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1、委托检测/ 必填项NoteItemsmarkedre 中文名称(C nt in Chi 英文名称(C nt in English): titleistheCompanyNameofPayment,pleasecompleteaccura ): 普(VATspe 联系人):):传真委托检测/ 必填项NoteItemsmarkedre 中文名称(C nt in Chi 英文名称(C nt in English): titleistheCompanyNameofPayment,pleasecompleteaccura ): 普(VATspe 联系人):):传真(Fax):电邮): t样品及相关信息

2、leandrelated(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 oncefilled in, or it will be deemed as invalid. Pleasefill information correctly)样le(由填写Fill in by le85g鱼豆腐(即食鱼糜制品) 椒味 原味 咖喱味 麻辣味 烧烤味 香辣味 (Test委托(Entrusted监督盐津铺产品等(Product成(Manufacturingdateandlot 2015060120150531常温(Roomtemperature) 冷

3、藏(Refrigeration)n dark place)les 包装正le食品(Food) 药品 样品le镉DB53/T288-2009、铬DB53/T288-2009、甲基 GB/T5009.17-2003、N-二甲基亚硝胺、多氯联 测试使用的检测/测试方法TheapplicantagreestoadoptthetestingmethodsusedbyPony申请人要求采用指定的检测/TheapplicantrequirestheuseofthedesignatedtestingQ/YJPZ 服务类型及其他(ServiceRequiredand lle:10-15business加急服务(

4、ExpeditedService):3.5100附加费(3.5businessdays100请选形式(Report英中 Youmayselectanyoneof them;ifnoneected,additionalfeeRMB200-500istobe方式及要求(Reportpickupandrequirements):自取(Self pick-up) ; 国内EMS(Domestic EMS);国际EMS( ernationalEMS)按重量及地(Chargeaccordingtoweightand大致完成时间(Estimatedfinished(Y)(M)日(D) 16:30以后(Aft

5、er16:30) 是否加盖资质章: 单价(Unit (The C nt shall 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 car

6、ry out 委托 :对样品及相关信息资料的真实性负责,并同意本协议背面“双方约定条款”,保证样品到达 测试1个工作日内支 用。 (S ement of the C nt: to be liable 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 afte

7、rthe s le delivered to PONY.)委托 (盖章检测/测试 (盖章C nt(St Test anization(St Authorizedrepresen iveAuthorizedrepresen iveAuthorizedrepresen ive申请日期 受理日期 委托检测/双方约定条款ClausesoftheTestApplicationFormasagreed bythetwoIfthetrustorholdsanobjectiontotheresult,thetrustorshalleawrittenobjectiontous withinfifteendays

8、aftertheofreport,andpresenttheoriginalcopyofreportwithretestingfee paidin民。The pattern and characters of 委托检测/双方约定条款ClausesoftheTestApplicationFormasagreed bythetwoIfthetrustorholdsanobjectiontotheresult,thetrustorshalleawrittenobjectiontous withinfifteendaysaftertheofreport,andpresenttheoriginalcop

9、yofreportwithretestingfee paidin民。The pattern and characters of PONY and 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 PONYand are theviolations ofthe law.The

10、PONYhas therighttopursuealllegalliabilities ofthe subjectofthe We shall arrange the retest as soon sible after the foregoing procedure has been duly conducted, and be immune conductingtherecheckoftheunrepeatableIfthe trustoris notthe manufacturer,the trustorshallsubmitwhichdemonstratetheossesses the

11、ownership ofsuchleandagrees the presen ionof5.。PONY is only responsible for the provided le.The test results only represent theevaluation ofthetested le. PONYwillbe responsible for usage of the test results and any direct or indirect losses generated from the usage of the test results. If due mistak

12、es of PONY, the test results of the le contain he case of errors of the test results and usage of the test PONY dertake 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The trustor shall inform us any known or potential hazard he

13、presented le in advance, for instance, toxicity or explosivity of the presented s le, otherwise the trustor shall bear the legal consequence incurred by failure of 采安If we will provide field ling at the request of the trustor, the trustor shall t there are no hazard factor aybe ling potential danger

14、ous or adversely effective to al and property safety of our le collectors on the Otherwise,the trustorshall me all the damage caused to the le collector and/or us (including butnot limited to medical expense,industrialinjuryfundandeconomic WecanethepresentedlepursuanttocertainsafterthecompletionofTh

15、e c nt should he relevant contents of this agreement in detail accura y, and should pay the expenses for revising reportcausingbynotwriting Any otherhatneedtocalculateorlabel,andparameters andlimitswillprovide inaformofattachedWewilli scope ofAS 认证范围内的出具检e the test report withhescopeof AScertificati

16、on。ASassed,andwe willethedatareportoutsideof12.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付款方式Paymentwayandaccount账号 account(账号account( 广 工 3行it行it帐号(Account帐号(Account外币帐号 account(科 PonyTesting名(Account行it行(Account8CCB,BeijingBranch,

17、Suzhouqiao sub-(Account账号 account( account( 行it(Account5行it3帐号(Account账号 长 account( 行it市测试科1(Account行it帐号(Account大账号 account(外币账号 市测试科行itShenzhenPonyTest付款方式Paymentwayandaccount账号 account(账号account( 广 工 3行it行it帐号(Account帐号(Account外币帐号 account(科 PonyTesting名(Account行it行(Account8CCB,BeijingBranch,Suzh

18、ouqiao sub-(Account账号 account( account( 行it(Account5行it3帐号(Account账号 长 account( 行it市测试科1(Account行it帐号(Account大账号 account(外币账号 市测试科行itShenzhenPonyTestScience andTechnology帐号(Account行it郑账号 account(帐号(Account0 行itaccount(测帐号(Account名(Accountname)行it 5杭账号 帐号(Account名(Accountname)行it): 交account( 宁帐号(Account 行it3名(Accountname)account(测帐号(Account行it)技名(Accountaccount( 帐号(Account6)行it市长帐号(AccountContact市硚口区古田五路17 号孵化园区4-总机传真:010- 直拨:010:总机传真直拨:680354市硚口区古田五路17 号孵化园区4-总机传真直拨:021- :总机传真直拨:Contact市硚口区古田五路17 号孵化

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