cpsia test request form测试申请表格.doc

essories&Gear配件与工具Apparel服装Toys玩具ApplicantName申请公司名称:     panytitlestatedonthereportisdifferentfromtheapplicant,Pleaseclarify如果显示在报告上的公司名称不同于申请公司,请注明:     Address地址:     ContactPerson联系人:     Department部门:     Postcode邮编:     Telephone电话:     Fax传真:     E-mail邮箱:     OfficialUseOnly(内部填写)Name(业务跟单姓名)     (收样日期)     OutDate(出单日期)     OrderNo.(报告编号)SZD     InvoiceNo.(发票号)     Sample&MaterialInformation样品及材质资料SampleDescription样品描述     Modelname款式     ArticleNo款号     AgeGrade合适年纪Adults***Infants儿童,age年龄     CountryofOrigin来源地     CountryofDestination目的地     Factory工厂     Buyer买家:     Test(s)Required测试项目     totalleadinpaint(600ppm90ppmothers:     )totallead(600ppm300ppm100ppmothers:     )smallpartssmallpartincludingabusetestsharppointssharppointsincludingabusetestsharpedgessharpedgesincludingabusetestflammability(fabric/vinyl/children’ssleepwear(sizes0-6x)/children’ssleepwear(sizes7-14)/solids/others:     )label&documentchecking∑Phthalates(3P6Pothers:     )ASTMF963(solubleheavymetalothers     )formaldehydeothers     ponents测试部位描述:                                                                                ServiceRequired:Regular(常规)Express(加急:3workingdays)Emergency(特急:1workingday)SameDay(当天)服务种类(如果可行)(5-6workingdays)〔40%Surcharge附加费〕〔100%Surcharge附加费〕〔150%Surcharge附加费〕IsThisaRetest是否为重测试:Yes是(     )No否SampleReturn退样:Yes是No否ReportService:Fax传真Mail邮件Exp