 | |||||||||
| 加州65含有物質(zhì)調(diào)查清單 Questionnaire of containing Proposition 65 List | |||||||||
| ★ 請(qǐng)完成所有欄位信息的填寫﹐一個(gè)產(chǎn)品或零件料號(hào)對(duì)應(yīng)一份表格文檔。每份表格文檔都必須以特定唯一的料號(hào)命名。 Complete the relevant of the fields on all pages of this form . Provide one form or form worksheet per part/product number . Each form / worksheet should be assigned a unique form / worksheet name (e.g.vendor part#). ★ 請(qǐng)將公司標(biāo)誌放在表格左上角。 Put company logo on the upper left of the form. ★ 完成后﹐所有供應(yīng)商必須手寫簽字並加蓋公司公章。 Upon completion, handwritten signature and company seal are required for all suppliers. | |||||||||
| 基本資料/Basic Information | |||||||||
| 供應(yīng)商名稱 Vendor Name | 石門盈盛電子科技有限公司 | 供應(yīng)商代碼 Vendor Code | |||||||
| 圓展料號(hào) Aver Part No. | H81601S | 供應(yīng)商料號(hào) Vendor Part No. | |||||||
| 產(chǎn)品描述 Product Description | 網(wǎng)絡(luò)變壓器 | 法定代表人或授權(quán)代表人 Legal Representative Name or Authorized Declarer | |||||||
| 產(chǎn)品重量 Total Mass of Product | 姓名 / 職稱 Name / Title | 簽名 Signature | |||||||
| 填寫者姓名 / 職稱 Contact Name / Title | 文 靜 | 公司印章 Company Seal | |||||||
| 聯(lián)絡(luò)電話 Tel | 18673625805 | ||||||||
| 聯(lián)絡(luò)郵箱 | 229197143@qq.com | ||||||||
| 填寫日期 Date | |||||||||
| 宣告內(nèi)容/Declaration of information | |||||||||
| 項(xiàng)目 Item | 勾選 Check | 說明 Description | |||||||
| 項(xiàng)目1 Item 1 | The company hereby declares that there are no Proposition 65 List substances in the products / parts provides for AVer Information Inc. 本公司聲明提供給圓展科技(股)公司的產(chǎn)品/零件中不含有加州65物質(zhì)。 https://oehha.ca.gov/proposition-65/proposition-65-list | ||||||||
| 項(xiàng)目2 Item 2 | There is(are) a Proposition 65 List substance in our products / parts provides for AVer Information Inc. as below. 本公司聲明提供給圓展科技(股)公司的產(chǎn)品/零件中含有以下加州65物質(zhì)。 https://oehha.ca.gov/proposition-65/proposition-65-list | ||||||||
| 含有物質(zhì)調(diào)查信息/Contained Substances Information | |||||||||
| 物質(zhì)名稱 Substance Name | 化學(xué)文摘號(hào) CAS No. | 物質(zhì)含量(ppm) Concentration | 何處含有 Where Used | 使用目的 Purpose of Use | |||||
| 黑色塑料 | 本體 | ||||||||
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