环境管理物质成分及部件展开表

Pb Cd Hg Cr6+PBBs PBDEs 报告编号

Report Number

供应商声明：签署人已获得公司充分授权，并保证本表格的内容以及所附的测试报告完全准确、真实。环境管理物质成分及部件展开表

Environmental Management Substance ＆ Raw Material and Components List

Supplier statement: The below undersigned person declares that he/she is duly authorized by their

organization to sign on its behalf and that the contents of this sheet and corresponding test reports are completely true and accurate.部门职位签名/日期

Signature 测试报告数据供应商Supplier 二级供应商Subcontra-ctor 料号

Product Number 品名Product Name 零/部件名称

Component 材质Material 供应商印章