Blank fields on this form indicate the information is unknown or unavailable.E1: customer (person) street = a-4-2602 tongcheng plaza ansongyuan road / postal code = 430022 e3: customer occupation = unknown g4: pma/510(k) # = k180552 this report includes information known at this time.A follow-up report will be submitted should additional relevant information become available.This report is required by the fda under 21 cfr part 803 and is based on unconfirmed information submitted by others.Neither the submission of this report nor any statement contained herein is intended to be an admission that any cook device is defective or malfunctioned, that a death or serious injury occurred, nor that any cook device caused, contributed to, or is likely to cause or contribute to a death or serious injury if a malfunction occurred.
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