实验室测试申请单
样品测试申请
样品测试申请一、引言样品测试是指将特定的样品送交实验室或测试机构进行科学检测和分析的过程。
通过样品测试，可以获取关于样品质量、性能、成分等方面的详细信息，以便进行后续的决策和改进。
本文将对样品测试申请的流程和注意事项进行介绍，以帮助读者更好地理解和应用样品测试。
二、样品测试申请流程1. 确定测试需求：在进行样品测试申请之前，首先要明确自己的测试需求。
这包括确定需要测试的样品类型、测试的目的、测试的参数和指标等。
只有明确了测试需求，才能更好地选择合适的实验室或测试机构。
2. 寻找合适的实验室或测试机构：根据自己的需求，可以通过多种途径来寻找合适的实验室或测试机构。
可以通过网络搜索、咨询专业人士或参考行业标准等方式，寻找具有良好声誉和专业能力的实验室或测试机构。
3. 联系实验室或测试机构：一旦确定了合适的实验室或测试机构，就需要与其联系并了解其测试服务的具体细节。
可以通过电话、邮件或面谈等方式与实验室或测试机构进行沟通，了解其测试范围、价格、时间等方面的信息。
4. 填写样品测试申请表：实验室或测试机构通常会提供样品测试申请表，申请人需要填写相应的信息，包括样品的基本信息、测试要求、测试参数等。
在填写申请表时，要注意准确、清晰地描述自己的测试需求，以便实验室或测试机构能够准确理解并提供相应的服务。
5. 样品准备和交付：在提交样品之前，需要对样品进行必要的准备工作。
这包括样品的采集、保存和包装等。
在交付样品时，要确保样品的完整性和标识清晰，以免影响后续的测试过程。
6. 样品测试和分析：一旦实验室或测试机构收到样品，就会进行相应的测试和分析。
根据测试的要求和方法，实验室或测试机构会使用相应的仪器和设备，对样品进行检测和分析。
在测试过程中，实验室或测试机构会严格按照标准操作规程进行操作，以确保测试结果的准确性和可靠性。
7. 测试报告和结果解读：测试完成后，实验室或测试机构会生成测试报告，并将其发送给申请人。
玩具测试申请表-电子版
Toys Test Requisition Form 玩具测试申请表※Service Required （测试服务）: (所有※项目为必填项)Regular 普通件Express 加急件 (40% Surcharge)*Shuttle 特急件 (100% Surcharge)*Same Day 当天件 (150% Surcharge)pricelist of which we have seen a copy and upon and subject to the terms and conditions set out hereon and overleaf.(我们要求进行以上测试，并将依照无锡天祥技术服务有限公司所制定的现有统一价目表来收费；附加相关的条款请参看背页) 以上资料请如实填写，报告完成后如需修改报告内容，将收取报告修改费用。
Date 日期：Authorized Signature and※ Company Chop of the Applicant申请公司盖章及代表签名：Notes ： No Comment may be given for some of the test items if related standard or specification is not available. 如无相关标准和说明，本公司将不对所测试样品给予评价。
Intertek Testing Services Wuxi Ltd.No.8 Fubei Road, Xishan Economic Development Zone, Wuxi 214101, Jiangsu, China无锡天祥质量技术服务有限公司江苏无锡锡山经济开发区府北路8号 (邮编:214101)Tel: +86 510 8821 4567 Fax: +86 510 8820 0428 E-mail: consumergoods.wuxi@Form No.: 9313108Phthalate Component Sorting InstructionPhthalate测试分胶说明Date日期: Sample State样品状态:Finished Product成品 Parts 部件Toys or Children care article End Use: Toys or Children care article玩具或儿童护理用品最终用途：玩具或儿童护理用品Non Toys or Children care article Non Toys or Children care article非玩具或儿童护理用品非玩具或儿童护理用品Test Request 测试要求:CPSIA美国联邦 (HR 4040) CARLIFORNIA加州EU欧盟 (2005/84/EC) CA Prop65 加州65法案DnHP ASTM F963 Company/ Buyer Name:Instruction说明:1. Individual Mix单独测试混合测试2. Accessible Parts Accessible & Inaccessible Parts可接触部件不可接触部件3. Soft Plastic/PVC Plastic/High Risk Materials All Plastics All Materials软质塑胶/聚氯乙稀塑胶/高风险材料所有塑胶所有材料4. Coatings (Pls select either one if the sample is not tested for “All Materials”):涂层 (如果上一项您没有选择所有材料，请在以下选项中选择) ：All Coatings 测试所有涂层No Test on Coating 不测试涂层Test substrate with coating 底材带着涂层测试Other Instruction其他说明:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~INTERTEK TESTING SERVICES WUXI LTD.TERMS AND CONDITIONS OF BUSINESS1. Intertek Testing Services Wuxi Ltd. (hereinafter “the Company”) agrees to provide its services in accordance with and subject to the terms and conditions herein contained (Hereinafter “theConditions”). The Conditions may only be modified by a variation expressed in writing and signed on behalf of the Company by a director and no other action on the part of the Company or its employees or agents shall be construed as an acceptance of any other terms and conditions.2. The Company acts for the person or body from whom the request to provide its services has originated (hereinafter “the Principal”). No other party is entitled to give instructions to the Companyunless agreed by the Company.3. All rights (including but not limited to copyright) in any test reports, surveys, certificates of inspection or other material produced by the Company in the course of providing its services shall remainvested in the Company. The Principal shall not reproduce or make copies, publish or disclose the contents of any such material or extracts thereof to any third party without the Company s prior written consent, which may be refused at its discretion. The Principal further undertakes that its servants and agents shall keep confidential and shall not publish or otherwise use any information that may be acquired relating to the Company s activities.4. 4.1 The Company undertakes to exercise due care and skill in the performance of its services and accepts responsibility only where such skill and care is not exercised.4.2. The liability of the Company in respect of any claims for loss, damage or expense of whatsoever nature and howsoever arising in respect of any breach of contract and/or any failure toexercise due skill and care by the Company shall in no circumstances exceed a total aggregate sum equal to ten (10) times the amount of the fee or commission payable in respect of the specific service required under the particular contract with the Company which gives rise to such claims provided however that the Company shall have no liability in respect of any claims for indirect or consequential loss including loss of profit and/or loss of future business and/or loss of production and/or cancellation of contracts entered into by the Principal.4.3. 4.3 The Company shall not in any event be liable for any loss or damage caused by delay in performance or non-performance of any of its services where the same is occasioned by anycause whatsoever that is beyond the Company s control including but not limited to war, civil disturbance, requisitioning, governmental restriction, prohibitions or enactment of any kind import or export regulations, strike or trade dispute (whether involving its own employees or those of any other person), difficulties in obtaining workmen or materials, breakdown of machinery, fire or accident. Should any such event occur the Company may cancel or suspend any contract for the provision of services without incurring any liability whatsoever.4.4. The Company will not be liable to the Principal for any loss or damage whatsoever sustained by the Principal as a result of any failure by the Company to comply with any time estimate givenby the Company relating to the provision of its services. [See clause 9.1] [See clause 9.2]5. 5.1 Subject to the Principal s instructions as accepted by the Company, the test reports, surveys, certificates of inspection or other material produced by the Company shall contain statements ofopinion made with due care within the limitation of the instructions received by the Company. The Company is under no obligation to refer to or report upon any facts or circumstances which are outside the specific instructions received.5.2. For pre-shipment inspection or survey of goods, the Company s inspector shall perform the inspection or survey when goods are 100% Completed, packed and marked (unless otherwiseagreed between the Company and the Principal). Goods for inspection or survey shall be unpacked in the presence of the Company s inspector and inspection or survey shall, subject to Condition 5.3, take place at the place specified by the Principal.5.3. If the Company s inspector finds that the location is not suitable for carrying out a proper inspection or survey of goods or where necessary equipment for inspection or survey is not availablethe inspector may, if practical in the circumstances, draw samples of goods from the location and carry out the inspection or survey at the premises of the Company. The Principal shall be responsible for all costs and expenses incurred in relation thereto.5.4. Reports, surveys or certificates issued following testing or analysis of samples contain the Company s specific opinion on those samples only but do not express any opinion upon the bulkfrom which the samples were drawn. If an opinion on the bulk is requested special arrangements in writing must be made in advance with the Company for the inspection and sampling of the bulk. In no circumstances shall the Company s responsibility extend beyond inspection, testing and reporting upon the samples actually drawn from the bulk and inspected, tested and surveyed by the Company and any inference to be drawn from the results of such inspection or survey or testing shall be entirely at the discretion and at the sole and exclusive responsibility of the Principal.6. The Company shall be entitled at its discretion to delegate the performance of the whole or any part of the services contracted for with the Principal to any agent or subcontractor.7. Every officer, employee, agent or subcontractor of the Company shall have the benefit of the limitations of liability and the indemnities contained in the Conditions. So far as relates to such limitationsand indemnities, any contract entered into by the Company is entered into not only on its own behalf but also as agent and trustee for every such person as aforesaid.8. If the requirements of the Principal necessitate the analysis of samples by the Principal or by any third party the Company will pass on the results of the analysis but without responsibility for itsaccuracy. Where the Company is only able to witness an analysis by the Principal or by any third party the company will provide confirmation, if such be the case, that a correct sample has been analyzed but will not otherwise be responsible for the accuracy of such analysis.9. The Principal will :9.1. ensure that instructions to the Company are given in due time and are accompanied by sufficient information to enable the required services to be performed effectively;9.2. accept that documents reflecting arrangements or agreements made between the Principal and any third party, or third party documents such as copies of contracts of sale, letters of credit,bills of lading, etc. are -if received by the Company considered to be for information only, without extending or restricting the services to be provided or obligations accepted by the Company.9.3. procure all necessary access for the Company s representatives to enable the required services to be performed effectively;9.4. supply, if required, any special equipment and personnel necessary for the performance of the required services;9.5. ensure that all necessary measures are taken for safety and security of working conditions, sites and installations during the performance of the required services;9.6. take all necessary steps to eliminate or remedy any obstruction to or interruptions in the performance of the required services and repack all inspected goods immediately after any inspectionor survey of them;9.7. inform the Company in advance of any known hazards of dangers, actual or potential, associated with any request for the provision of services by the Company including but not limited to thepresence or risk of radiation, toxic or noxious or explosive elements or materials, environmental pollution or poisons;10. The Principal shall guarantee, hold harmless and indemnify the Company and its officers, employees, agents or subcontractors against:10.1. all claims made by any third party for any loss, damage or expense of whatsoever nature and howsoever arising relating to the performance, purported performance or nonperformance of anyof services to the extent that the aggregate of any such claims relating to any one service exceeds the limit mentioned in Condition 4.2.10.2. any loss or damage suffered by the Company as a result of the provision of services by the Company to the Principal otherwise than resulting from the Company s own error, negligence orwilful default.11. 11.1 The Principal will punctually pay the Company immediately upon presentation of the relevant invoice or within such other period as may have been agreed in writing by the Company allcharges rendered by the Company failing which interest will become due at the rate of 1.5 per cent per month from the date of invoice until payment. The Principal further agrees and undertakes to reimburse the Company all disbursements reasonably incurred in connection with the provision of its services.11.2. The Principal shall not be entitled to retain or defer payment of any sums due to the Company on account of any dispute, cross claim or set off which it may allege against the Company.11.3. In the event of any suspension of payment arrangement with creditors, bankruptcy , insolvency, receivership or cessation of business or failure of the Principal to pay part or all of any sumsowing to the Company, the Company shall be entitled to suspend all further performance of its services and withhold the issue of any test report, survey, certificate of inspection or other material requested forthwith and without liability until payment of all sums owing to the Company together with interest thereon is made.12. Without prejudice to any rights the Company may have at law or under the Conditions, the Company has the following rights in the event of non-payment of sums owing to the Company as set outbelow :12.1. The Company has a general and particular lien over all samples delivered to be tested for all claims and sums owing by the Principal to the Company under any contract whatsoever and inany other way whatsoever.12.2. During the currency of any such lien the Company is entitled to be paid reasonable storage charges for samples retained in the Company s custody.12.3. Without prejudice to the Company s lien and other rights under Conditions 12.1 to 12.2 above, if test, inspection or survey of the goods takes place on the premises of the Company, theCompany may give notice to the Principal that the goods (or any part thereof) are ready for collection and the Principal shall collect the same within three (3) working days (Saturdays, Sundays and Public Holidays excepted). Upon the expiry of this period, if the goods are not collected by the Principal, at the sole discretion of the Company the goods may be deemed abandoned and/or destroyed.12.4. Without prejudice to Conditions 12.3 above, the Company shall have the discretion to store the goods (or any of them) at their own premises or elsewhere at the Principal s expense if thePrincipal has deposited the goods at the Company s premises for the performance of these services and has subsequently failed to collect the said goods.12.5. The expenses by way of disbursements that the Company may reclaim from the Principal include all reasonable costs incurred by the Company (whether by way of storage, insurance orotherwise) in respect of the goods and it is expressly declared that it shall be reasonable but not mandatory for the Company to effect comprehensive insurance in respect of the goods.12.6. Without prejudice to the Company s lien and other rights under Conditions 12.1 to 12.5 above, the risk and property in the goods shall remain at all times in the Principal.13. In the event of the Company being prevented by reason of any cause whatsoever outside the Company s control from performing or completing any service for which an order has been given or anagreement made, the Principal will pay to the Company :13.1. the amount of all abortive expenditure actually made or incurred; and13.2. a proportion of the agreed fee or commission equal to the proportion (if any) of the service actually carried out; and the Company shall be relieved of all responsibility whatsoever for the partialor total non-performance of the required service.14. The Company shall be deemed by the Principal to have provided qualified services pursuant to the terms and conditions under this Conditions unless objection or suit is brought within twelve (12)months after the date of the performance by the Company of the service which gives rise to the claim or in the event of any alleged non-performance within twelve (12) months of the date when such service should have been completed.15. In the event that any unforeseen additional time or costs are incurred in the course of carrying out any of its services the Company shall be entitled to render additional charges as shall reasonablyreflect such additional time and costs incurred.16. All proprietary and non-public information relating to the Principal that is held by the Company will not be disclosed by the Company to third parties except where the Company is required to disclosesuch information either (i) to China National Accreditation Service for Conformity Assessment ("CNAS") or other accreditation bodies for the purposes of an accreditation assessment of the Company's activities or (ii) pursuant to any legal or regulatory requirement to which the Company shall be subject."17. All contracts for provision of services by the Company and the Conditions shall be construed in accordance with and governed by the laws of the People's Republic of China (hereinafter “PRC”) forthe purpose of any arbitral or litigation proceedings such contracts shall be deemed to have been made and performed in PRC If any provision contained in the Conditions is and/or becomes invalid, illegal or unenforceable in any respect under the laws of PRC, the validity, legality and enforceability of the remaining provisions hereof shall not in any way be affected or impaired thereby.18. Any dispute or claim arising out of or relating to the provision of, or any agreement to provide, services by the Company shall be submitted to the Shanghai Sub-commission of China InternationalEconomic and Trade Arbitration Commission for arbitration in accordance with its provisional rules and procedure. The Arbitration award shall be final and binding upon both Parties. All the fees relating to the arbitration shall be borne by the losing Party.客户填表 / 送检须知1.本公司按照测试申请表和实验室测试报告背面所列明的条款和条件进行测试，请详细阅读。
研发测试申请表
实验室测试申请单
紧急程度□特急☑紧急□一般
申请部门申请人申请日期2023年3月25 日
物料名称物料料号/版次/
工序/供应商/批次号/样品数量5PCS
样品状态□样品来料□量产来料□制程半成品□量产☑试板
测试目的□工艺开发□工艺验证□变更验证□生产前确认☑其他试产验证
测试结果☑提供完整的测试报告□仅提供测试数据
序号测试项目测试数量测试标准期望完成日期1参考客户要求5参考客户规格书
2
3
4
5
6
7
签批意见日期
申请人主管
实验室主管
备注：
1、申请要求：品质部量产来料检验，制程检验、成品检验送测无需填写本申请单，外部门送测需要按照此申请单填写完整；
2、紧急程度：送测样品紧急程度分为特急、紧急、一般；特急样品优先安排测试。
检测申请单
应用实验室现有机型：☐iCAN 9 ☐iCAN 8 PLUS ☐OIL4000B 全自动测油仪 ☐OIL2000B 测油仪 ☐OIL3000B 测油仪 ☐ TJ270-30A ☐UV5800 测试目的（重点）:___________________________________________________ 测试条件:___________________________________________________________________ 感 兴 趣 的 方 法 : ☐ ATR ☐ 反 射 ☐ 透 射 ☐ ☐ 其 他 特 殊 附 件 :
销售、代理接洽人
销售代表：___________________________________________________________________
签约代理商的技术专员（如有）：_______________________________________________
用户期望测样截止日期：______息
单位名称：___________________________________________________________________ 联系人：_____________________________________________________________________ 联系人的职务或者职称：_______________________________________________________ 电话：_______________________________________________________________________ Email：_______________________________________________________________________
CNAS实验室认可申请书与评审报告表格填写指南
附件 3.3《测量审核记录》
√
附件 3.4《实验室参加能力验证活动核查 √
表》
附件 4《实验室不符合项/观察项记录表》 √ √
附件 5《对实验室整改的验收意见》
√
附件 6《评审组对后续监督评审表在初次申请和复评审申请时填
写
本表仅在复评审申请时填写 本表仅在初次申请和复评审申请时
质配置表》
附表 5-1《实验室参加能力验证/测量审 √
核一览表》 申 请 附表 5-2《实验室参加实验室间比对一览 √ 书 表》
附表 6-1《实验室检测能力变更申请表》 √
附表 7《质量管理体系核查表》
√
附表 8《参加能力验证活动的计划表》 √ 附表 9《质量管理体系运行及技术能力维
√ 持状况自查表》
⑺ “1扩展不确定度/2最大允差/3准确度等级”一栏，选择三者之一填写，不可为空（功能
性设备除外），例如，选择填写“U=1.0℃ , (k=2)”,则在备注栏填写序号：1；
⑻ 关键仪器设备的“溯源方式”栏填写送校、自校、送检、自检、比对或其他验证方式等。其
中送校、送检是指送到实验室法人以外的机构进行校准或检定，自校、自检是指在实验室或实验室
相同； ⑶ 授权签字领域格式应为“申请认可的……检测项目”，英文格式为“Apply for items of…”； ⑷ 备注栏填写维持、新增、取消、扩大授权领域或缩小授权领域，英文表示为“Maintain , New, Cancel, Enlarge authorized scope or narrow down authorized scope”.
实验室所在地
地点 A 地点 B 地点 C
表 4. 实验室所在地地址统一写法
SEM、AFM测试申请表
样品状况
费用总计
检
测
单
位
填Байду номын сангаас
写
样品编号
付费方式
样品原始编号
收样人
收样日期
现场检测人员
申请方授权代表签名：
年 月 日
主管工程师审核签字：
年 月 日
实验室主管领导批准签字：
年 月 日
说明：
1、申请表中涉及的交付时间“正常”为1-2个工作日；“加急”由检测方根据申请人的具体情况来定；
2、送样或抽样人应逐项认真填写本单，选择项目“√”划定，无内容划“—”或填写“不祥”；未尽内容请在说明栏内注明；对上述内容确认后签字；检测要求的更改必须以书面形式提出申请；
SEM/AFM测试申请表
申请方
信
息
申请方：
申请方填写
联系人：
联系方式
样
品
信
息
样品名称：
样品ID
样品数量：
规格
贮存要求：室温□冷藏□冷冻□其它□
批号/生产日期
检测后样品处理： 退回样品□检验部门自行处理□ 其他 □
保质期
样品状态：固态□液态□ 半固态□ 膏霜状□ 粉末状□ 其它□色泽
样品包装：散装□ 铝塑袋□ 铝箔袋□ 塑料袋□ 塑料瓶□ 玻璃瓶□ 塑料盒□ 其它□密封□ 不密封□
3、本中心仅对送检样品负责。客户如对检测结果有异议，应在接到报告十五日内向本中心提出，逾期不再受理。
检
测
要
求
检测项目：SEM□EDS能谱分析□AFM□
检测人员： 部门
姓名
联系方式
结论判定： 作出判断□出具数据□ 其他□
报
告
交
申请参加初中化学实验室测量
申请参加初中化学实验室测量尊敬的实验室主任：
我是初中化学科班的学生小明，我非常热衷于化学实验并对深入了
解测量技术很感兴趣。
特此写信申请参加初中化学实验室的测量实验，希望能够获得这个机会来提升自己的实验技能和理论知识。
首先，我对测量技术有着浓厚的兴趣，自己在课堂上也表现出了极
大的热情。
我曾经主动参加学校化学实验室的开放日，并且实验了一
些基本的测量活动，比如使用各种测量器材测定溶液的浓度、蒸发实
验等。
这些实验让我深刻地认识到测量技术在化学实验中的重要性，
也让我产生了进一步探索和学习的欲望。
其次，我在化学实验中表现出了良好的安全意识和团队合作精神。
我非常重视实验室安全，严格遵守实验操作规范，能够正确使用实验
器材，并且对于实验中可能出现的风险有所防范。
同时，我还十分热
衷于与实验室的同学们进行讨论和合作，共同解决实验中的难题。
我
相信我能够在实验室中与同学们互相学习和交流，共同进步。
最后，我相信通过参与初中化学实验室的测量实验，将能够对测量
技术有更深入的了解，并提高自己的实验技能和理论知识水平。
我希
望能够学习并掌握更多的测量方法，并能够熟练使用各种仪器和设备。
这将为我未来的学习和研究打下坚实的基础，也会对我选择化学相关
的职业道路起到积极的指导作用。
感谢您抽出时间阅读我的申请。
我期待能够获得这个宝贵的机会，并在初中化学实验室测量实验中展现自己的潜力与才华。
非常期待您的回复！
谢谢！
此致
敬礼
小明。
SGS检测申请表
通标标准技术服务有限公司上海市宜山路889号3号楼1楼，邮编：200233SGS-CSTC Standards Technical Service Co., Ltd. 1/F, the 3rd Building, No. 889 Yishan Road, Shanghai China, P.C 200233t (86-21)61402666 f (86-21)64958763Applicant (申请单位，中文): Post Code (邮编):Applicant (申请单位，英文): 注：请用英文正确填写单位名称Address (地址，中文):Tel (电话):Contact Person (联系人): Fax (传真):Email(电子邮件): Payer (付款单位) :Post Code (邮编): Address (地址，中文):Fax (传真):Contact Person (联系人):Tel (电话): Email(电子邮件):Report Delivered to: ☐ Applicant ☐ Payer Invoice Delivered to: ☐ Applicant ☐ Payer(报告原件寄至) (上述申请方) (上述付款方)(发票寄至) (上述申请方) (上述付款方)Sample Description (样品描述): Colour( 颜色): Composition(成份): Style No.(款号):Order No.(订单号):L/C No.(信用证号): Manufacturer(生产厂商):End Uses(最终用途):Exported to(出口目的国): Buyer(买主):No. of Sample( 样品数):Care Instruction (使用须知标签)*Care instruction should be indicated if applying for dimensional stability, colourfastness to washing or appearance retention test. (如申请尺寸稳定性，皂洗牢度或外观持久性测试请务必注明标签指示。
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测试申请单
表单编号： 版本： A1.0
类型： 项目名称* 产品名称* 送样数量*
□新材料认定
□进料检验
□生产首件 项目要求* 产品型号* 生产厂商*
□技术变更
□客户样品
□其他
输入电压* 基本 参数 输入电流* 功率* 光通量 测试目 的 功率 色容差 光衰 要求测 试项目 重量 耐温 阻燃等级
制定部门：实验室
保存等级
光源型号* 驱动型号* 灯具颜色*
光源厂家* 驱动厂家*
光通量 角度 温升 尺寸 耐湿 驱动电源
色温 光强 IP等级 跌落 防腐 导热膏
显指 照度 耐压 接地 抗振
送样时间 送检部门 申请人 申请部门批准人
要求完成时间 样品签收人 （确认样品数量与品 质） 实验室主任