确定舜源农业不含膳食纤维营养标签食品委单客户

1、委托检测/测 FNoteItemsmarkedre(Application中文名称(C nt in Chi 英文名称(C nt in English)：付名称(Companyofpayment)：永州舜源农业发(付名称抬头，请准确填写。title委托检测/测 FNoteItemsmarkedre(Application中文名称(C nt in Chi 英文名称(C nt in English)：付名称(Companyofpayment)：永州舜源农业发(付名称抬头，请准确填写。titleisthe CompanyNameofPayment, pleasecompleteaccura )： 普

2、联系人传真电邮地址(Add)：湖南省宁远县九嶷南路339 tCode)： 样品及相关信息 leand related(备注：此项填写后不能改动，否则无效，请准确填写)(This item cannot be changed once filled in, or it will be deemed as invalid. Please fill information correctly)样le (由填写 Fill in by le香菇兔肉委托 (Entrusted监督 商标(Trade(Product(Manufacturingdateandlot 常温(Roomtemperature) 冷藏

3、(Refrigeration)n dark place)les le食品(Food) 药品品(Health2le200检测/国内五项营：能量、蛋白质、脂肪、总碳水化合物、检测/申请人同意采用谱尼测试使用的检测/测试方法The applicantagreestoadoptthe testingmethodsusedbyPony申请人要求采用指定的检测/测试方法Theapplicantrequirestheuseofthedesignatedtestingmethods： GB28050-2011，GB/T 5009.6-2003，GB 5009.5-2010，GB/T5009.91-2003(E

4、stimatedcontent服务类型及其他(ServiceRequiredand 标准服务(RegularService)：7个工作日(7businessdays)；特殊样品：10-15工作日l le：10-15business 加急服务(ExpeditedService)：3.5100(3.5businessdays,100%请选形式 (Report 英中)(任选一种，如需多选加收200-500Youmayselectanyoneofthem；ifnone ected,additionalfeeRMB200-500istobe方式及要求(Reportpickupand自取(Selfpick

5、-up) ； 国内EMS(Domestic国际EMS ernationalEMS)按重量及地自取(Selfpick-up) ； 国内EMS(Domestic国际EMS ernationalEMS)按重量及地(Chargeaccordingtoweightand大致完成时间(Estimatedfinished 年(Y) 月(M) 日(D) 16：30以后（After16：30） 是否加盖资质章： 费用单价(Unit 加急费用(Express Price) 总费用(TotalPrice)：500用(Actual测膳，须提供根据GB28050修约的实测值和NRV值表格(The C nt shall

6、read the clauses as showed on the back of this letter of commitment. All contents on the front and back sides will form the full contract. On igned by the C nt, it will be deemed t the c n s understood the clauses on the back and the two parties agree to carry out 委 用(S ement of the C nt： to be liab

7、le for the truth of the s le and the related information ands,agree on the back of this letter of commitment “clauses as agreed by the two parties” and ensure to pay the charge within 1 business day after the s le delivered to PONY.)委（盖章检测/测（盖章C nt (St Test anization (St 代表（签字代表（签字Authorizedrepresen

8、 iveAuthorizedrepresen ive申请日期 受理日期 委托检测/双方约定条ClausesoftheTestApplicationFormasagreedbythetwo1.委对结异议，完成之日起十五日内向提出，同时附原件及预付复检费Ifthetrustorholdsanobjectiontotheresult,thetrustorshalleawrittenobjectiontouswithinfifteendaysaftertheofreport,andpresenttheoriginalcopyofreportwithretestingfeepaidin2.本委托检及本检

9、检测服务所涉及使用的“PONY”“谱尼委托检测/双方约定条ClausesoftheTestApplicationFormasagreedbythetwo1.委对结异议，完成之日起十五日内向提出，同时附原件及预付复检费Ifthetrustorholdsanobjectiontotheresult,thetrustorshalleawrittenobjectiontouswithinfifteendaysaftertheofreport,andpresenttheoriginalcopyofreportwithretestingfeepaidin2.本委托检及本检检测服务所涉及使用的“PONY”“

10、谱尼”字样为本检的商标，其受民商标法保护，任本检的擅自使用和仿冒。、变造“PONY谱尼”商标均为违法权行为，本检依违法行为主体的全The pattern and characters of PONY and 谱尼 his agreement and during the testing service period are protected by trademark law of the Peoples Republic of China. Any unauthorized usage, counterfeit, ery and alteration of trademarks PONYan

11、d谱尼aretheviolationsofthelawThePONYhastherighttopursuealllegalliabilitiesofthesubjectofthe3.委办妥以上手续后，将尽快安排复检，不可重复性实验不进行复检We shall arrange the retest as soon sible after the foregoing procedure has been duly conducted, and be immune conductingtherecheckoftheunrepeatable4.如委与样品生不一致，委需提供生拥有样品初始并同意送检的证明I

12、f the trustor is not the manufacturer, the trustor shall submit which demonstrate the ossesses the ownershipofsuchleandagreesthepresen ionof5.仅对来样负责，检测结果仅反映对该样品的评价，检测结果的使用、使用所产生的直接或间接损失不承任何责任。如因过错导致样品的检测结果有误差对此检测结果的误差及检测结果的使用承担不超过此样品检测项目的二倍检测费用金额范围内的赔偿。PONYisonlyresponsiblefortheprovidedle. The test

13、results only represent the evaluation of thetestedle.PONYwillbe responsible for usage of the test results and any direct or indirect losses generated from the usage of the test results. If due mistakes of PONY, the test results of the le contain he case of errors of the test results and usage of the

14、 test PONYdertake the legal liability of compensation which is no n twice of the test charge of the test item s6.对送检样品中包含的任何已知的或潜在危害，如放射性性的样品，应事，否由委负责The trustor shall inform us any known or potential hazard he presented le in advance, for instance, toxicity or explosivity of the presented s le, oth

15、erwise the trustor shall bear the legal consequence incurred by failure of 位承担需要外出采样，则委应当确保采样场所不存在任何可能危及或影响采人身安，否则，由此给采和/或造成的一切损失(包括但不限于医疗费用、工伤待遇、经济赔偿)由委托If we will provide field ling at the request of the trustor, the trustor shall t there are no hazard factor aybe ling potential dangerous or adver

16、sely effective to al and property safety of our le collectors on the Otherwise,thetrustorshallme all the damage caused to the le collector and/or us (including but not limited to medical expense,industrialinjuryfundandeconomic8.可以在完后按规定处置送检样品Wecanethepresentedlepursuanttocertainsafterthecompletionof

17、9.委应认真详细填写相关内容，由于填写不清造修改，应支付修费用The c nt should he relevant contents of this agreement in detail accura y, and should pay the expenses for revising reportcausingbynotwriting10.其他需计算或标注的数据或参数及限值以附页形式提供Anyotherhatneedtocalculateorlabel,andparametersandlimitswillprovideinaformofattached在AS9.委应认真详细填写相关内容

18、，由于填写不清造修改，应支付修费用The c nt should he relevant contents of this agreement in detail accura y, and should pay the expenses for revising reportcausingbynotwriting10.其他需计算或标注的数据或参数及限值以附页形式提供Anyotherhatneedtocalculateorlabel,andparametersandlimitswillprovideinaformofattached在AS 认证范围内的出具检，在认证范围外的则出具测。Wewil

19、li scope ofe the test report withhescopeof AS certificationAS assed, and we will e the data report outside of 12.中的检测项目左上角标注“*”，则表示该项目不在的 If the test he report is marked with he upper left corner, then it t the test item is outside of the scope AS付款Paymentwayandaccount帐号(Account3名(Account name)：谱尼测行

20、it)：建工名(Account市谱尼测试科帐号(Account行it)：中国工蛇外币帐帐号(Account1名(Account name)：谱尼测外币账.行it市分行苏州名(Account市谱尼测试科CCB,BeijingBranch,Suzhouqiaosub- (Account行it)：中国工分行ICBC.帐号(Account0名(Account name)：谱尼测青行it)：中国工市习勤名(Account name)：青岛谱尼测长行it青岛高科技工业名(Account name)：吉林省谱尼测试科帐号(Account5行it)：建行长春电台(Account宁名(Account name)

21、：宁波谱尼测试技大行it)：中国工宁波高新名(Account name)：大连谱尼测试科帐号(Account3行it大连高新技术产业园帐号(Account 郑名(Account name)：谱尼测试科技）名(Account name)：郑州谱尼测试技行it)：中国农长行it)：建行名(Account name)：青岛谱尼测长行it青岛高科技工业名(Account name)：吉林省谱尼测试科帐号(Account5行it)：建行长春电台(Account宁名(Account name)：宁波谱尼测试技大行it)：中国工宁波高新名(Account name)：大连谱尼测试科帐号(Account3行it大连高新技术产业园帐号(Account 郑名(Account name)：谱尼测试科技）名(Account name)：郑州谱尼测试技行it)：中国农长行it)：建行郑州开发帐号(Account帐号(Account杭广名(Accountname)州谱尼检测科名(Account name)：广州市谱尼测试技行it)： 杭州高行it)：中国工广州穗帐号(Acc