ROHS试验报告格式英文CQC0004

1、HAZARDOUS SUBSTANCE (RoHS)TEST REPORT Application No :Name of the sample :Model and specification :Test Laboratory :China Quality Certification CentreName of the sample :model of the sample :Trade mark of the sample :Sample received date :Test competetd date :Applicant/Address :Manufacturer/AddressF

2、actory/Address（如申请人要求增加目的国、合同号等在此加）Test Result:Model Covered with:Approved by :Date:Remarks :ContentContentstatePag eNumberCover1X X X X X XFirst page1X X X X X XContent1X X X X X XReport of *X X X X X XReport of *Report of *Report of *Report of *Report of *Report of *Report of *Report of *Report of

3、 *Back cover1X X X X X X（以下为每个检测单元一份，统一附到后面）HAZARDOUS SUBSTANCE(RoHS)TEST REPORTSample Number:Name of the sample :model of the sample ：Trade mark of the sample :Amount of the sample:Serial number of thesample :Applicant/Address :Manufacturer/AddressFactory/AddressTest Standards :Procedure deviation.

4、Non-standard test method- :.Test Result:Possible test case verdicts:Test case does not apply to the object:.Test object does meet the requirement:PTest object does not meet the requirement:FAmbient temperature and humidity :Tested by:Date : xxxxReviewed by : xxxxxDate : xxxxXXX x产品质量监督检验所（盖章）年 月 日Re

5、marks :Pb (mg/kg )100010 ()1200 ()50 ()PFPCd (mg/kg )ioO10 ()12 ()50 ()PPPHg (mg/kg )100010 ()12 ()PP50 ()PCr6+ (mg/kg )100P1000120P500PPBBs (mg/kg )100P1000120P500PPBDEs (mg/kg)100P1000120P500PList of components about ProductNoPart NameType/SpecificationManufacturerRemarks12345Photo of the sampleDeclarationThe test report is valid for above tested sample only and shall not be reproduced in part without written approval ofthe laboratory.Test Laboratory :Address :Tel:Fax