits)




                                    DOLLAR
                                                                    shall comply with the following limits: Antimony (Sb)
                                                                    60 mg/kg, Arsenic (As) 25 mg/kg, Barium (Ba) 1000
                                                                    mg/kg, Cadmium (Cd) 75 mg/kg, Chromium (Cr) 60
                                                                    mg/kg, Lead (Pb) 40 mg/kg, Mercury (Hg) 60 mg/kg,
                                                                    Selenium (Se) 500 mg/kg.

                                                                    Report actual results or include data table within
                                                                    report.




                                    GENERAL
                                                                    Note:
                                                                    - Children's food contact items mean food contact
                                                                    articles intended for children up to 14 years of age.
                                      CPSD-AN-00003-
    Soluble heavy metal contents in                                 - For coating on toys intended for children up to age
*                                     MTHD / CPSD-AN-       1
    surface coatings                                                14, soluble heavy metal testing is conduct directly.
                                        00164-MTHD
                                                                    Report of ASTM F963 will be issued with note in
                                                                    report "Soluble lead (Pb) requirement is reduced to




                                  CONFIDENTIAL
                                                                    40ppm as per client requirement."
                                                                    - For coating on products other than toys, screening of
                                                                    8 total heavy metals is conduct first and no
                                                                    compositing is allowed. If any of the above heavy
                                                                    metal(s) is/are detected exceed the require limit,
                                                                    soluble heavy metal testing will be proceed.
                                                                    - For soluble heavy metal testing, test method and
                                                                    reporting rules (e.g., application of correction factor)
                                                                    from ASTM F963-08 section 4.3.5.2 and 8.3 are
                                                                    applied.
                                                                    - Excluding Ride-on /bicycle wheels, tubes and tires;
                                                                    stroller wheels, tubes and tires; writing instrument
                                                                    nibs; car seat buckles; keyed locks and keys.


                                                                    Client requirement
                                                                                                                                            BV Lab Number:
                                                                                                                                           Technician Name:
                                                                                                                                                  Test Date:
                                                                                                                                          Reviewed By/Date:

                                                                                                                                                               Page 11 of 21


                                                                          DGEN - 08002 - US
                                                                     CHILDREN'S FURNITURE (V25)
                                                           No. of
Evaluation                            Citation / Method                                      Criteria                          PPR   VT           Results           Rating
                                                          Samples
                                                                    All accessible substrates, before and after use and
                                                                    abuse testing, on:
                                                                    - toys intended for children up to age 14;
                                                                    - child care articles;
                                                                    - children’s food contact items;
                                                                    - all jewelries (including jewelry making craft kits)




                                       DOLLAR
                                                                    shall comply with the following limits: Antimony (Sb)
                                                                    60 mg/kg, Arsenic (As) 25 mg/kg, Barium (Ba) 1000
                                                                    mg/kg, Cadmium (Cd) 75 mg/kg, Chromium (Cr) 60
                                                                    mg/kg, Lead (Pb) 40 mg/kg, Mercury (Hg) 60 mg/kg,
                                                                    Selenium (Se) 500 mg/kg.

                                                                    Report actual results or include data table within
                                                                    report.




                                       GENERAL
                                                                    Note:
                                      CPSD-AN-00003-
    Soluble heavy metal content in                                  - Children's food contact items mean food contact
*                                     MTHD / CPSD-AN-       1
    substrates                                                      articles intended for children up to 14 years of age.
                                        00164-MTHD
                                                                    - For metal substrates, soluble heavy metal testing is
                                                                    conduct directly.
                                                                    - For materials other than metals, screening of 8 total
                                                                    heavy metals is conduct first and no compositing is




                                     CONFIDENTIAL
                                                                    allowed. If any of the above heavy metal(s) is/are
                                                                    detected exceed the require limit, soluble heavy metal
                                                                    testing will be proceed.
                                                                    - For soluble heavy metal testing, test method and
                                                                    reporting rules (e.g., application of correction factor)
                                                                    from EN71:3 are applied.
                                                                    - Excluding Ride-on /bicycle wheels, tubes and tires;
                                                                    stroller wheels, tubes and tires; writing instrument
                                                                    nibs; car seat buckles; keyed locks and keys.

                                                                    Until legislation is enacted, this is a Client
                                                                    requirement.
                                                                                                                                                      BV Lab Number:
                                                                                                                                                     Technician Name:
                                                                                                                                                            Test Date:
                                                                                                                                                    Reviewed By/Date:

                                                                                                                                                                         Page 12 of 21


                                                                                  DGEN - 08002 - US
                                                                             CHILDREN'S FURNITURE (V25)
                                                                   No. of
Evaluation                                Citation / Method                                         Criteria                             PPR   VT           Results           Rating
                                                                  Samples
                                                                            The following products shall not contain detectable
                                                                            (less than 50 mg/kg) PentaBDE , OctaBDE and
                                                                            DecaBDE.
                                                                            a. textile in mattresses and mattress pads,
                                        Various US State Laws /             b. textile and foam in indoor upholstered furniture,
*   Flame retardant contents              CPSD-AN-00051-            1       c. plastic housing of TVs and computers                      X




                                      DOLLAR
                                                MTHD
                                                                            Vendor shall be responsible for the compliance of all
                                                                            other accessible and inaccessible materials.

                                                                            Client requirement
HAZARDS
                                                                            Furniture which has an accessible, circular hole in any
                                                                            rigid material less than 0.062 in. (1.58 mm) in




                                      GENERAL
                                                                            thickness can admit a 1/4-in. (6-mm) diameter rod to a
                                        ASTM F2613-07 section               depth of 3/8 in. (10 mm) or greater, it shall also admit a
    Circular holes in rigid materials                               --
                                            5.9 modified                    1/2-in. (13-mm) diameter rod. The product shall be
                                                                            evaluated in all manufacturer's recommended use
                                                                            positions.(Modification = Expended Scope)




                                    CONFIDENTIAL
                                                                                                                                   BV Lab Number:
                                                                                                                                  Technician Name:
                                                                                                                                         Test Date:
                                                                                                                                 Reviewed By/Date:

                                                                                                                                                      Page 13 of 21


                                                                DGEN - 08002 - US
                                                           CHILDREN'S FURNITURE (V25)
                                                 No. of
Evaluation                Citation / Method                                       Criteria                            PPR   VT           Results           Rating
                                                Samples
                                                          A furniture article intended for use by a child shall not
                                                          present a mechanical hazard in normal use or when
                                                          subjected to reasonable foreseeable abuse:
                                                          - From fracture, fragmentation, or disassembly of the
                                                          article
                                                          - From propulsion of the article or any part or




                           DOLLAR
                                                          accessory thereof
                                                          - From points or other protrusions, surfaces, edges,
                                                          openings or closures
                                                          - From moving parts
    Mechanical hazards   16 CFR 1500.3(b)(17)     --      - From lack or insufficiency of controls to reduce or       X     X
                                                          stop motion
                                                          - As a result of self-adhering characteristics of the
                                                          article




                           GENERAL
                                                          - Because the article or any part or accessory thereof
                                                          may be aspirated or ingested
                                                          - Because of instability
                                                          - Because of any other aspect of the article's design or
                                                          manufacture.


                                                          Products intended for children under 36 months (3




                         CONFIDENTIAL
                                                          years) of age shall not include removable, liberated
                                                          components, or fragments of products after use and
    Small parts              16 CFR 1501          --                                                                  X     X
                                                          abuse that are small enough (without being
                                                          compressed) to fit entirely within the small parts
                                                          cylinder
                                                          Products intended for children under 8 years of age
    Sharp edges            16 CFR 1500.49         --      shall not have accessible, potentially hazardous sharp      X     X
                                                          edges before or after use and abuse testing
                                                          Products intended for children under 8 years of age
    Sharp points           16 CFR 1500.48         --      shall not have accessible, potentially hazardous sharp      X     X
                                                          points before or after use and abuse testing
                                                          Bean Bag chairs (furniture) shall comply with all
*   Bean Bag Chairs        ASTM F1912-98          --
                                                          requirements and labeling as specified in the standard.
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 14 of 21


                                                                                     DGEN - 08002 - US
                                                                                CHILDREN'S FURNITURE (V25)
                                                                       No. of
Evaluation                                     Citation / Method                                       Criteria                           PPR   VT           Results           Rating
                                                                      Samples
                                                                                [FOR SEATING OR ITEM INTENDED TO BEAR
                                                                                CHILD MASS]
                                                                                [FOR CHILDREN UP TO 14 YEARS]

                                                                                Samples shall meet the requirements intended to
                                                                                minimize unexpected hazards that can be caused by a




                                        DOLLAR
                                             ASTM F963-08 Section               product that can tip easily or is not capable of
    Stability and over-load                                             --
                                                    4.15                        withstanding an overload.
                                                                                The height and weight of children up to 14 years for
                                                                                the stability test is shown in Age Table.
                                                                                The load for the overload test shall be three times the
                                                                                weight indicated in Age Table at the highest age of the
                                                                                age range for which the table is intended.
                                                                                (Mod. = For children up to 14 years)




                                        GENERAL
                                                                                Folding chairs intended to be used by a child with a
    Mechanical hazards - children's
*                                               ASTM F2613-07           --      seat height 15 in. or less shall comply with all
    folding chairs
                                                                                requirements and labeling as specified in the standard.
                                                                                The unit shall not tip over or be supported only by an
    Tipping hazard of chests, door chests
*                                               ASTM F2057-04           --      opened drawer, opened door, or opened or unopened
    and dressers
                                                                                flap during the test with or without load.
                                                                                Shall meet the requirements to eliminate the possible




                                      CONFIDENTIAL
    Folding Mechanisms and Hinge Line        ASTM F963-08 Section               crushing, laceration or pinching hazards that might
                                                                        --
    Clearance                                       4.13                        occur in folding mechanisms and hinges in toys
                                                                                designs to support a child
                                                                                [GENERAL REQUIREMENTS]

    Holes clearances, and accessibility of   ASTM F963-08, Section              Shall meet the requirements intended to eliminate the
                                                                        --
    mechanisms                                      4.18                        possible hazard that may be caused by changing
                                                                                clearances or permanent entrapment and pinching of
                                                                                fixed openings
FLAMMABILITY
                                                                                Shall not exceed the maximum allowable limit of no
                                                                                greater than 0.1 inches per second
                                              16 CFR 1500.3 (c) (6)
    Flammability of solids                                              1                                                                 X     X
                                              (vi) / 16 CFR 1500.44
                                                                                If warning statement about flammability is presented
                                                                                on the package, provide exhibit photo in report.
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 15 of 21


                                                                                  DGEN - 08002 - US
                                                                             CHILDREN'S FURNITURE (V25)
                                                                   No. of
Evaluation                                 Citation / Method                                         Criteria                             PPR   VT           Results           Rating
                                                                  Samples
                                                                            All Mattress sets manufactured, imported, or renovated
                                                                            on or after July 1st 2007 shall not show the total heat
                                                                            release of more than 15 mega-joules in the first 10
    Flammability (open flame) of
                                              16 CFR 1633           --      minutes of the test or the peak rate of heat release of       X     X
    mattress sets
                                                                            more than 200 kilowatts.
                                                                            In lieu of testing, test report can be submitted if dated




                                      DOLLAR
                                                                            within one year.
                                                                            A mattress shall not show a char length of more than 2
                                                                            inches (5.1 cm) in any direction, when tested using
    Flammability of mattress and
                                              16 CFR 1632           --      lighted cigarette as specified in the test method. In lieu    X     X
    mattress pad - documentation review
                                                                            of testing, test report can be submitted if dated within
                                                                            one year.
                                                                            Only applicable to product claimed to meet California
                                                                            Technical Bulletin 116. Shall meet the specified




                                      GENERAL
    Flame retardance of upholstered        California Technical             flammability requirements for testing the flame
                                                                    --                                                                    X
    furniture - document review                Bulletin 116                 retardance of resilient filling materials used in
                                                                            upholstered furniture. In lieu of testing, test report can
                                                                            be submitted if dated within one year.
                                                                            Shall meet the specified flammability requirements for
    Flammability for filling materials -   California Technical             testing the flame retardance of resilient filling materials
                                                                    --                                                                    X
    document review                            Bulletin 117                 used in upholstered furniture. In lieu of testing, test




                                    CONFIDENTIAL
                                                                            report can be submitted if dated within one year.
PHYSICAL CHARACTERISTICS


                                                                            Shall be tested to substantiate fiber content. Shall not
*   Fiber analysis: quantitative              AATCC 20A             --
                                                                            exceed a deviation of + 3% from the label as allowed
                                                                            for blends and no deviation for items labeled 100% of
                                                                            a fiber.
PERFORMANCE
                                                                            [CHILDRENS COAT RACK, QUILT RACK
                                                                            REQUIREMENTS]
    Load Stability Test                         In-house            --
                                                                            Apply 10 lbf. vertical load to outermost portion of one
                                                                            hook/rack. The unit shall not tip over
                                                                                                                                                        BV Lab Number:
                                                                                                                                                       Technician Name:
                                                                                                                                                              Test Date:
                                                                                                                                                      Reviewed By/Date:

                                                                                                                                                                           Page 16 of 21


                                                                                     DGEN - 08002 - US
                                                                                CHILDREN'S FURNITURE (V25)
                                                                      No. of
Evaluation                                      Citation / Method                                      Criteria                            PPR   VT           Results           Rating
                                                                     Samples
                                                                               [CHILDREN'S TABLE REQUIREMENTS]

                                                                               No structural damage at a force applied
                                                                               perpendicularly to the leg at 1 in. from the end of the
    Leg Strength                                    In-house           --
                                                                               leg. Force is applied in four directions (Forward,
                                                                               rearward, side to side). The force shall be one fourth of




                                       DOLLAR
                                                                               the weight indicated in Age Table at the highest age of
                                                                               the age range for which the furniture is intended.
                                                                               [CHILDREN'S TABLE REQUIREMENTS]

                                                                               Must not have any one leg lift off the floor when test
    Stability                                       In House           --      load is applied 1 in. from the edge on 12 in. disc
                                                                               > 4 sq. ft.                                  < 4 sq. ft.
                                                                               75 lbs.                         65 lbs.




                                       GENERAL
                                                                               [TABLE OVERLOAD]
                                                                               [FOR CHILDREN UP TO 14 YEARS]

                                                                               Samples shall meet the requirements intended to
                                              ASTM F963-08 Section             minimize unexpected hazards that can be caused by a
    Overload (table)                                                   --
                                                    4.15.5                     product that is not capable of withstanding an
                                                                               overload. The load shall be three times the weight




                                     CONFIDENTIAL
                                                                               indicated in Age Table at the highest age of the age
                                                                               range for which the table is intended.
                                                                               (Mod. = Table)
                                                                               [General requirements]
                                                CPSD-HL-01058-
*   Latch mechanism durability                                         --
                                                MTHD / Actual use              No malfunction/ disable of latch after 100 cycles of
                                                                               folding and unfolding.
                                                                               [General requirements]

    Load test - individual test of portions                                    Apply 20 lbf. vertical load to each hook/dowels, shelf,
*                                                   In-house           --                                                                                        -
    intended to bear weight                                                    or area intended to bear weight at the outermost
                                                                               portion. Shall exhibit no structural breakage or loss of
                                                                               functionality.
                                                                                                                                                       BV Lab Number:
                                                                                                                                                      Technician Name:
                                                                                                                                                             Test Date:
                                                                                                                                                     Reviewed By/Date:

                                                                                                                                                                          Page 17 of 21


                                                                                    DGEN - 08002 - US
                                                                               CHILDREN'S FURNITURE (V25)
                                                                     No. of
Evaluation                                    Citation / Method                                       Criteria                            PPR   VT           Results           Rating
                                                                    Samples
                                                                              [GENERAL REQUIREMENTS]
   Actual use - functionality - not          CPSD-HL-01058-
                                                                      --      Shall function as intended. Report all releases, cracks,
   covered by other tests                    MTHD / Actual use
                                                                              fractures that affect functionality and aesthetics before
                                                                              and after testing.
                                                                              [TRUNDLE BED REQUIREMENTS]




                                        DOLLAR
                                             ANSI/SOHO S6.5-01                Raise one end of the unloaded unit 10 in. and allow to
   Drop test                                                          --
                                              section 10 modified             free fall to the test platform. Repeat test for the other
                                                                              end of the unit. There shall be no defects or loss of
                                                                              serviceability.
                                                                              [CHILDREN'S PRODUCTS - WALL MOUNTED
                                                                              SHELF UNIT, CHALK BOARD, PEG HOOKS,
                                                                              MIRROR, BULLETIN BOARD REQUIREMENTS]




                                        GENERAL
   Load test - general test for items that
   are only intended to bear their own           Per Criteria         --      Mount unit on simulated wall and apply 30 lbf. vertical
   weight                                                                     load to the center of the top of the unit for 30 minutes.
                                                                              Shall exhibit no structural breakage or loss of
                                                                              functionality.

                                                                              [CHILDREN'S PRODUCTS - WALL MOUNTED




                                      CONFIDENTIAL
                                                                              SHELF UNIT, CHALK BOARD, PEG HOOKS,
                                                                              MIRROR, BULLETIN BOARD REQUIREMENTS]
   Load test - multiple tests of portions
                                                 Per Criteria         --      Mount unit on simulated wall and apply 10 lbf. vertical
   intended to bear weight
                                                                              load to outermost portion of all hooks, shelves, or areas
                                                                              intended to bear weight simultaneously for 30 minutes.
                                                                              Shall exhibit no structural breakage or loss of
                                                                              functionality.
                                                                                                                                               BV Lab Number:
                                                                                                                                              Technician Name:
                                                                                                                                                     Test Date:
                                                                                                                                             Reviewed By/Date:

                                                                                                                                                                  Page 18 of 21


                                                                            DGEN - 08002 - US
                                                                       CHILDREN'S FURNITURE (V25)
                                                             No. of
Evaluation                           Citation / Method                                        Criteria                            PPR   VT           Results           Rating
                                                            Samples
                                                                      [CHILDREN'S SEATING REQUIREMENTS:
                                                                      CHAIR, OTTOMAN, GLIDER, ROCKER, BENCH,
                                                                      STOOL]

                                   ASTM F1838 section 8.7             No structural damage at 120 lbs. in 9 in diameter bag
    Leg strength test - rear                                  --
                                         modified                     applied to the seat, which is positioned on the plywood




                                     DOLLAR
                                                                      testing base and the glass testing base respectively for
                                                                      1 min. with the rear legs unrestrained and the front legs
                                                                      resting but not restrained on wooden blocks.

                                                                      [CHILDREN'S SEATING REQUIREMENTS:
                                                                      CHAIR, OTTOMAN, GLIDER, ROCKER, BENCH,
                                                                      STOOL]




                                     GENERAL
                                                                      No structural damage at 120lbs. in 9 in diameter bag
                                   ASTM F1838 section 8.7
    Leg strength test - front                                 --      applied to the seat, which is positioned on the plywood
                                         modified
                                                                      testing base and the glass testing base respectively for
                                                                      1 min. with the front legs unrestrained and the rear legs
                                                                      resting but not restrained on wooden blocks.
                                                                      Obstruction block must place at the front of seat to
                                                                      ensure the bag is not slipping out from the seat.
                                                                      [CHILDREN'S SEATING REQUIREMENTS:




                                   CONFIDENTIAL
                                                                      CHAIR, OTTOMAN, GLIDER, ROCKER, BENCH,
                                                                      STOOL]

                                                                      Max 5 Lbs. horizontal force is applied to move the
                                     CPSD-HL-01058-                   sample (with a load equal to the weight indicated in
*   Caster or roller performance                              --
                                     MTHD / Actual use                Table 1 at the highest age of the age range for which
                                                                      the furniture is intended placed on the seat) on smooth
                                                                      vinyl surfacefor a maximum of 10 seconds. No
                                                                      measurement is taken for the first 5 seconds of the test.
                                                                      The caster shall be oriented in a running direction
                                                                      throughout the test.
                                                                                                                                           BV Lab Number:
                                                                                                                                          Technician Name:
                                                                                                                                                 Test Date:
                                                                                                                                         Reviewed By/Date:

                                                                                                                                                              Page 19 of 21


                                                                       DGEN - 08002 - US
                                                                  CHILDREN'S FURNITURE (V25)
                                                        No. of
Evaluation                         Citation / Method                                     Criteria                             PPR   VT           Results           Rating
                                                       Samples
                                                                 [SHELVES AND STORAGE UNIT]

                                                                 Apply force through an 8-inch diameter disc 54-inches
                                                                 above the floor or 4 inches below the top, whichever is
                                                                 lower, to the vertical centerline of the back of the unit.
                                   CPSD-HL-03013-
   Furniture - stability                                 --      Push until the unit is at the point where it will continue
                                   MTHD / Stability




                                    DOLLAR
                                                                 to tip without any additional force applied. Report the
                                                                 angle and the force to get the unit to this point. Unit
                                                                 shall not tip over with less than 40 lb or at less than 10
                                                                 degrees. Test shall be performed with the unit
                                                                 unloaded.
                                                                 [TRUNDLE BED REQUIREMENTS]
   Distributed Static load Test       Per Criteria       --
                                                                 No structural damage when 500 lbs weight is evenly




                                    GENERAL
                                                                 distributed over the bed.
                                                                 [CHILDREN'S SEATING REQUIREMENTS:
                                                                 CHAIR, OTTOMAN, GLIDER, ROCKER, BENCH,
                                                                 STOOL]
   Back Pull Durability               Per Criteria       --
                                                                 No structural damage at a force applied to 90º from the
                                                                 back at 9 in. above the seat for 1 min. The force is
                                                                 equal to the weight indicated in Table 1 at the highest




                                  CONFIDENTIAL
                                                                 age of the age range for which the furniture is intended.
                                                                 [CHILDREN'S SEATING REQUIREMENTS:
                                                                 CHAIR, OTTOMAN, GLIDER, ROCKER, BENCH,
                                                                 STOOL]

   Impact Durability                  Per Criteria       --      No structural damage when test load placed in a 9 in.
                                                                 diameter bag free falls from 6 in. to the center of the
                                                                 seat for ten times. The load is equal to the weight
                                                                 indicated in Table 1 at the highest age of the age range
                                                                 for which the furniture is intended.
                                                                                                                                                                               BV Lab Number:
                                                                                                                                                                              Technician Name:
                                                                                                                                                                                     Test Date:
                                                                                                                                                                             Reviewed By/Date:

                                                                                                                                                                                                        Page 20 of 21


                                                                                             DGEN - 08002 - US
                                                                                        CHILDREN'S FURNITURE (V25)
                                                                            No. of
Evaluation                                       Citation / Method                                             Criteria                             PPR          VT                   Results                Rating
                                                                           Samples
                                                                                       [CHILDREN'S SEATING REQUIREMENTS:
                                                                                       CHAIR, OTTOMAN, GLIDER, ROCKER, BENCH,
                                                                                       STOOL]

                                                                                       No structural damage at a pulling force uniformly
    Arm Strength Test (Side pull)                   Per Criteria              --
                                                                                       applied to the arm rest perpendicularly (45 degree




                                      DOLLAR
                                                                                       downward and outward) at the most forward point of
                                                                                       the arm rest area for 1 min. The force shall be half of
                                                                                       the weight indicated in Table 1 at the highest age of the
                                                                                       age range for which the furniture is intended.
                                                                                       [CHILDREN'S SEATING REQUIREMENTS:
                                                                                       CHAIR, OTTOMAN, GLIDER, ROCKER, BENCH,
                                                                                       STOOL]




                                      GENERAL
    Arm Strength Test - Vertical                    Per Criteria              --       No structural damage at a force uniformly applied
                                                                                       vertically through a 2 in. x 2 in. area at the apparent
                                                                                       weakest point of chair's arm for 1 min. The force shall
                                                                                       be half of the weight indicated in Table 1 at the highest
                                                                                       age of the age range for which the furniture is intended.

IMPORTANT NOTE:                The information presented under the "Criteria" of this protocol is for information only and does not replace the content of the standard. Details of the requirements should be
referred to the original standards.




                                    CONFIDENTIAL
Remark:
PPR - Pre-Production Review
VT - Verification Test



Key:
*                  Additional Charge For This Test
**                 Mandatory Requirement
#                  By Request Only

Result Key:
C                  Claimed
R                  Recorded
M                  Meets
                                                                                         BV Lab Number:
                                                                                        Technician Name:
                                                                                               Test Date:
                                                                                       Reviewed By/Date:

                                                                                                            Page 21 of 21


NM                Does Not Meet
NA                Not Applicable
NT                Not Tested

Rating Key:
                  Incomplete
INCOMPLETE        (PPT Rating
                  Only)
                  Complete (PPT
COMPLETE
                  Rating Only)




                                     DOLLAR
GOOD              Good
UNSAT             Unsatisfactory


 No. Of Samples Required for Complete Testing         3   Client Approval:         JANUARY 06, 2012 /
 No. Of (Fully Packed) Cartons For Transit Testing:   -                            Chuck Rogers
                                                          Creation Date:           JANUARY 17, 2006
 No. Of Working Days For Complete Testing:            7
                                                          Last Revision Date:      DECEMBER 21, 2011




                                     GENERAL
                                                          Pricing Review Date:     JUNE 25, 2010
                                                          Technical Review Date:   JUNE 25, 2010




                                   CONFIDENTIAL
                                                                                                                                                                            BV Lab Number:
                                                                                                                                                                           Technician Name:
                                                                                                                                                                                  Test Date:
                                                                                                                                                                          Reviewed By/Date:

                                                                                                                                                                                                      Page 1 of 15


                                                                     DOLLAR GENERAL CORPORATION TEST PROTOCOL FOR

                                                                                      DGEN - 08002.03 - US
                                                                            CHILDREN RESIN SEATING FURNITURE (V24)
                                                                          No. of
Evaluation                                      Citation / Method                                 Criteria                                        PPR         VT                   Results                Rating
                                                                         Samples
SUPPLEMENTAL PROTOCOLS
Note: Additional cost, sample size and TAT may be required if testing to 1 or more supplemental protocols is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.
                                                                                     The sample should be reviewed against the
                                              DGEN-AN-PTCL-
* California Proposition 65                                                   -      requirements of California Proposition 65 to determine         X




                                     DOLLAR
                                                  06572-US
                                                                                     if additional testing or labeling is required.
LABELING
                                                                                     [PACKAGING AND LABELING EVALUATION]

                                                                                     -Shall be labeled with product identification.
                                                                                     -Shall be labeled with the manufacturer, packer, or
    One Time Use Products Fair                                                       distributor's name and address (city, state and ZIP).




                                     GENERAL
    Packaging and Labeling Act OR All        F.P. and L. Act (16 CFR                 -Net quantity of contents shall be on PDP and be
    Other Products Uniform Packaging         500) OR NIST Uniform                    expressed in terms of weight or mass, measure,
                                                                             --                                                                    X
    and Labeling Regulations - report a       Laws and Regulations                   numerical count, or combination so as to give accurate
    pass or fail for FPLA and report as           Handbook 130                       information to facilitate consumer comparison (English
    data only for UPLR                                                               and metric units).
                                                                                     -Glue and Adhesives sold with the product shall
                                                                                     comply with the labeling requirements of 16 CFR 500,
                                                                                     "Regulations under section 4 of the Fair Packaging and




                                   CONFIDENTIAL
                                                                                     Labeling Act"
                                                                                     Shall be labeled on packaging to indicate adult
    Toys intended to be assembled by an          16 CFR 1500.50
                                                                             --      assembly required due to the presence of small parts,         X           X
    adult                                           (b)(ii)(5)
                                                                                     sharp points, sharp edges as received.
                                                                                     [PACKAGING AND LABELING EVALUATION]
                                                CPSD-HL-01057-
    Parts Labeling                                                           --
                                                 MTHD / Visual                       Shall match the actual content if present

                                                                                     [PACKAGING AND LABELING EVALUATION]
                                                CPSD-HL-01057-
    Accuracy or adequacy of instructions                                     --
                                                 MTHD / Visual                       Shall be legible and easy to understand; instructions
                                                                                     shall be consistent with sample performance
                                                                                                                                                  BV Lab Number:
                                                                                                                                                 Technician Name:
                                                                                                                                                        Test Date:
                                                                                                                                                Reviewed By/Date:

                                                                                                                                                                     Page 2 of 15


                                                                             DGEN - 08002.03 - US
                                                                   CHILDREN RESIN SEATING FURNITURE (V24)
                                                                 No. of
Evaluation                               Citation / Method                               Criteria                                    PPR   VT           Results         Rating
                                                                Samples
                                                                        [PACKAGING AND LABELING EVALUATION]

                                                                        Shall be marked with the country of origin when
                                                                        imported into the U.S. in a conspicuous place to
                                                                        indicate to the ultimate purchaser in the U.S., the
   Country Of Origin                        19 CFR 134            --                                                                 X
                                                                        English name of the country of origin.




                                   DOLLAR
                                                                        -All individually packaged items shall contain the
                                                                        country of origin
                                                                        -All items shipped in bulk or displayed in bulk must
                                                                        contain the country of origin
                                                                        Substances (glues and adhesives) have a special
   Labeling of hazardous substances    16 CFR 1500.14(b)(1-5)     --    hazards to health shall have conform labeling                X     X
                                                                        requirement as defined by 16 CFR 1500.14(b)(1-5)
                                                                        All filling materials shall have a securely affixed tag or




                                   GENERAL
                                                                        label which contains the following information:
                                                                        - The statement, "UNDER PENALTY OF LAW THIS
                                                                        TAG NOT TO BE REMOVED EXCEPT BY
                                                                        CONSUMER"
   Bedding and upholstered furniture   Association of Bedding           - A description of the filling contents preceded by the
                                                                  --                                                                 X
   labeling                                and Furniture                statement, "ALL NEW FILLING MATERIALS
                                                                        CONSISTING OF"
                                                                        - The assigned state number (i.e. REG. NO. PA")




                                 CONFIDENTIAL
                                                                        - The statements, "Certification is made by the
                                                                        manufacturer that the materials used in this article are
                                                                        described in accordance with the law".
                                                                        [16 CFR 303 TEXTILE LABELING]

                                                                        Shall have a label securely affixed that contains:
                                                                        -The name and manufacturer or other marketing or
   Labeling review: fiber                16 CFR 300 / 303         --                                                                 X
                                                                        registration number
                                                                        -The country of origin
                                                                        -The generic name and percentage of all fibers in the
                                                                        product
                                                                                                                                                  BV Lab Number:
                                                                                                                                                 Technician Name:
                                                                                                                                                        Test Date:
                                                                                                                                                Reviewed By/Date:

                                                                                                                                                                     Page 3 of 15


                                                                                 DGEN - 08002.03 - US
                                                                    CHILDREN RESIN SEATING FURNITURE (V24)
                                                                  No. of
Evaluation                               Citation / Method                                        Criteria                           PPR   VT           Results         Rating
                                                                 Samples
                                                                         For wearing apparel covered by 16 CFR 423:
                                                                         With care label: Conduct laundry test according to the
                                                                         labeled care instruction. Evaluate for general
                                                                         appearance as acceptance criteria.
                                                                         Without care label: Failed for labeling requirement. No
                                                                         softline test will be conducted.




                                       DOLLAR
*   Labeling review: care                   16 CFR 423              --                                                               X
                                                                            For wearing apparel not covered by 16 CFR 423:
                                                                            With care label: Conduct laundry test according to the
                                                                            labeled care instruction. Evaluate for general
                                                                            appearance as acceptance criteria.
                                                                            Without care label: No softline test is required.




                                       GENERAL
                                                                            Product shall not contain the following Illinois lead
                                                                            warning label per client's requirement. Refer to the
                                                                            analytical section for details.
                                       Illinois Lead Poisoning
    Illinois lead warning label                                     -                                                                X
                                            Prevention Act
                                                                            "WARNING: CONTAINS LEAD. MAY BE
                                                                            HARMFUL IF EATEN OR CHEWED. COMPLIES
                                                                            WITH FEDERAL STANDARDS."
                                                                            A permanent and distinguishing mark or code on the




                                     CONFIDENTIAL
                                                                            product and its packaging, to the extent practicable,
                                                                            allows the manufacturer and purchaser to ascertain the
                                         Consumer Product
    Tracking labels for children's                                          name of the manufacturer or private labeler, location
                                       Safety Improvement Act       -                                                                X     X
    products                                                                and date of production of the product.
                                               of 2008
                                                                            Verified the Presence only. The accuracy of tracking
                                                                            label will not be verified.
                                                                            Shall provide signed / chopped document: Dollar
                                         CPSD-GB-00001-                     General Toxics in Packaging Certificate of
    Dollar General Certificate of
                                          MTHD / Client             -       Compliance.                                              X
    Compliance - Toxics in packaging
                                           requirement
                                                                            Client requirement
                                                                                                                                                          BV Lab Number:
                                                                                                                                                         Technician Name:
                                                                                                                                                                Test Date:
                                                                                                                                                        Reviewed By/Date:

                                                                                                                                                                             Page 4 of 15


                                                                                     DGEN - 08002.03 - US
                                                                          CHILDREN RESIN SEATING FURNITURE (V24)
                                                                        No. of
Evaluation                                     Citation / Method                                      Criteria                               PPR   VT           Results         Rating
                                                                       Samples
                                                                               Examine the retail packaging (or submitted artwork).

                                                                                  Record each objective (factual) claim which can be
                                                                                  substantiated by the testing within the protocols and
                                                                                  rate accordingly.




                                      DOLLAR
                                                                                  Additional testing required outside of the protocol
                                                                                  shall be approved. Any objective claim not approved
                                                                                  by the client shall be recorded as “NT” and rate as “-”.
                                                CPSD-GB-08612-
*   Claim verification level 3                                            -       If additional testing cannot be conducted due to
                                                    MTHD
                                                                                  capability issues, the claims shall be recorded as “NT”
                                                                                  and rated as “Data”




                                      GENERAL
                                                                                  All subjective (opinion) claims shall be recorded as
                                                                                  “Not Tested” and rated as “-”.

                                                                                  Record information evaluated between the graphic
                                                                                  imagery and the product

                                                                                  Record disclaimers on datasheet
ANALYTICAL




                                    CONFIDENTIAL
                                                                                  All accessible surface coatings, before and after use
                                                                                  and abuse testing, on items intended for children ages
                                                                                  12 and under shall not contain lead or lead components
                                                                                  in which the lead content is in excess of 0.009%
                                                                                  (90ppm) of the weight of the total content.
                                                Consumer Product
                                             Safety Improvement Act
                                                                                  In case of insufficient coating for testing found on
                                             of 2008 / 16 CFR 1303 /
                                                                                  number of samples specified in the protocol, vendor
*   Total lead content in surface coatings   CPSC-CH-E1003-09.1 /         -                                                                  X     X
                                                                                  needs to provide additional samples for testing.
                                             AOAC 974.02 modified /
                                                CPSD-AN-00001-
                                                                                  Report actual results or include data table within
                                                     MTHD
                                                                                  report.
                                                                                  Issue a third party test report.

                                                                                  Component testing is not allowed.
                                                                                  Composite testing is not allowed.
                                                                                                                                                    BV Lab Number:
                                                                                                                                                   Technician Name:
                                                                                                                                                          Test Date:
                                                                                                                                                  Reviewed By/Date:

                                                                                                                                                                       Page 5 of 15


                                                                               DGEN - 08002.03 - US
                                                                  CHILDREN RESIN SEATING FURNITURE (V24)
                                                                No. of
Evaluation                              Citation / Method                                      Criteria                                PPR   VT           Results         Rating
                                                               Samples
                                                                       All accessible substrates, before and after use and
                                                                       abuse testing, on items intended for children ages 12
                                                                       and under shall not contain lead in excess of 0.01%
                                                                       (100ppm) of the weight of the total content.

                                                                          In case of insufficient material for testing found on




                                        DOLLAR
                                                                          number of samples specified in the protocol, vendor
                                                                          needs to provide components/parts for testing.
                                         Consumer Product
                                      Safety Improvement Act              Report actual results or include data table within
                                        of 2008 / CPSC-CH-                report.
    Total lead content in substrate
*                                     E1001-08.1 / CPSC-CH-       --      Issue a program audit report (until December 2011).          X     X
    materials
                                      E1002-08.1 / CPSD-AN-
                                       00185-MTHD / CPSD-                 Component testing is allowed.




                                        GENERAL
                                         AN-00196-MTHD                    Composite up to 3 like materials except for IL law
                                                                          compliance (see below in note) and metal.

                                                                          Note:
                                                                          - For IL law compliance, compositing is not allowed
                                                                          for children's jewelry (< 12 yrs.), child care articles (<
                                                                          6 yrs.); otherwise compositing of up to 3 like materials
                                                                          is conducted. Refer to IL lead line for compliance to




                                      CONFIDENTIAL
                                                                          this law.
                                                                                                                                                           BV Lab Number:
                                                                                                                                                          Technician Name:
                                                                                                                                                                 Test Date:
                                                                                                                                                         Reviewed By/Date:

                                                                                                                                                                              Page 6 of 15


                                                                                        DGEN - 08002.03 - US
                                                                           CHILDREN RESIN SEATING FURNITURE (V24)
                                                                         No. of
Evaluation                                     Citation / Method                                         Criteria                             PPR   VT           Results         Rating
                                                                        Samples
                                                                                The following surface coatings shall contain less than
                                                                                0.004% (40ppm) lead or lead compounds in which the
                                                                                lead content is the weight of the total content:
                                                                                a.         All accessible surface coatings, in the as
                                                                                received state, on jewelry for children under 12 years
                                                                                of age,




                                      DOLLAR
                                                                                b.         All accessible surface coatings, before and
                                                                                after use and abuse testing, on child care articles for
                                                                                children under 6 years of age, and on toys for children
                                                                                under 12 years of age.

                                                                                   As a client requirement, the warning label is not
                                                                                   allowed.
                                              Illinois Lead Poisoning




                                      GENERAL
                                             Prevention Act / CPSC-                In case of insufficient coating for testing found on the
*   Total lead content in surface coatings                                 -                                                                  X
                                             CH-E1003-09.1 / CPSD-                 number of samples specified in the protocol, vendor
                                                 AN-00001-MTHD                     needs to provide additional samples/component parts
                                                                                   (including raw materials) for testing. The vendor is
                                                                                   responsible for compliance of all other products
                                                                                   outside of the above scope.

                                                                                   Report actual results or include data table within




                                    CONFIDENTIAL
                                                                                   report.
                                                                                   Component testing is allowed.
                                                                                   Compositing is not allowed.

                                                                                   Note: Child care article shall mean items intended to be
                                                                                   used directly in the mouth by the child or components
                                                                                   likely to be mouthed, chewed, sucked, or licked by the
                                                                                   child.
                                                                                                                                                     BV Lab Number:
                                                                                                                                                    Technician Name:
                                                                                                                                                           Test Date:
                                                                                                                                                   Reviewed By/Date:

                                                                                                                                                                        Page 7 of 15


                                                                                 DGEN - 08002.03 - US
                                                                    CHILDREN RESIN SEATING FURNITURE (V24)
                                                                  No. of
Evaluation                              Citation / Method                                         Criteria                              PPR   VT           Results         Rating
                                                                 Samples
                                                                         The following substrate materials shall contain less
                                                                         than 0.004% (40ppm) lead or lead compounds in
                                                                         which the lead content is the weight of the total
                                                                         content:
                                                                         a.         All accessible substrate materials, in the as
                                                                         received state, on jewelry for children under 12 years




                                        DOLLAR
                                                                         of age,
                                                                         b.         All accessible substrate materials, before and
                                                                         after use and abuse testing, on child care articles for
                                                                         children under 6 years of age.

                                                                            As a client requirement, the warning label is not
                                                                            allowed.
                                       Illinois Lead Poisoning




                                        GENERAL
                                      Prevention Act / CPSC-
                                                                            In case of insufficient material for testing found on the
                                      CH-E1001-08.1 / CPSC-
    Total lead content in substrate                                         number of samples specified in the protocol, vendor
*                                     CH-E1002-08.1 / CPSD-         -                                                                   X
    materials                                                               needs to provide additional samples/components/parts
                                         AN-00185-MTHD /
                                                                            for testing. Materials exempted from testing under
                                          CPSD-AN-00196-
                                                                            CPSIA (e.g., textiles) under 16 CFR 1500.88 and
                                                MTHD
                                                                            1500.91(d) and (e) will not be tested. The vendor is
                                                                            responsible for compliance of all other products
                                                                            outside of the above scope.




                                      CONFIDENTIAL
                                                                            Report actual results or include data table within
                                                                            report.
                                                                            Component testing is allowed.
                                                                            Compositing is not allowed.

                                                                            Note: Child care article shall mean items intended to be
                                                                            used directly in the mouth by the child or components
                                                                            likely to be mouthed, chewed, sucked, or licked by the
                                                                            child.
HAZARDS
                                                                                                                                             BV Lab Number:
                                                                                                                                            Technician Name:
                                                                                                                                                   Test Date:
                                                                                                                                           Reviewed By/Date:

                                                                                                                                                                Page 8 of 15


                                                                           DGEN - 08002.03 - US
                                                              CHILDREN RESIN SEATING FURNITURE (V24)
                                                            No. of
Evaluation                            Citation / Method                                     Criteria                            PPR   VT           Results         Rating
                                                           Samples
                                                                   Products intended for children under 36 months (3
                                                                   years) of age shall not include removable, liberated
                                                                   components, or fragments of products after use and
    Small parts                         16 CFR 1501          --                                                                 X     X
                                                                   abuse that are small enough (without being
                                                                   compressed) to fit entirely within the small parts
                                                                   cylinder




                                  DOLLAR
                                                                   Products intended for children under 8 years of age
    Sharp edges                        16 CFR 1500.49        --    shall not have accessible, potentially hazardous sharp       X     X
                                                                   edges before or after use and abuse testing
                                                                   Products intended for children under 8 years of age
    Sharp points                       16 CFR 1500.48        --    shall not have accessible, potentially hazardous sharp       X     X
                                                                   points before or after use and abuse testing
                                                                   Folding chairs intended to be used by a child with a
                                                                   seat height 15 in. or less shall comply with all




                                  GENERAL
*   Children's folding chairs         ASTM F2613-07          --
                                                                   requirements and labeling as specified in the standard.

                                                                      Shall meet the requirements to eliminate the possible
                                    ASTM F963-08 section              crushing, laceration or pinching hazards that might
    Folding Mechanisms and Hinges                             --
                                          4.13.2                      occur in folding mechanisms and hinges in toys
                                                                      designs to support a child
                                                                      [FOR SEATING OR ITEM INTENDED TO BEAR




                                CONFIDENTIAL
                                                                      CHILD MASS]
                                                                      [FOR CHILDREN UP TO 14 YEARS]

                                                                      Samples shall meet the requirements intended to
                                                                      minimize unexpected hazards that can be caused by a
                                    ASTM F963-08 Section              product that can tip easily or is not capable of
    Stability and over-load                                   --
                                           4.15                       withstanding an overload.
                                                                      The height and weight of children up to 14 years for
                                                                      the stability test is shown in Age Table.
                                                                      The load for the overload test shall be three times the
                                                                      weight indicated in Age Table at the highest age of the
                                                                      age range for which the table is intended.
                                                                      (Mod. = For children up to 14 years)
                                                                                                                                                        BV Lab Number:
                                                                                                                                                       Technician Name:
                                                                                                                                                              Test Date:
                                                                                                                                                      Reviewed By/Date:

                                                                                                                                                                           Page 9 of 15


                                                                                    DGEN - 08002.03 - US
                                                                       CHILDREN RESIN SEATING FURNITURE (V24)
                                                                     No. of
Evaluation                                    Citation / Method                                      Criteria                              PPR   VT           Results         Rating
                                                                    Samples
                                                                            Furniture which has an accessible, circular hole in any
                                                                            rigid material less than 0.062 in. (1.58 mm) in
                                                                            thickness can admit a 1/4-in. (6-mm) diameter rod to a
                                                                            depth of 3/8 in. (10 mm) or greater, it shall also admit a
                                            ASTM F2613-07 section           1/2-in. (13-mm) diameter rod. The product shall be
   Circular holes in rigid materials                                  --
                                                5.9 modified                evaluated in all manufacturer's recommended use




                                     DOLLAR
                                                                            positions.

                                                                               (Modification = Expended Scope)

                                                                               Shall meet the requirements intended to eliminate the
                                                                               possible hazard that may be caused by changing
   Holes clearances, and accessibility of   ASTM F963-08, Section
                                                                       --      clearances or permanent entrapment and pinching of
   mechanisms                                      4.18
                                                                               fixed openings




                                     GENERAL
                                                                               A furniture article intended for use by a child shall not
                                                                               present a mechanical hazard in normal use or when
                                                                               subjected to reasonable foreseeable abuse:
                                                                               -From fracture, fragmentation, or disassembly of the
                                                                               article
                                                                               -From propulsion of the article or any part or accessory
                                                                               thereof




                                   CONFIDENTIAL
                                                                               -From points or other protrusions, surfaces, edges,
                                                                               openings or closures
   Mechanical hazards                        16 CFR 1500.3(b)(17)      --      -From moving parts                                          X     X
                                                                               -From lack or insufficiency of controls to reduce or
                                                                               stop motion
                                                                               -As a result of self-adhering characteristics of the
                                                                               article
                                                                               -Because the article or any part or accessory thereof
                                                                               may be aspirated or ingested
                                                                               -Because of instability
                                                                               -Because of any other aspect of the articles' design or
                                                                               manufacture.
FLAMMABILITY
                                                                                                                                                        BV Lab Number:
                                                                                                                                                       Technician Name:
                                                                                                                                                              Test Date:
                                                                                                                                                      Reviewed By/Date:

                                                                                                                                                                           Page 10 of 15


                                                                                    DGEN - 08002.03 - US
                                                                      CHILDREN RESIN SEATING FURNITURE (V24)
                                                                    No. of
Evaluation                                  Citation / Method                                        Criteria                              PPR   VT           Results           Rating
                                                                   Samples
                                                                           Shall not exceed the maximum allowable limit of no
                                                                           greater than 0.1 inches per second
                                           16 CFR 1500.3 (c) (6)
    Flammability of solids                                            1                                                                    X     X
                                           (vi) / 16 CFR 1500.44
                                                                           If warning statement about flammability is presented
                                                                           on the package, provide exhibit photo in report.
                                                                           Only applicable to product claimed to meet California




                                      DOLLAR
                                                                           Technical Bulletin 116. Shall meet the specified
    Flame retardance of upholstered        California Technical            flammability requirements for testing the flame
                                                                     --                                                                    X
    furniture - document review                Bulletin 116                retardance of resilient filling materials used in
                                                                           upholstered furniture. In lieu of testing, test report can
                                                                           be submitted if dated within one year.
                                                                           Shall meet the specified flammability requirements for
    Flammability for filling materials -   California Technical            testing the flame retardance of resilient filling materials
                                                                     --                                                                    X
    document review                            Bulletin 117                used in upholstered furniture. In lieu of testing, test




                                      GENERAL
                                                                           report can be submitted if dated within one year.
PHYSICAL CHARACTERISTICS
                                                                               Shall be tested to substantiate fiber content. Shall not
                                                                               exceed a deviation of + 3% from the label as allowed
*   Fiber analysis: quantitative               AATCC 20A              --
                                                                               for blends and no deviation for items labeled 100% of
                                                                               a fiber.
PERFORMANCE




                                    CONFIDENTIAL
                                            CPSD-HL-01058-                     No malfunction/ disable of latch after 100 cycles of
*   Latch mechanism durability                                        --
                                            MTHD / Actual use                  folding and unfolding.
                                                                               No structural damage at a force uniformly applied
                                                                               vertically through a 2 in. x 2 in. area at the apparent
    Arm Strength Test - Vertical                 In-house             --       weakest point of chair's arm for 1 min. The force shall
                                                                               be half of the weight indicated in Table 1 at the highest
                                                                               age of the age range for which the furniture is intended.
                                                                               No structural damage at a pulling force uniformly
                                                                               applied to the arm rest perpendicularly (45 downward
                                                                               and outward) at the most forward point of the arm rest
                                                                               area for 1 min. The force shall be half of the weight
    Arm Strength Test (Side pull)                In-house             --       indicated in Table 1
                                                                               {See corresponding Table T-0014 at the end of this
                                                                               Protocol}
                                                                               at the highest age of the age range for which the
                                                                               furniture is intended.
                                                                                                                                                   BV Lab Number:
                                                                                                                                                  Technician Name:
                                                                                                                                                         Test Date:
                                                                                                                                                 Reviewed By/Date:

                                                                                                                                                                      Page 11 of 15


                                                                               DGEN - 08002.03 - US
                                                                  CHILDREN RESIN SEATING FURNITURE (V24)
                                                                No. of
Evaluation                              Citation / Method                                       Criteria                              PPR   VT           Results           Rating
                                                               Samples
                                                                       Shall function as intended. Report all releases, cracks,
   Actual use - functionality - not     CPSD-HL-01058-
                                                                 --    fractures that affect functionality and aesthetics before
   covered by other tests               MTHD / Actual use
                                                                       and after testing.
                                                                       No structural damage at a force applied to 90º from the
                                                                       back at 9 in. above the seat for 1 min. The force is
                                                                       equal to the weight indicated in Table 1




                                        DOLLAR
                                       CPSD-HL-01017-
   Seating - back pull durability                                --    {See corresponding Table T-0014 at the end of this
                                      MTHD / Dynamic load
                                                                       Protocol}
                                                                       at the highest age of the age range for which the
                                                                       furniture is intended.
                                                                       No structural damage when test load placed in a 9 in.
                                                                       diameter bag free falls from 6 in. to the center of the
                                                                       seat for ten times. The load is equal to the weight
                                                                       indicated in Table 1




                                        GENERAL
   Impact Durability                         In-house            --    {See corresponding Table T-0014 at the end of this
                                                                       Protocol}
                                                                       at the highest age of the age range for which the
                                                                       furniture is intended.

                                                                          No structural damage at 120 lbs. in 9 in diameter bag
                                                                          applied to the seat, which is positioned on the plywood
                                      ASTM F1838 section 8.7




                                      CONFIDENTIAL
   Leg strength test - rear                                       --      testing base and the glass testing base respectively for
                                            modified
                                                                          1 min. with the rear legs unrestrained and the front legs
                                                                          resting but not restrained on wooden blocks.
                                                                          No structural damage at 120lbs. in 9 in diameter bag
                                                                          applied to the seat, which is positioned on the plywood
                                                                          testing base and the glass testing base respectively for
                                      ASTM F1838 section 8.7
   Leg strength test - front                                      --      1 min. with the front legs unrestrained and the rear legs
                                            modified
                                                                          resting but not restrained on wooden blocks.
                                                                          Obstruction block must place at the front of seat to
                                                                          ensure the bag is not slipping out from the seat.
                                                                                                                                                                               BV Lab Number:
                                                                                                                                                                              Technician Name:
                                                                                                                                                                                     Test Date:
                                                                                                                                                                             Reviewed By/Date:

                                                                                                                                                                                                        Page 12 of 15


                                                                                           DGEN - 08002.03 - US
                                                                             CHILDREN RESIN SEATING FURNITURE (V24)
                                                                           No. of
Evaluation                                      Citation / Method                                          Criteria                                 PPR          VT                   Results                Rating
                                                                          Samples
                                                                                  Max 5 Lbs. horizontal force is applied to move the
                                                                                  sample (with a load equal to the weight indicated in
                                                                                  Table 1
                                                                                   {See corresponding Table T-0014 at the end of this
                                                                                  Protocol}
                                                CPSD-HL-01058-                     at the highest age of the age range for which the
*   Caster or roller performance                                            --




                                      DOLLAR
                                                MTHD / Actual use                 furniture is intended placed on the seat) on smooth
                                                                                  vinyl surface for a maximum of 10 seconds. No
                                                                                  measurement is taken for the first 5 seconds of the test.
                                                                                  The caster shall be oriented in a running direction
                                                                                  throughout the test.


IMPORTANT NOTE:                The information presented under the "Criteria" of this protocol is for information only and does not replace the content of the standard. Details of the requirements should be




                                      GENERAL
referred to the original standards

Remark:
PPR - Pre-Production Review
VT - Verification Test


Key:




                                    CONFIDENTIAL
*                  Additional Charge For This Test
**                 Mandatory Requirement
#                  By Request Only

Result Key:
C                  Claimed
R                  Recorded
M                  Meets
NM                 Does Not Meet
NA                 Not Applicable
NT                 Not Tested

Rating Key:
                   Incomplete
INCOMPLETE         (PPT Rating
                   Only)
                                                   BV Lab Number:
                                                  Technician Name:
                                                         Test Date:
                                                 Reviewed By/Date:

                                                                      Page 13 of 15


                 Complete (PPT
COMPLETE
                 Rating Only)
GOOD             Good
UNSAT            Unsatisfactory

Image Appendix
T-0002 Abuse
Test
Conditions w
Age.jpg




                                    DOLLAR
                                    GENERAL
                                  CONFIDENTIAL
                                                                                         BV Lab Number:
                                                                                        Technician Name:
                                                                                               Test Date:
                                                                                       Reviewed By/Date:

                                                                                                            Page 14 of 15


T-0014
Stability and
over-load Age
Table.JPG




                                    DOLLAR
                                    GENERAL
                                  CONFIDENTIAL
 No. Of Samples Required for Complete Testing         3   Client Approval:         JANUARY 06, 2012 /
                                                                                   Chuck Rogers
 No. Of (Fully Packed) Cartons For Transit Testing:   -
                                                          Creation Date:           JANUARY 19, 2006
 No. Of Working Days For Complete Testing:            7
                                                          Last Revision Date:      DECEMBER 21, 2011
                                                          Pricing Review Date:     OCTOBER 23, 2008
                                                          Technical Review Date:   AUGUST 06, 2009
                 BV Lab Number:
                Technician Name:
                       Test Date:
               Reviewed By/Date:

                                    Page 15 of 15




  DOLLAR
  GENERAL
CONFIDENTIAL
                                                                                  MODERN TESTING SERVICES TEST PROTOCOL
                                                                                      DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                  TY-002-US-V6
                                                                                                                                                                                                                               MTS Report Number:
                                                                                                                                                                                                                                                 Date:


                                     Pre-Production
 Test Properties   CPSC Regulated                             Evaluation              Citation/Method                                                                        Criteria                                                                    Result
                                         Review
                                                                                                              Shall meet the specific requirement in the protocol.
Supplemental                        Documentation      Supplementary Protocol - CA65
                                                                                                              All products containing CA Prop 65 warning label will be reported as FAILED.
Protocol                            Review             CA65                     [SP-572-US]
                                                                                                              The component applicable for phthalate test will follow client practice for CPSIA.


Supplemental                        Documentation                                 TOX                         Shall meet the specific requirement in the protocol
                                                       TOX
Protocol                            Review                                        [SP-002-US]
                                                                                                              Product category should be determined according to national guidelines and industrial standards. The major categories are (1)
                                                                                                              Toys, (2) Children’s Product, (3) Child-care articles, and (4) General Use Products




                                       DOLLAR
                                                                                  ASTM F963-08, Section       All products shall be tested according to either the appropriate age grade, as determined by MTS or the labeled age grade if it
                                                       Determination of           5.2 Annex A1 /              is more stringent. In the event the sample is not age labeled, MTS will determine the appropriate age grade and test
Labeling                            Product Review     Children’s Product and     CPSC Age Grade              accordingly.
                                                       Age Grading                Determination guideline /
                                                                                  16 CFR 1200                 Label Age Grade:       Not Declared / Over XX years of age
                                                                                                              Appropriate Age Grade: Over XX years of age
                                                                                                              Tested Age Grade:      Over XX years of age

                                                                                                              Shall be labeled with the following information:




                                       GENERAL
                                                                                                              1. Product identification
                                                       UPLR                                                   2.	Manufacturer, Packer, or Distributor’s Name & Address (City, State & ZIP Code)
                                                                                  NIST Uniform Laws and
                                                       (Products WITHOUT                                      3. Net quantity of contents shall be expressed in terms of weight or mass, measure, numerical count, or combination so as to
Labeling                            Packaging Review                              Regulations Handbook
                                                       consumable                                             give accurate information to facilitate consumer comparison
                                                                                  130
                                                       components)
                                                                                                              Client requirement: Remark the missing information instead of fail

                                                                                                              Shall be labeled with the following information:
                                                     FPLA                                                     1. Product identification
                                                     (Products, included toys                                 2.	Manufacturer, Packer, or Distributor’s Name & Address (City, State & ZIP Code)
                                                                              16 CFR 500




                                     CONFIDENTIAL
                                                     WITH consumable                                          3. Net quantity of contents shall be expressed in terms of weight or mass, measure, numerical count, or combination so as to
Labeling                            Packaging Review                          Fair Packaging and
                                                     components, e.g. bubble                                  give accurate information to facilitate consumer comparison
                                                                              Labeling Act
                                                     solution, art set with                                   4. Glue and Adhesives sold with the product shall comply with the labeling requirements of 16 CFR 500, "Regulations under
                                                     paint)                                                   section 4 of the Fair Packaging and Labeling Act

                                                                                                              Every article of foreign origin (or its container) imported into the United States shall be marked in a conspicuous place as
                                                                                                              legibly, indelibly, and permanently as the nature of the article (or container) will permit, in such manner as to indicate to an
Labeling                            Packaging Review Country of origin marking 19 CFR 134
                                                                                                              ultimate purchaser in the United States the English name of the country of origin of the article.

                                                                                                              Shall have a label securely affixed that contains:
                                                     Rules and regulations                                    (1) The name and manufacturer or other marketing or registration number.
Labeling                            Packaging Review under the textile fiber     16 CFR 303                   (2) The country of origin.
                                                     products identification act                              (3) The generic name and percentage of all fibers in the product.

                                                       Care labeling of textile
                                                       wearing apparel and                                    Shall have a label securely affixed that contains regular care (customary and routine) information.
Labeling                            Packaging Review                              16 CFR 423
                                                       certain piece goods as
                                                       amended




                                                                                                                      Page 1 of 11
                                                                                   MODERN TESTING SERVICES TEST PROTOCOL
                                                                                       DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                   TY-002-US-V6
                                                                                                                                                                                                                               MTS Report Number:
                                                                                                                                                                                                                                           Date:


                                        Pre-Production
 Test Properties   CPSC Regulated                                Evaluation            Citation/Method                                                                      Criteria                                                                Result
                                            Review
                                                                                                           Any children’s product shall place permanent, distinguishing marks on the product and it’s packaging, to the extent practicable,
                                                                                                           that will enable –
                                                                                                           (A) the manufacturer to ascertain the location and date of production of the product, cohort information (including the batch, run
                                                                                                           number, or other identifying characteristics), and any other information determined by the manufacturer to facilitate ascertaining
                                                                                   Consumer Product
                                                                                                           the specific source of the product by reference to those marks
                                                                                   Safety Improvement Act,
                                                          Tracking label for                               (B) the ultimate purchaser to ascertain the manufacturer or private labeler, location and date or production of the product, and
Labeling                               Packaging Review                            Section 103. Tracking
                                                          children's products                              cohort information (including the batch, run number, or other identifying characteristics).
                                                                                   Labels for Children's
                                                                                   Products
                                                                                                           Dollar General Tracking label requirement:
                                                                                                           •	Only evaluate the present of the tracking label.
                                                                                                           •	Report tracking code on product and packaging.




                                          DOLLAR
                                                                                                               Bedding and furniture shall have a securely affixed tag or label which contains the following information:

                                                                                                               1. The statement, “UNDER PENALTY OF LAW THIS TAG NOT TO BE REMOVED EXCEPT BY CONSUMER”
                                                                                   Association of Bedding
                                                                                                               2. A description of the filling contents preceded by the statement, “ALL NEW MATERIAL CONSISTING OF”
                                                                                   and Furniture Law
                                                          Uniform law labels for                               3. The assigned state number (i.e. REG. NO………….)
Labeling                               Packaging Review                            Officials. (16 Feb 2010).
                                                          bedding and furniture                                4. The statements, “Certification is made by the manufacturer that the materials used in this article are described in accordance
                                                                                   USA Uniform Law Label:
                                                                                                               with the law”
                                                                                   Bedding Furniture




                                          GENERAL
                                                                                                               The size, printing and description of the label shall comply with the requirements described in the document.

                   YES                                                                                       Shall be labeled on packaging to indicate adult assembly required due to the presence of small parts, sharp points, sharp
                                                          Toys Intended To Be
Labeling           (Verification Lab   Packaging Review                            16 CFR 1500.50 (b)(ii)(5) edges as received.
                                                          Assembled By An Adult
                   Test Apply)
                   YES                                                                                    Substances (glues and adhesives) have a special hazards to health shall have conform labeling requirement as defined by 16
                                                          Labeling of hazardous
Labeling           (Verification Lab   Packaging Review                            16 CFR 1500.14(b)(1-5) CFR 1500.14(b)(1-5)
                                                          substances
                   Test Apply)
                   YES                                                                                         Each mattress and mattress pads shall bear a permanent, accessible, and legible label containing the information specified in
                                                          Mattresses and mattress
Labeling           (Verification Lab   Packaging Review                           16 CFR 1632.31               the regulation.
                                                          pads Labeling




                                        CONFIDENTIAL
                   Test Apply)
                   YES                                                                                         All Mattress sets manufactured, imported, or renovated on or after July 1st 2007 shall bear a permanent, conspicuous, and
Labeling           (Verification Lab   Packaging Review Mattress Set Labeling      16 CFR 1633.12              legible label(s) containing the information in English as specified in the regulation.
                   Test Apply)




                                                                                                                       Page 2 of 11
                                                                                  MODERN TESTING SERVICES TEST PROTOCOL
                                                                                      DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                  TY-002-US-V6
                                                                                                                                                                                                                        MTS Report Number:
                                                                                                                                                                                                                                         Date:


                                        Pre-Production
 Test Properties   CPSC Regulated                               Evaluation           Citation/Method                                                                    Criteria                                                                 Result
                                            Review
                                                                                                        Plastic bags for products to be sold in the cities of Chicago and New
                                                                                                        York, and the states of California, New York, Virginia, Massachusetts,
                                                                                                        and Rhode Island require the following warning on plastic bags with a
                                                                                                        thickness of less than one mil (1/1000 inch) and an opening size of
                                                                                                        seven inches or more (5 inches in Rhode Island). It is desirable for all
                                                                                                        Plastic packaging bags to include the CPSC voluntary warning below regardless of point of sale.

                                                                                                        "WARNING: Keep this bag away from babies and children. Do not use in cribs, beds, carriages, or playpens. The thin film may
                                                                                                        cling to nose and mouth and prevent breathing."




                                           DOLLAR
                                                                                                        If desired, the Spanish language text of the warning is:

                                                                                                         "CUIDADO: No deje que bebes o ninos; se acequen a esta caja. No use en cunas, camas, coches y corrales peninos. La tele
                                                                                                        fina puede pegarse a la nariz y boca y prevenir respire."
                                                        Plastic Bag suffocation   CPSC Document #5064
Labeling                               Packaging Review
                                                        warning                   & State Laws
                                                                                                        Additional Text such as "This bag is not a toy" is desirable.

                                                                                                        Type size of warnings shall be as follows*:
                                                                                                        Total length and width of bag 60 inches or more at least 24 point
                                                                                                        Total length and width of bag 40-59 inches at least 18 point




                                           GENERAL
                                                                                                        Total length and width of bag 30-39 inches at least 14 point
                                                                                                        Total length and width of bag less than 30 inches at least 10 point

                                                                                                        *Virginia's law is intended for dry cleaning bags only and requires at least 36 point type.
                                                                                                        States do allow substantially equivalent wording in place of the CPSC warning.

                                                                                                        MTS does not provide legal advice as to acceptable warnings in lieu of the CPSC warning.
                                                                                                        If the warning is required based on thickness and opening size, but not present, then the test shall be reported as fail. If a
                                                                                                        warning is present, report the warning listed on the bag and notate if the warning matches the CPSC warning.
                                                                                                        Shall match the actual content if present
Labeling                               Packaging Review Parts Labeling            MTS in house method




                                         CONFIDENTIAL
                                                        Accuracy or adequacy of                         Shall be legible and easy to understand; instructions shall be consistent with sample performance
Labeling                               Packaging Review                         MTS in house method
                                                        instructions
                                                                                                        Shall meet the requirements specified in the standard.

                                                                                                        A furniture article intended for use by a child shall not present a mechanical hazard in normal use or when subjected to
                                                                                                        reasonable foreseeable abuse:
                                                                                                        - From fracture, fragmentation, or disassembly of the article
                                                                                                        - From propulsion of the article or any part or accessory thereof
                   YES
                                       Documentation     16 CFR 1500 /            16 CFR 1500           - From points or other protrusions, surfaces, edges, openings or closures
Mechanical         (Verification Lab
                                       Review            16 CFR 1501              Mechanical Hazards    - From moving parts
                   Test Apply)
                                                                                                        - From lack or insufficiency of controls to reduce or stop motion
                                                                                                        - As a result of self-adhering characteristics of the article
                                                                                                        - Because the article or any part or accessory thereof may be aspirated or ingested
                                                                                                        - Because of instability
                                                                                                        - Because of any other aspect of the article's design or manufacture.

                                                                                                        Shall meet the requirements to eliminate the possible crushing, laceration or pinching hazards that might occur in folding
                                                         Folding Mechanisms and ASTM F963-08 Section
Mechanical                             Not Applicable                                                   mechanisms and hinges in toys designs to support a child
                                                         Hinge Line Clearance   4.13




                                                                                                                Page 3 of 11
                                                                                     MODERN TESTING SERVICES TEST PROTOCOL
                                                                                         DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                     TY-002-US-V6
                                                                                                                                                                                                                              MTS Report Number:
                                                                                                                                                                                                                                            Date:


                                        Pre-Production
 Test Properties   CPSC Regulated                               Evaluation               Citation/Method                                                                    Criteria                                                                Result
                                            Review
                                                                                                               Samples shall meet the requirements intended to minimize unexpected hazards that can be caused by a product that can tip
                                                                                                               easily or is not capable of withstanding an overload.
                                                                                                               The height and weight of children up to 14 years for the stability test is shown in Age Table.
                                                                                     ASTM F963-08 Section
                                                                                                               The load for the overload test shall be three times the weight indicated in Age Table at the highest age of the age range for
Mechanical                             Not Applicable    Stability and over-load     4.15
                                                                                                               which the table is intended.
                                                                                     (mod.)
                                                                                                               (Modification = For children up to 14 years)

                                                         Holes clearances, and                                 Shall meet the requirements intended to eliminate the possible hazard that may be caused by changing clearances or
                                                                                     ASTM F963-08, Section
Mechanical                             Not Applicable    accessibility of                                      permanent entrapment and pinching of fixed openings
                                                                                     4.18




                                           DOLLAR
                                                         mechanisms
                                                                                                           Furniture which has an accessible, circular hole in any rigid material less than 0.062 in. (1.58 mm) in thickness can admit a 1/4-
                                                                                                           in. (6-mm) diameter rod to a depth of 3/8 in. (10 mm) or greater, it shall also admit a 1/2-in. (13-mm) diameter rod. The product
                                                                                     ASTM F2613-09 section
                                                         Circular Holes in Rigid                           shall be evaluated in all manufacturer's recommended use positions.
Mechanical                             Not Applicable                                5.9
                                                         Materials
                                                                                     (mod.)
                                                                                                           (Modification = Expended Scope)

                                                                                                               Folding chairs intended to be used by a child with a seat height 15 in. or less shall comply with all requirements and labeling as
                                       Documentation     Mechanical hazards -
Mechanical                                                                           ASTM F2613-09             specified in the standard.
                                       Review            children's folding chairs




                                           GENERAL
                                                         Tipping hazard - chests,                              The unit shall not tip over or be supported only by an opened drawer, opened door, or opened or unopened flap during the test
                                       Documentation
Mechanical                                               door chests and             ASTM F2057 – 09b          with or without load.
                                       Review
                                                         dressers
                                       Documentation                                                           Bean Bag chairs (furniture) shall comply with all requirements and labeling as specified in the standard.
Mechanical                                               Bean Bag Chairs             ASTM F1912-98
                                       Review
                                                                                     ASTM F963-08, Section
                   YES
                                       Documentation                                 4.2 /                     Shall not exceed the maximum allowable limit of no greater than 0.1 inches per second.
Flammability       (Verification Lab                     Flammability of solid
                                       Review                                        16 CFR 1500.44 /
                   Test Apply)
                                                                                     16 CFR 1500.3(c)(6)(vi)
                                                                                                               All Mattress sets manufactured, imported, or renovated on or after July 1st 2007 shall not show the total heat release of more




                                         CONFIDENTIAL
                   YES                                   Flammability (open
                                       Documentation                                                           than 15 mega-joules in the first 10 minutes of the test or the peak rate of heat release of more than 200 kilowatts.
Flammability       (Verification Lab                     flame) of mattress sets – 16 CFR 1633
                                       Review                                                                  In lieu of testing, test report can be submitted if dated within one year.
                   Test Apply)                           doc review


                   YES                                   Flammability of mattress                              A mattress shall not show a char length of more than 2 inches (5.1 cm) in any direction, when tested using lighted cigarette as
                                       Documentation
Flammability       (Verification Lab                     and mattress pad -       16 CFR 1632                  specified in the test method. In lieu of testing, test report can be submitted if dated within one year.
                                       Review
                   Test Apply)                           documentation review




                                                                                                                       Page 4 of 11
                                                                                MODERN TESTING SERVICES TEST PROTOCOL
                                                                                     DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                 TY-002-US-V6
                                                                                                                                                                                                                            MTS Report Number:
                                                                                                                                                                                                                                             Date:


                                        Pre-Production
 Test Properties   CPSC Regulated                              Evaluation            Citation/Method                                                                      Criteria                                                                   Result
                                            Review
                                                                                                           All accessible surface coatings, before and after use and abuse testing, on the items for children ages 12 and under shall not
                                                                                                           contain lead in excess of 0.009% (90ppm) of the weight of the total content of paint or surface coating.

                                                                                                           Note: In case of insufficient coating for testing found on number of samples specified in the protocol, vendor needs to provide
                                                                                  Consumer Product         additional samples or sprayed samples (paint applied to larger area of sample) to provide sufficient coating for testing.
                                                                                  Safety Improvement Act
                   YES
                                       Documentation     CPSIA Total lead content of 2008 /                As per client specified, wet paint testing is not allowed.
Analytical         (Verification Lab
                                       Review            in surface coating       16 CFR 1303 /
                   Test Apply)
                                                                                  AOAC 974.02(mod) /       Report actual results or include data table within report
                                                                                  CPSC-CH-E1003-09         Issue a third party test report.




                                          DOLLAR
                                                                                                           Composite testing is not allowed
                                                                                                           Documentation of component testing is not allowed


                                                                                                           All accessible substrates, before and after use and abuse testing, on items intended for children ages 12 and under shall not
                                                                                                           contain lead in excess of 0.01% (100ppm) of the weight of the total content.

                                                                                                           The materials listed in the lead content in substrate exemption list below will be exempted from testing; it is the vendors’
                                                                                                           responsibility to ensure compliance to the applicable requirements.
                                                                                  Consumer Product




                                          GENERAL
                                                                                                           Vendor should provide accurate BOM or information to grant the exemption from testing
                                                                                  Safety Improvement Act
                                                                                  of 2008 /
                                                                                                           In case of insufficient material for testing found on number of samples specified in the protocol, vendor needs to provide
                   YES                                                            EPA 3050B(mod) /
                                       Documentation     CPSIA Total lead content                          additional samples for testing.
Analytical         (Verification Lab                                              EPA 3051(mod) /
                                       Review            in substrate material
                   Test Apply)                                                    EPA 3052(mod) /
                                                                                                           Report actual results or include data table within report
                                                                                  CPSC-CH-E1001-08 /
                                                                                  CPSC-CH-E1002-08 /
                                                                                                           Composite testing is allowed up to 3 similar materials (see below exceptions for IL Law compliance). If composite result
                                                                                  16 CFR 1500.91
                                                                                                           exceeds the adjusted limit (regulatory limit divided by the number of composites), individual materials will be analyzed.




                                        CONFIDENTIAL
                                                                                                           For IL law compliance, compositing is not allowed for children's jewelry (< 12 yrs.), child care articles (< 6 yrs.); otherwise
                                                                                                           compositing of up to 3 like materials is conducted.




                                                                                                                   Page 5 of 11
                                                                                 MODERN TESTING SERVICES TEST PROTOCOL
                                                                                     DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                 TY-002-US-V6
                                                                                                                                                                                                                           MTS Report Number:
                                                                                                                                                                                                                                         Date:


                                     Pre-Production
 Test Properties   CPSC Regulated                            Evaluation              Citation/Method                                                                     Criteria                                                                 Result
                                         Review
                                                                                                           All accessible surface coatings of jewelry for children under 12 years of age, child care articles for children under 6 years of
                                                                                                           age, and toys with paint for children under 12 years of age, in the as received state, shall contain less than 0.004% (40ppm)
                                                                                                           lead or lead components in which the lead content is the weight of the total content.

                                                                                                           All accessible substrate materials of jewelry for children under 12 years of age, and child care articles for children under 6 years
                                                                                                           of age in the as received state, shall contain less than 0.004% (40ppm) lead or lead components in which the lead content is
                                                                                                           the weight of the total content.

                                                                                                            As a client requirement, the warning label is not allowed.
                                                      Total lead content in
                                                                                 Illinois (410 ILCS 4) Lead




                                        DOLLAR
                                    Documentation     toys, child care articles                             Note: In case of insufficient coating for testing found on number of samples specified in the protocol, vendor needs to provide
Analytical                                                                       Poisoning Prevention
                                    Review            and children's jewelries -                            additional samples or “sprayed samples” (paint applied to larger area of sample) to provide sufficient painted decoration for
                                                                                 Act. Section 6
                                                      Illinois                                              testing. Wet paint testing is not allowed as per client specified.

                                                                                                           The vendor is responsible for compliance of inaccessible materials and materials on all other products outside of the above
                                                                                                           scope.

                                                                                                           Report actual results or include data table within report.
                                                                                                           Component testing is not allowed since compliance to the CPSIA is also required.




                                        GENERAL
                                                                                                           Composite testing is not allowed


                                                                                                           All accessible surface coatings, before and after use and abuse testing, on:
                                                                                                           •	 toys intended for children up to age 14;
                                                                                                           •	 children’s jewelry (including jewelry making craft kits)
                                                                                                           •	 children’s food contact items
                                                      Total Metal Content:                                 •	 child care articles;
                                                      EPA 3050B (modified) /
                                                      EPA 3051 (modified)/                                 Shall comply with the following limits: Antimony (Sb) 60 mg/kg, Arsenic (As) 25 mg/kg, Barium (Ba) 1000 mg/kg, Cadmium (Cd)




                                      CONFIDENTIAL
                                                      EPA 3052 (modified) /                                75 mg/kg, Chromium (Cr) 60 mg/kg, Lead (Pb) 40 mg/kg, Mercury (Hg) 60 mg/kg, Selenium (Se) 500 mg/kg.
                                                      CPSD-AN-00185, 00196-
                                                      MTHD, / CPSC-CH-       Total and Soluble heavy       Note:
Analytical                          Not Applicable    E1001-08 / CPSC-CH-    metal content in surface      •	 Children’s food contact items mean food contact articles intended for children up to 14 years of age.
                                                      E1002-08               coatings                      •	 For coating on toys intended for children up to age 14, soluble heavy metal testing is conduct directly. Report of ASTM F963
                                                                                                           will be issued with note in the report “Soluble lead (Pb) requirement is reduced to 40ppm as per client requirement.”
                                                      Soluble Metal Content:                               •	 For coating on products other than toys, screening of 8 total heavy metals is conduct first and no compositing is allowed. If
                                                      ASTM F963 (Surface                                   any of the above heavy metal(s) is/are detected exceed the require limit, soluble heavy metal testing will be proceed.
                                                      Coating) / acid                                      • 	For soluble heavy metal testing, test method and reporting rules (e.g. application of correction factor) from ASTM F963.
                                                      extraction, ICP analysis                             •	 Excludes: Ride-on /bicycle wheels, tubes and tires; stroller wheels, tubes and tires; writing instrument nibs; car seat buckles;
                                                                                                           keyed locks and keys.

                                                                                                           [Client Requirement]




                                                                                                                   Page 6 of 11
                                                                              MODERN TESTING SERVICES TEST PROTOCOL
                                                                                      DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                  TY-002-US-V6
                                                                                                                                                                                                                              MTS Report Number:
                                                                                                                                                                                                                                             Date:


                                     Pre-Production
 Test Properties   CPSC Regulated                            Evaluation               Citation/Method                                                                      Criteria                                                                  Result
                                         Review
                                                                                                            All accessible substrates, before and after use and abuse testing, on:
                                                                                                            • 	toys intended for children up to age 14;
                                                                                                            •	 children’s jewelry (including jewelry making craft kits)
                                                                                                            •	 children’s food contact items
                                                                                                            •	 child care articles;
                                                      Total Metal Content:
                                                      EPA 3050B (modified) /
                                                                                                            Shall comply with the following limits: Antimony (Sb) 60 mg/kg, Arsenic (As) 25 mg/kg, Barium (Ba) 1000 mg/kg, Cadmium (Cd)
                                                      EPA 3051 (modified)/
                                                                                                            75 mg/kg, Chromium (Cr) 60 mg/kg, Lead (Pb) 40 mg/kg, Mercury (Hg) 60 mg/kg, Selenium (Se) 500 mg/kg.
                                                      EPA 3052 (modified) /
                                                      CPSD-AN-00185, 00196-
                                                                                                            Note:
                                                      MTHD, / CPSC-CH-       Total and Soluble heavy
                                                                                                            •	 Children’s food contact items mean food contact articles intended for children up to 14 years of age.




                                        DOLLAR
Analytical                          Not Applicable    E1001-08 / CPSC-CH-    metal content in
                                                                                                            •	 For metal substrates, soluble heavy metal testing is conduct directly.
                                                      E1002-08               substrates
                                                                                                            •	 For materials other than metals, screening of 8 total heavy metals is conduct first and composite testing is allowed up to 3
                                                                                                            similar materials. If any of the above heavy metal(s) is/are detached exceed the require limit, soluble heavy metal testing will be
                                                      Soluble Metal Content:
                                                                                                            proceed. (no compositing is allowed)
                                                      EN71 part 3 (Substrate) /
                                                                                                            •	 For soluble heavy metal testing, test method and reporting rules (e.g. application of correction factor) from EN71:3 are
                                                      acid extraction, ICP
                                                                                                            applied.
                                                      analysis
                                                                                                            •	 Excludes: Ride-on /bicycle wheels, tubes and tires; stroller wheels, tubes and tires; writing instrument nibs; car seat buckles;
                                                                                                            keyed locks and keys.




                                        GENERAL
                                                                                                            [Client Requirement]

                                                                                                         Shall be tested to substantiate fiber content. Shall not exceed a deviation of +/- 3% from the label as allowed for blends and no
                                    Documentation     Fiber analysis:             16 CFR 303 /
Garment                                                                                                  deviation for items labeled 100% of a fiber.
                                    Review            Quantitative                AATCC 20A Quantitative
                                                                                                            Shall meet the labeled claim.

                                                                                                            Subjective claim, non-measurable claim and measurable claim which the external factor will affect the performance of the item
Construction
                                    Packaging Review Claim verification           MTS in house method       will not be verified.
Qualities




                                      CONFIDENTIAL
                                                                                                            Some of claim verification will consist of external charge.

                                    Product
Construction                                                                                                Actual product shall match with the color as listed in the product specification submitted by the vendor.
                                    Specification     Component Checking          Visual Check
Qualities
                                    Review
                                    Product
Construction                                                                                                Actual product shall match with the material type (paint, plastic, fabric, metal, wood, etc) as listed in the product specification
                                    Specification     Material Checking           Visual Check
Qualities                                                                                                   submitted by the vendor.
                                    Review
                                    Product
Construction                                                                                                Shall provide an accurate CPSC Citation List.
                                    Specification     CPSC Citation Checking Document Check
Qualities
                                    Review
                                                                                                            [General requirements]
Construction                                          Latch mechanism
                                    Not Applicable                                MTS in house method
Qualities                                             durability                                            No malfunction/ disable of latch after 100 cycles of folding and unfolding.

                                                                                                            [General requirements]
                                                      Load test - individual test
Construction
                                    Not Applicable    of portions intended to     MTS in house method       Apply 20 lbf. vertical load to each hook/dowels, shelf, or area intended to bear weight at the outermost portion. Shall exhibit no
Qualities
                                                      bear weight                                           structural breakage or loss of functionality.




                                                                                                                    Page 7 of 11
                                                                                  MODERN TESTING SERVICES TEST PROTOCOL
                                                                                      DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                  TY-002-US-V6
                                                                                                                                                                                                                             MTS Report Number:
                                                                                                                                                                                                                                            Date:


                                     Pre-Production
 Test Properties   CPSC Regulated                             Evaluation              Citation/Method                                                                     Criteria                                                                  Result
                                         Review
                                                                                                            [General requirements]
                                                      Actual use - functionality -
Construction
                                    Not Applicable    not covered by other         MTS in house method
Qualities                                                                                                   Shall function as intended. Report all releases, cracks, fractures that affect functionality and aesthetics before and after testing.
                                                      tests


Construction
                                                                                                            No structural damage at a force applied perpendicularly to the leg at 1 in. from the end of the leg. Force is applied in four
Qualities
                                                                                                            directions (Forward, rearward, side to side). The force shall be one fourth of the weight indicated in Age Table at the highest
(CHILDREN'S                         Not Applicable    Leg Strength                MTS in house method
                                                                                                            age of the age range for which the furniture is intended.
TABLE
REQUIREMENTS)




                                        DOLLAR
Construction
                                                                                                            Must not have any one leg lift off the floor when test load is applied 1 in. from the edge on 12 in. disc
Qualities
                                                                                                            > 4 sq. ft. < 4 sq. ft.
(CHILDREN'S                         Not Applicable    Stability                   MTS in house method
                                                                                                            75 lbs.     65 lbs.
TABLE
REQUIREMENTS)

Construction                                                                                                Samples shall meet the requirements intended to minimize unexpected hazards that can be caused by a product that is not
Qualities                                                                                                   capable of withstanding an overload. The load shall be three times the weight indicated in Age Table at the highest age of the
                                                                                  ASTM F963-08 Section
(CHILDREN'S                         Not Applicable    Overload (table)                                      age range for which the table is intended.




                                        GENERAL
                                                                                  4.15.5
TABLE                                                                                                       (Mod. = Table)
REQUIREMENTS)
Construction
Qualities
(CHILDREN'S
SEATING                                                                                                 No structural damage at 120 lbs. in 9 in diameter bag applied to the seat, which is positioned on the plywood testing base and
REQUIREMENTS:                                                                     ASTM F1838 section8.7 the glass testing base respectively for 1 min. with the rear legs unrestrained and the front legs resting but not restrained on
                                    Not Applicable    Leg strength test - rear
CHAIR,                                                                            modified              wooden blocks.
OTTOMAN,




                                      CONFIDENTIAL
GLIDER,
ROCKER,
BENCH, STOOL)
Construction
Qualities
(CHILDREN'S
SEATING                                                                                                 No structural damage at 120lbs. in 9 in diameter bag applied to the seat, which is positioned on the plywood testing base and
REQUIREMENTS:                                                                     ASTM F1838 section8.7 the glass testing base respectively for 1 min. with the front legs unrestrained and the rear legs resting but not restrained on
                                    Not Applicable    Leg strength test - front
CHAIR,                                                                            modified              wooden blocks. Obstruction block must place at the front of seat to ensure the bag is not slipping out from the seat.
OTTOMAN,
GLIDER,
ROCKER,
BENCH, STOOL)




                                                                                                                    Page 8 of 11
                                                                            MODERN TESTING SERVICES TEST PROTOCOL
                                                                                DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                            TY-002-US-V6
                                                                                                                                                                                                                  MTS Report Number:
                                                                                                                                                                                                                                 Date:


                                    Pre-Production
Test Properties   CPSC Regulated                            Evaluation          Citation/Method                                                                  Criteria                                                                Result
                                        Review
Construction
Qualities
(CHILDREN'S
                                                                                                   Max 5 Lbs. horizontal force is applied to move the sample (with a load equal to the weight indicated in Table 1 at the highest
SEATING
                                                                                                   age of the age range for which the furniture is intended placed on the seat) on smooth vinyl surfacefor a maximum of 10
REQUIREMENTS:                                        Caster or roller
                                   Not Applicable                           MTS in house method    seconds. No measurement is taken for the first 5 seconds of the test. The caster shall be oriented in a running direction
CHAIR,                                               performance
                                                                                                   throughout the test.
OTTOMAN,
GLIDER,
ROCKER,
BENCH, STOOL)




                                       DOLLAR
Construction
Qualities
(CHILDREN'S
SEATING
                                                                                                   No structural damage at a force applied to 90º from the back at 9 in. above the seat for 1 min. The force is equal to the weight
REQUIREMENTS:
                                   Not Applicable    Back Pull Durability   MTS in house method    indicated in Table 1 at the highest age of the age range for which the furniture is intended.
CHAIR,
OTTOMAN,
GLIDER,
ROCKER,
BENCH, STOOL)




                                       GENERAL
Construction
Qualities
(CHILDREN'S
SEATING
                                                                                                   No structural damage when test load placed in a 9 in. diameter bag free falls from 6 in. to the center of the seat for ten times.
REQUIREMENTS:
                                   Not Applicable    Impact Durability      MTS in house method    The load is equal to the weight indicated in Table 1 at the highest age of the age range for which the furniture is intended.
CHAIR,
OTTOMAN,
GLIDER,
ROCKER,
BENCH, STOOL)




                                     CONFIDENTIAL
Construction
Qualities
(CHILDREN'S
SEATING                                                                                            No structural damage at a pulling force uniformly applied to the arm rest perpendicularly (45 degree downward and outward) at
REQUIREMENTS:                                        Arm Strength Test (Side                       the most forward point of the arm rest area for 1 min. The force shall be half of the weight indicated in Table 1 at the highest
                                   Not Applicable                            MTS in house method
CHAIR,                                               pull)                                         age of the age range for which the furniture is intended.
OTTOMAN,
GLIDER,
ROCKER,
BENCH, STOOL)
Construction
Qualities
(CHILDREN'S
SEATING                                                                                            No structural damage at a force uniformly applied vertically through a 2 in. x 2 in. area at the apparent weakest point of chair's
REQUIREMENTS:                                        Arm Strength Test -                           arm for 1 min. The force shall be half of the weight indicated in Table 1 at the highest age of the age range for which the
                                   Not Applicable                           MTS in house method
CHAIR,                                               Vertical                                      furniture is intended.
OTTOMAN,
GLIDER,
ROCKER,
BENCH, STOOL)




                                                                                                           Page 9 of 11
                                                                                MODERN TESTING SERVICES TEST PROTOCOL
                                                                                    DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                TY-002-US-V6
                                                                                                                                                                                                                          MTS Report Number:
                                                                                                                                                                                                                                         Date:


                                    Pre-Production
Test Properties   CPSC Regulated                             Evaluation            Citation/Method                                                                    Criteria                                                                   Result
                                        Review
Construction
Qualities
(CHILDRENS                                                                                            Apply 10 lbf. vertical load to outermost portion of one hook/rack. The unit shall not tip over
                                   Not Applicable    Load Stability Test        MTS in house method
COAT RACK,
QUILT RACK
REQUIREMENTS)
                                                                                                      Apply force through an 8-inch diameter disc 54-inches above the floor or 4 inches below the top, whichever is lower, to the
Construction
                                                                                                      vertical centerline of the back of the unit. Push until the unit is at the point where it will continue to tip without any additional
Qualities
                                   Not Applicable    Furniture - stability      MTS in house method   force applied. Report the angle and the force to get the unit to this point. Unit shall not tip over with less than 40 lb or at less
(SHELVES AND




                                       DOLLAR
                                                                                                      than 10 degrees. Test shall be performed with the unit unloaded.
STORAGE UNIT)


Construction
Qualities
(CHILDREN'S
PRODUCTS -
WALL MOUNTED                                         Load test - general test
                                                                                                      Mount unit on simulated wall and apply 30 lbf. vertical load to the center of the top of the unit for 30 minutes. Shall exhibit no
SHELF UNIT,                                          for items that are only
                                   Not Applicable                               MTS in house method   structural breakage or loss of functionality.
CHALK BOARD,                                         intended to bear their




                                       GENERAL
PEG HOOKS,                                           own weight
MIRROR,
BULLETIN
BOARD
REQUIREMENTS)


Construction
Qualities
(CHILDREN'S




                                     CONFIDENTIAL
PRODUCTS -
WALL MOUNTED
                                                     Load test - multiple tests                       Mount unit on simulated wall and apply 10 lbf. vertical load to outermost portion of all hooks, shelves, or areas intended to bear
SHELF UNIT,
                                   Not Applicable    of portions intended to    MTS in house method   weight simultaneously for 30 minutes. Shall exhibit no structural breakage or loss of functionality.
CHALK BOARD,
                                                     bear weight
PEG HOOKS,
MIRROR,
BULLETIN
BOARD
REQUIREMENTS)


Construction
                                                                                                      Raise one end of the unloaded unit 10 in. and allow to free fall to the test platform. Repeat test for the other end of the unit.
Qualities                                                                       ANSI/SOHO S6.5-01
                                   Not Applicable    Drop Test                                        There shall be no defects or loss of serviceability.
(TRUNDLE BED                                                                    section 10 modified
REQUIREMENTS)

Construction
                                                                                                      No structural damage when 500 lbs weight is evenly distributed over the bed.
Qualities                                            Distributed Static load
                                   Not Applicable                               MTS in house method
(TRUNDLE BED                                         Test
REQUIREMENTS)




                                                                                                             Page 10 of 11
                                                                                                MODERN TESTING SERVICES TEST PROTOCOL
                                                                                                       DOLLAR GENERAL - CHILDREN'S FURNITURE
                                                                                                                   TY-002-US-V6
                                                                                                                                                                                                                                                          MTS Report Number:
                                                                                                                                                                                                                                                                          Date:


                                                   Pre-Production
 Test Properties            CPSC Regulated                                     Evaluation             Citation/Method                                                                              Criteria                                                                          Result
                                                       Review

                                                                                                                                 < END OF PROTOCOL >


Note: It is the Vendor's responsibility to ensure that the products comply with all United States Federal, States, and local laws, regulations, and ordinances. A Pass Lab test result does not constitute a certification that a vendor's products meet all legal requirements. It is the
vendor's responsibility to manufacture their items to comply with all applicable laws and in conformance with the purchase order terms and conditions.


Pre-Production Review                             Result                                          Key
                                                                                                                      #
Packaging Review / Product Specification Review   Pass / Pass with Remark                         Complete / Complete
                                                  Fail                                            Incomplete#




                                                      DOLLAR
Documentation Review                              Documentation Provided                          Complete [index of report]
                                                  Documentation Not Provided                      Incomplete#


TAT:                       5 – 7 working days
Protocol Version:          V6
Revision Date:             25-Aug-11
Client Approval:           Paul Sahutske
Version History:           V1 - Protocol Created (Billy Cheung - Feb 10, 2010)




                                                      GENERAL
                           V2 - CA Test Item Added (Wayne Siu - Mar 22, 2010)
                           V3 - T8E Test Added (Wayne Siu - Jul 9, 2010)
                           V4 - Revise CA65 protocol# and separated UPLR and FPLA (Wiz Chan - Sep 18, 2010)
                           V5 - Limit of “Total Lead in Substrate” was changed to 100ppm (Wayne Siu - Mar 16, 2011)
                           V6 - Extra column was added to indicate CPSC regulated section (Wayne Siu - Aug 25, 2011)




                                                    CONFIDENTIAL

                                                                                                                                        Page 11 of 11

				
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