DECLARATION OF RESIDUAL SOLVENTS Date:Chenodeoxycholic Acid(CDCA):We (Vendor Name need to be mentioned here) declares that the manufacturing process of (Starting Raw Material/ Intermediate need to be mentioned here) does not involve the usage of class-l solvents namely, Benzene, Carbon Tetrachloride, 1, 2-Dichloroethane, 1, 1-Dichloroethene and 1, 1, 1-Trichloroethane. The list of solvents used in the Manufacturing process is described in below tabular format. Name of the solvents Classification as per ICH Limit as per ICH In-House Limit(If Applicable) Authorized Signatory Name :Designation :Company Seal :