XRF检测专用申请表.doc

（G） AOV-OD-FM-B-004 A/1 第3页 / 共3页XRF检测专用申请表TESTING APPLICATION FORM（XRF）Quotation No. 报价单号： Name销售工程师：Approved By 核准： Start Date 开案日期：Tel 电话： specific requirements特殊要求：中文 英文请用中文/英文完整填写，带有的栏目为必须填写项目Please fulfill in English/Chinese, column with must be fulfilled. Company Name & Address Shown On Report 报告抬头之公司名称及地址Applicant Name申请公司 英/中文：Address 英/中文地址：Contact Person联系人：E-MAIL：Tel电话：Fax传真：Post Code邮政编码：Report Delivered To报告寄往 中文地址： Tel电话：If you need other items in report, please specify 如果您的报告还需要注明其他项目，请说明：Buyer 客户 ：Supplier 供应商 ：Manufacturer 制造商 ：Service Required 服务要求：Regular Service标准服务，1.5个工作日完成 （样品量50个，每增加50个样品增加0.5个工作日）Express Service (40%Surcharge) 加急服务，特急服务根据具体样品数量情况商量决定Report Service报告服务：Fax传真 Express Mail快递到付 EMS快递，预收费RMB15元 elf Pick-Up自取Chinese Report 中文报告 English Report 英文报告 Chinese-English Report 中英文对照报告If you require both English and Chinese reports will need to charge more (如出中英文两种报告需另加费用）one report of a whole product出一份报告 Report individually分开出报告Certificate证书：（Sets份）/ Testing Report检测报告：（Sets份）Samplekept样品保存：sample kept for 30 days样品保存30天 Sample Return 样品退回（快递到付） AOV disposal AOV自行处理Authorized Signature申请人签名(盖章）： Date日期：Remark备注：此检测申请表的传真件、复印件均有效,检验单位仅对来样负责,检测结果仅反映对该样品的评价,并不表示对该检测结果在使用过程中所产生的后果作任何承诺。The fax and copy of the application are also effective. The testing party is just responsible for the sample(s) received, and the test result(s) only show the comments on the sample(s), without bearing any responsibility for the mass production of products upon the product usage.XRF检测专用申请表TESTING APPLICATION FORM（XRF）样 品 清 单（Sample List）It must be noted that the test results are not suggested to be evidence whether its compliant or not, as XRF has limitations to its use and the applicability of the results obtained. If you need to indicate other items in report, please specify注意：考虑到XRF这种检测方法的局限性和检测结果的适用性，检测结果不建议作为判定符合性的依据。申请者将承担进一步的化学定量检测需要的额外费用。如果您的报告还需要注明其它事项，请说明：Sample Description 样品名称： Model型号：Item No. 批号：Declaration：The submitted samples with声明：送测的样品具有 Fatalness危险性Corrosion腐蚀性 Toxicity毒性 Flammability易燃易爆 Radioactivity放射性 Others 其他请注明：No.序号 Sample Description样品名称 Testing Item 申请检测项目 Model型 号Item No./Lot No.批 号 Material材料Description描述Supplier供应商Remark备注：此检测申请表的传真件、复印件均有效,检验单位仅对来样负责,检测结果仅反映对该样品的评价,并不表示对该检测结果在使用过程中所产生的后果作任何承诺。The fax and copy of the application are also effective. The testing party is just responsible for the sample(s) received, and the test result(s) only show the comments on the sample(s), without bearing any responsibility for the mass production of p