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Pen and Stationer Test Requisition Form 笔和文具测试申请表 |
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Pen and Stationer Test Requisition Form， 笔和文具测试申请表 (点此参考锦日网其他相关内容) |
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13 KB |
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todaytex |
| 整理时间： |
10-09 |
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54 |
| 文档简介： |
Pen and Stationer Test Requisition Form 笔和文具测试申请表 Form No.:
Applicant Name (单位英文名称) Official Use Only
申请单位中文名称 : _______________________________________________________________________ Rpt. No.: STH0
Address (单位英文地址): ______________________________________________
申请单位中文地址: ____________________________________________________________________ Deposit :
Contact Person 联系人: ___________ Telephone 电话: _____________________ Fax 传真: _______________ 邮编: ________
Company Name & Address shown on Test Report (if different from the Applicant Name Above):
测试报告上所注明的单位名称及地址 (如果与以上申请单位不符): ____________________________________________________
Payer Name (付款单位):  Same as Applicant (同申请公司)  不同，请注明__________________________________________________
Address (地址): ______________________________________________________________ Department 部门: __________
Contact Person: _________________ Telephone 电话: ______________________ Fax 传真: __________ 邮编: __________
Report Delivered To:  Applicant  Payer Invoice Delivered To:  Applicant  Payer
报告原件寄至 上述申请公司 上述付款公司 发票寄至 上述申请公司 上述付款公司
Sample Description样品描述  Item /  Article /  Model /  Style No.式样编号 No. of Sample Submitted样品数
Buyer’s Name买家名称:_____________________ P.O. No.:_________________________
 Supplier /  Vendor /  Manufacturer 供应商/贸易商/生产商:________________________________________________________
Labelled Age Group 适合年龄 _______ Age Group for testing 申请测试年龄分类_______ Packaging Provided:  Yes  No
Goods Exported to产品运往:  Europe  U.S.A.  Country of Origin原产地:  China  d
Tests Required: (Please tick appropriate boxes) 测试要求(请在  内打上钩)
US ASTM F963-03 美国
 Physical and Mechanical Tests 物理和机械测试
 Flammability Test - Solid / Fabric / Solid & Fabric
易燃性能测试 – 塑胶/布料/塑胶和布料
 Heavy Metals Test 重金属元素测试
 DEHP Content 聚氯乙烯中邻苯二甲酸二酯含量
 LHAMA ASTM D4236 ASTM 美术材料测试
US CPSC Regulation 美国
 Physical and Mechanical Tests 物理和机械测试
 Flammability Test 易燃性能测试
 Lead Element Test 含铅量测试
Safety Caps for Writting & Marking Instruments 书写及绘图用具
 Part1 -BS7272-1 Specification for Safety Caps 安全笔套
 Part2 –BS7272-2 Specification for End Closures 末端
 UK Pencils & Graphic Instruments (Safety) Regulations 1998 No. 2406
英国铅笔及绘图用具（安全）条例1998 2406号 Canadian Hazardous Products (Toys) Regulation 加拿大
 Physical and Mechanical Tests 物理和机械测试
 Toxic Element Test 毒性元素测试
European Standard EN71欧洲玩具安全标准
 Physical and Mechanical Tests 物理和机械测试
 Flammability Tests 易燃性能测试
 Toxic Element Test 毒性元素测试
 Graphical Symbol for Age Warning Labeling年龄警告标签的图示
Other Tests
 94/62/EEC Toxic Element Test on Packaging Material 包装材料测试
 Cadmium Content 镉含量
 91/338/EEC /  UK /  Sweden/  Netherlands /  Germany
 Phthalates Content 邻苯二甲酸盐含量
 Extractable Phthalates Content 可萃取邻苯二甲酸盐含量
 Release of Nickel – EN/DIN/BS 1810/1811/12472
 EU /  Germany /  UK 镍释放量
Others:
Service Required:  Regular 普通件  Express (40% surcharge) 加急件  Shuttle(100% sur charge) 特急件  Same Day
Report Service :  Fax 传真  Mail 挂号信  Express Mail 特快专递  Self Pick-Up 自取
Return Sample:  Yes  No  英文报告—默认的报告格式  中文报告  中文＋英文报告各一份（加收RMB220）
是否同意以上个别项目分包天祥集团内部其他实验室（Some of tests above will be subcontracted to ******* Testing Services labs.）
 同意 （Agree）  不同意 （Disagree）
We request for the above tests and agree that all testing will be carried out subject to ******* TESTING SERVICES scale of charges as set forth in their latest price list of which we have seen a copy and upon and subject to the terms and conditions set out hereon and overleaf.
日期 付款公司盖章及代表签名
Date: Authorised Signature and
Company Stamp of the Payer:
(条款祥载背面)(P.T.O.For terms and conditions)
Notes : 1.Applicant should retain the Duplicate for own reference and present the same for collection of test report in our office.
2.No comment may be given for some of the test items if related standard or specification is not available.
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