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1、Eco-Textile Test Requisition Form 生态纺织品测试申请表 Form No.:Company Name & Address Shown On Test Report 报告抬头之公司名称及地址Official Use Only (*内部专用)Applicant Name 申请公司名称(英文名称):Rpt. No.Address 申请公司地址(英文地址): Quo. No.Contact Person 联络人:Department(部门)R.R. DateTelephone 电话 : Fax 传真: 测试 已付 金额费用 未付E-mail : Postcode邮政编码
2、: CSE/CSO: /Payer 付款公司(中文): Contact Person 联络人: Address地址（中文）: Currency币种:Email : Telephone 电话:Fax 传真: Following product information will be shown on Test report, * please delete whichever is inappropriate以下资料将显示在报告上, *可选择填写Sample Description (please include fibre composition) 样品描述 (请列明材料成份) :Colour
3、 颜色 :Qty of Sample Submitted 样品数量 : Order No.订单编号 : End Uses 产品用途 :Style No.样品型号 :Category 类别 : *Manufacturer 制造商 /Supplier 供货商 /Vendor 卖家 : Goods Exported to 入口国 :Buyer 买家 : Country of Origin 原产地 : Test(s) Required : (Please tick appropriate boxes) 测试项目名称 (请在适当空格内 “X”)Azo Dyes (EC/Germany) 偶氮染料Chro
4、mium VI (Cr(VI) 六价铬Allergenous Dyes 分散性染料Extractable Heavy Metals 可萃取重金属Chlorinated Organic Carriers 有机氯载体Release of Nickel (EC/Germany/UK) 镍释放量Free Formaldehyde Content 甲醛Total Cadmium (EC/Germany/Netherlands) 总镉Phthalates (DINP, DNDP, DEHP, DCDP, BBP, DBP) 邻苯二酸甲酸酯类Polychlorinaed Biphenols (PCBs) 多
5、氯联苯Chlorinated Phenol Pentachlorophenol (PCP) 五氯苯酚Tributyltin (TBT) 三丁基锡Chlorinated Phenol Tetrachlorophenol (TeCP) / Trichlorophenol (TCP) 四氯苯酚/三氯苯酚Dibutyltin (DBT) / Monobutyltin (MBT) 二丁基锡/ 单丁基锡Orthophenylphenol (OPP) 含氯酚Ozone Depleting Chemicals (ODCs) 消耗臭氧层物质PVC Flame Test (qualitative) PVC的定性p
6、H value pH 值Other Tests (Please Specify) 其它 (请注明) :Service Required: 服务要求:Regular (5/7 working days) Express (3 working days; 40%surcharge) Shuttle (1.5 working days; 100%surcharge)普通服务 (5/7个工作天) 加急服务 (3个工作天, 40%附加费) 特急服务 (1.5个工作天,100%附加费)Report Service报告送递服务: Report Delivery To: 报告寄至:Fax 传真 Email 电
7、邮 Self Pick-up 自取 Express Delivery 快递到付 Mail 挂号信 中文地址: Return Sample 退回样品: Yes 需要 No 不需要We apply 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
8、 to the terms and conditions set out hereon and overleaf.*以上资料请确实填写，报告完成后如需修改报告内容，将收取报告修改费Date 日期 公司盖章及代表签名 :Authorized Signatureand Company Chop of the Applicant (P.T.O. for terms and conditions) 条款详载背页Notes：1. Application should retain the duplicate for own reference and present the same for colle
9、ction of test report in our office 申请者请保留此表之复印件,在提取测试报告时需向本公司出示.* TESTING SERVICESTERMS AND CONDITIONS OF BUSINESS1. * Testing Services Shenzhen Limited (hereinafter “the Company”) agrees to provide its services in accordance with and subject to the terms and conditions herein contained (hereinafter
10、 “the Conditions”). The Conditions may only be modified by a variation expressed in writing and signed on behalf of the Company by a director and no other action on the part of the Company or its employees or agents shall be construed as an acceptance of any other terms and conditions. 2. The Compan
11、y acts for the person or body from whom the request to provide its services has originated (hereinafter “the Principal”). No other party is entitled to give instructions to the Company unless agreed by the Company. 3. All rights (including but not limited to copyright) in any test reports, surveys,
12、certificates of inspection or other material produced by the Company in the course of providing its services shall remain vested in the Company. The Principal shall not reproduce or make copies, publish or disclose the contents of any such material or extracts thereof to any third party without the
13、Companys prior written consent, which may be refused at its discretion. The Principal further undertakes that its servants and agents shall keep confidential and shall not publish or otherwise use any information that may be acquired relating to the Companys activities. 4. 4.1 The Company undertakes
14、 to exercise due care and skill in the performance of its services and accepts responsibility only where such skill and care is not exercised. 4.2 The liability of the Company in respect of any claims for loss, damage or expense of whatsoever nature and howsoever arising in respect of any breach of
15、contract and/or any failure to exercise due skill and care by the Company shall in no circumstances exceed a total aggregate sum equal to ten (10) times the amount of the fee or commission payable in respect of the specific service required under the particular contract with the Company which gives rise to such claims provided however that the Company shall have no liability in respect of any claims for indirect or consequential loss including loss of profit and/or loss of
