玩具测试申请表-立创检测技术服务有限公司
公司产品检测申请书模板
尊敬的XXX公司领导：您好！我代表我公司向您提交一份产品检测申请书，希望贵公司能够给予支持和协助。
首先，请允许我简要介绍一下我们的公司。
XXX公司成立于2000年，是一家专注于研发、生产和销售高科技产品的企业。
经过多年的发展，我们的产品已经涵盖了通信设备、电子产品、计算机硬件等多个领域，赢得了广大客户的认可和信赖。
本次申请检测的产品是我们公司最新研发的一款智能手机。
该产品在设计、性能、功能等方面都具有显著的创新和优势，我们相信它能够在激烈的市场竞争中脱颖而出。
然而，为了确保我们的产品能够满足消费者的需求和期望，我们希望能够进行一次全面、权威的产品检测。
在此，我们向贵公司提出以下几点检测申请：1. 检测项目：请贵公司根据我国相关法规和标准，对我们公司的智能手机进行全面检测，包括但不限于电磁兼容性、射频性能、网络通信性能、硬件性能、软件性能、电池续航能力等方面。
2. 检测标准：请贵公司参照国家和国际相关标准，对我们的产品进行严格检测。
我们将严格遵守贵公司的检测流程和规定，确保检测过程的公正、客观和透明。
3. 检测时间：我们希望贵公司能够在收到申请后的10个工作日内完成检测。
如有特殊情况，请及时与我们沟通，我们会尽量配合贵公司的工作安排。
4. 检测费用：我们愿意承担本次检测的全部费用，并支付贵公司相应的检测费用。
5. 检测结果：请贵公司在检测完成后，向我们提供详细的检测报告，并加盖贵公司公章。
我们将依据检测结果，对产品进行改进和优化，以确保产品质量和用户体验。
我们深知，贵公司在产品检测领域具有丰富的经验和专业的技术，我们相信通过贵公司的检测，我们的产品必将更加完美，更好地满足消费者的需求。
在此，我们再次向贵公司表示衷心的感谢和敬意。
期待贵公司的回复，谢谢。
玩具行业申请申请玩具产品安全检测
玩具行业申请申请玩具产品安全检测尊敬的检测机构负责人，我代表我所在的玩具行业公司，诚挚申请对我们的玩具产品进行安全检测。
作为一家专注于玩具设计和制造的企业，我们一直以来都将产品质量和儿童安全放在首位，致力于为孩子们提供安全、创意和有趣的玩具。
为了确保我们的产品符合相关的安全标准和法规要求，我们决定委托贵机构进行全面的安全检测。
在本函中，我们将提供有关我们玩具产品的详细信息，希望贵机构能够根据这些信息制定出相应的检测方案。
1. 公司介绍我们的公司是一家成立多年的玩具制造商，总部位于XXXX城市。
我们以高质量、创新和时尚的产品而闻名，不仅在本国市场上拥有广泛的销售网络，还出口到许多其他国家和地区。
在多年的发展中，我们的产品始终受到了消费者的认可和好评。
2. 产品概述我们的产品系列涵盖了各个年龄段的儿童，从婴幼儿到青少年。
我们的产品包括但不限于填充玩具、拼插玩具、益智玩具、模型玩具等。
我们注重产品的创意和功能性，追求高品质和安全性。
3. 安全保障为了确保我们的玩具产品的安全性，我们秉承以下原则：- 使用符合国家和国际标准的原材料进行生产；- 采用环保材料，避免对儿童身体健康造成危害；- 对所有产品进行严格的质量控制和安全检测，并保持良好的生产记录；- 关注产品的细节和特殊要求，确保设计和加工过程中没有任何安全隐患。
4. 安全检测要求基于以上的安全保障原则，我们希望贵机构进行全面的安全检测，包括但不限于以下方面：- 材料成分检测：确保使用的原材料符合国家和国际安全标准；- 填充物检测：对填充玩具中使用的材料进行测试，确保没有有害物质；- 强度测试：测试产品的结构强度和耐用性，确保在正常使用条件下不会导致意外伤害；- 辐射检测：对电子玩具和光学玩具进行辐射测试，确保不会产生对健康有害的辐射；- 小零件检测：检测产品中的小零件，确保不存在误食窒息的危险。
5. 附加信息在附件中，我们提供了产品的详细制造工艺、材料清单等相关信息，以供贵机构参考。
玩具测试申请表
T e l:(8621)68549667F a x:(8621)68549665E m a i l:S T I C@s h c i q.g o v.c n玩具测试委托表Toys Test Application Form 编号Form NO. :A. 检验类别Test Tpye:□出口商品注册登记□首件□委托□3C（□CQC □CCLC）(□型式试验□工厂检查□扩项□变更□)B. 单位信息Company Info.:联系人Connect person:申请单位Name:电话Telephone:传真Fax:地址Address:邮件Email:付款单位 Payer: 联系人Connect person:地址Address: 电话Telephone: 测试费用Test Charge:□已付□未付□协议□月结□预付元C. 样品信息Sample Info.:样品名称Sample Name: 样品数量Quantity:样品货号Item No.: 申请测试年龄Age grading for testing:其他信息Other Info.: □进口□出口□非进出口■国别贸易商/制造商Vendor/ Supplier/ Manufacturer: 所附资料Information Attached: □原材料清单□一致性声明□相片□D. 测试项目要求(请在适当空格内打“X”) Test(s) Required:(please tick appropriate boxes)Chinese Standard中国玩具安全标准□GB6675--- Physical and Mechanical T ests 物理和机械测试□GB6675 ---Flammability T est 易燃性能测试□GB6675 ---T oxic Element T est (Mix/Individual) 毒性元素测试□GB19865 --Electrical T oys Safety 电玩具安全□GB5296.5Instructions for use of products of consumer interest-Part 5 T oys消费品使用说明 第五部分玩具US ASTM F963美国玩具安全标准□Physical and Mechanical T ests 物理和机械测试□Flammability T est易燃性能测试□Heavy Metals T est重金属元素测试□Battery Operated T oys T est 电池操作玩具测试□DEHP Content邻苯二甲酸酯含量European Standard 欧洲玩具安全标准□EN71 Part 1 --Physical and Mechanical T ests 物理和机械测试□EN71 Part 2 --Flammability T ests 易燃性能测试□EN71 Part 3 --T oxic Element T est)毒性元素测试□EN71 Part 6 --Graphical Symbol for Age Warning Labelin g年龄标签□EN62115 ------Electrical T oys Safety电动玩具的安全US CPSIA 美国消费品改进法 （HR4040）□Lead Content in Surface Coating (□40ppm/ □90ppm) 涂层材料铅□Lead Content in Substrate(□300ppm/ □ppm) 基底材料铅□Phthalates Content邻苯二甲酸酯European 2005/84/EC指令□Phthalates Content 邻苯二甲酸酯JP Standard日本玩具安全标准□ ST2002International Standard ISO 8124 国际玩具安全标准□ISO 8124 1--Physical and Mechanical T ests物理和机械测试□ISO 8124 2--Flammability T est易燃性能测试□ISO 8124 3--Heavy Metals T est重金属元素测试 □IEC62115 --Electrical T oys Safety电动玩具的安全童车类标准□GB14746 儿童自行车安全要求□GB14748 儿童推车安全要求□GB14749 婴儿学步车安全要求□GB14747 儿童三轮车安全要求食品接触材料标准□GB12651 与食物接触的陶瓷制品□GB11678 聚四氟乙烯涂料（PTFE）□GB9684 不锈钢食具容器□GB9687 聚乙烯成型品(PE)□GB9688 聚丙烯成型品(PP)□日本370号令日本食品卫生法European RoHS指令□XRF 初筛□ Heavy Metals重金属（□Pb □Hg □Cr □Cd）□ Flame Retardants阻燃剂（PBB&PBDE）涂料标准□GB18581 室内装饰装修材料溶剂型木器涂料中有害物质限量□GB18583 室内装饰装修材料胶粘剂中有害物质限量其他指定测试Other Specified Test:E. 服务要求Service Required*:□中文报告Chinese report□英文报告English report□附相片Report Attached Photo（□加包装Package attached □不加包装Without package □其它Others ）完成日期Perfection Date: □正常□加急：月日之前报告送递服务Report Service: □自取Self Pick-up □电邮Email □快递Express Delivery（客户付费Applicant payment）报告寄至 Report Delivery To: （中文地址:）退回样品Return Sample: □No 不需要□Yes 需要（客户自行承担快递费用）*以上将出现在测试报告上，请准确填写，报告完成后如需修改报告内容，将收取报告修改费。
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。
玩具安规测试申请模板
材料清单(Materials List)GENERAL CONDITIONS OF SERVICE服务通用条款1 总则1.1 除非另有书面协议，或与法规、法律的强制规定不一致时，东莞市欧冠检测技术服务有限公司或任何有关联的公司及它们的代理（单称“公司”）作出的所有报价或服务，以及所产生的合同或其它约定，都受本服务通用条款（以下称为“通用条款”）约束。
1.2 除非本公司事先收到客户相反的书面指令，任何其他方都无权做出指令，特别是关于服务范围或提交的报告及证书(“测试报告”)方面的指令。
客户在此不可撤销授权本公司提交“测试报告”给第三方。
1.3 除非本公司接获委托人之事前书面指示中有相反之意思表示，其它任何人皆无权给予指示，尤其对于服务范围或因此而生报告、证书之交付（下称“测试报告”）。
委托人于兹不可撤回的授权本公司将“测试报告”如委托人之指示，或依情况、商业习惯、习俗或实务自由裁量交付予第三人。
2 提供服务2.1 本公司根据所确认的委托人具体指令，以合理审慎的技能提供服务。
若无此指令，则根据：2.1.1 本公司的任何标准委托单或标准规格单中的条款；2.1.2 任何有关的贸易惯例、作法或实践；2.1.3 本公司认为在技术、操作和财务方面适当的方法。
2.2 对样品检测后出具的测试报告仅仅反映本公司对该样品的评价，不反映对被抽取样品的一批货物的评价。
2.3 本公司出具的测试报告只反映在工作当时所记录的事实，而且限于所收到指令的范围内，若无指令时，则限于所用的本条款2.1 中给出的可选择参照的范围。
本公司无义务提及或报告特定指示范围或其它适用范围外之任何事实或情况。
2.4 本公司可委派代理或分包商承担全部或部分服务，客户授权本公司向代理或分包商提供其所承担服务的全部必要的信息。
2.5 本公司如收到涉及客户和第三方签订的契约或文件，如销售合同、信用证、提单等，这些文件仅供参考，而不扩展或限制经本公司承担的服务范围或职责。
产品测试申请单
分公司：
办事处：
申请日期：
客户名称：
合同编号：
项目名称：
合同金额：
测试原因：□合同内约定□客户在合同外提出（收测试费元，收费协议 □已签 □未签）
客户来厂测试：□否□是来厂时间：主要人员姓名/职务：/
申请测试产品
序号
产品名称
型号
数量
流量
扬程
功率
备注
1
2
3
4567源自8910合计
分公司：
签单人：办事处：营业部经理：总经理：
营运中心：
同意序号为的产品进行测试。
评审部经理：日期：营运总监：日期：
质保中心：
评审部同意的产品已测试完毕，根据公司测试费的计算规定，本次的测试费为元（大写：）。
测试站负责人：质保中心总监：日期及盖章：
备注：
1、在合同内约定或在合同外提出的产品测试均由分公司填单。
2、产品在公司测试的，质保中心计算测试费后将本申请单传送给分公司、统计部和审核部，各部门以质保中心确定的金额计入分公司费用。
3、产品送外单位测试的，由经办人在核销测试费时，在报销凭证上注明“代付××分公司××合同测试费”。质保中心不需确定测试费金额。
玩具测试申请表
26.三氯生Triclosan
27.双酚A(BPA)
28.灭蚁灵Mirex他
29.四溴双酚A TBBP-A
30.聚氯乙烯PVC
31.壬基苯酚NP
32.富马酸二甲酯DMF
33.硅氧烷D3-D12
34.六溴苯HBB
35.十溴二苯乙烷DEBDE
36.二甲苯麝香Musk xylene
定单号P.O.:
测试项目
★名称
Sample Name
型号、批号
Item No./Part No.
材质颜色
Material/Color
★测试项目
Testing items
*测试项目(Test Item):
1.RoHS六项(铅Pb镉Cd汞Hg六价铬Cr(VI)多溴联苯PBBs多溴联苯醚PBDEs）项
2.重金属四项(铅Pb镉Cd汞Hg六价铬Cr(VI)）项
11.美国CPSIA(铅Pb、邻苯二甲酸盐Phthalate)
12.REACH-SVHC物质第批项
13.电镀层四项(铅Pb镉Cd汞Hg六价铬Cr(VI)）
14.电池指令2006/66/EC(铅Pb镉Cd汞Hg)
15.八个可溶性重金属(Pb,Cd,Hg,Cr,As,Se,Ba,Sb)
16.其它金属元素
37.酮麝香Keton Musk
38.2,6-二叔丁基对甲基苯酚(BHT)
39.甲醛
服务要求
Service Requirement
*需要的试验报告格式：英文/English中文/Chinese
*是否需要证书（Test Certificate）：YesNo
*服务类型(Service Level):Regular标准服务5个工作日完成
玩具测试申请单
广州环宇标准及检测技术有限公司GUANGZHOU WORLDWIDE STANDARDS AND TESTING CO. LTD.No. 110, Dongguanzhuang Road, Tianhe District, Guangzhou. Tel: (86) 20-87236520, Fax: (86) 20-87237226广州市天河区东莞庄路110号 Website: Rpt Drf: IV#:APPLICATION FOR TOY TESTING玩具测试申请单Pick-up Service, Please call tel: (86) 20-87236019 收板服务电话：(86) 20-87236019Please fill in English/X Mark box请用英文填写/或在选择格内打“×”FOR OFFICE USE / 本公司填写：Application No:申请号：Received:接收日期：Committed:完成日期：Customer No:顾客号：Reviewed By:复核者：Applicant: / 申请商：Supplier/Manufacturer: / 供应商 / 制造商: Address: / 地址：Address: / 地址：Contact Person: / 联系人：Contact Person: / 联系人：Tel. No. ：电话：Fax No. ：传真：Tel. No. ：电话：Fax No. ：传真：Sample Description / 样品名称描述:Style/Item No.: 类型/型号：P.O./Ref. No.:定货编号/参考号:Country of Origin: 制造国：Destination:目的地国：Age Grading for Testing: 测试年龄要求: Special Instructions:特殊要求:.Tests Required / 测试要求: (请在适合的空格内填×) Europe 欧洲EN71Part 1 Physical & Mechanical Test 物理机械性能测试EN71Part 2 Flammability Test 易燃性能测试EN71Part 3 Migration of Toxic Elements Test 毒性元素测试EN62115 (Please attach circuit diagram) 电动玩具安全性能测试EMC电磁兼容测试(Please attach circuit diagram)Packaging Materials Test (Directive 94/62/EEC)欧洲包装材料测试DIN 53160 - Colour fastness to sweat and Saliva颜色牢固度测试DIN 53704 - Phenol content 苯酚含量测试Formaldehyde content 甲醛含量测试Total Cadmium Content (91/338/EEC) 总镉含量测试Six Phthalates Content (2005/84/EC) 邻苯二甲酸盐含量测试RoHS (2002/95/EC)四种重金属含量PBB+PBDE阻燃剂测试 RoHS 六项测试Azo Dyes 偶氮染料测试Nickel Release 金属中镍的释放量测试CANADA 加拿大玩具安全标准C.R.C. c 931 Hazardous Products (Toys) RegulationsPhysical &Mechanical Test 物理机械性能测试Flammability Test 易燃性能测试Toxicological Test 毒性元素测试GB 中华人民共和国玩具安全标准GB6675-2003 (Part 1)GB6675-2003 ( Part 2)GB6675-2003 (Part 3) GB5296.5-2006(包装说明)GB19865-2005 (Battery operated toys)U.S.A ASTM F963 / CPSC Regulation 美国Physical & Mechanical Test 物理机械性能测试Flammability Test 易燃性能测试Total Lead content 总铅含量测试Soluble metals in surface Coating (8 Elements)可溶性测试Stuffing Cleanliness Test(In-house method GTC/TPM/CHM/011)*Battery Operated Toy Test 电池驱动玩具测试Food Contacting Articles(FDA)与食品接触类测试Heavy Metals in Packaging Materials (CONEG)美国包装材料测试US CPSIA 美国消费品安全改进法 H.R.4040Total Lead content 总铅含量测试Phthalates content( 3 or 6 Phthalates)邻苯二甲酸盐测试Australian Standard / New Zealand 澳大利亚/新西兰玩具安全标准AS/NZS ISO 8124-1 Physical & Mechanical Test 物理机械性能测试AS/NZS ISO 8124-2 Flammability Test 易燃性能测试AS/NZS ISO 8124-3 Toxic Elements Test 毒性元素测试AS/NZS 62115 电动玩具安全性能测试Mattel 美泰标准(QSOP)Hasbro 孩之宝标准(SRS)*Further information regarding our in – house methodsplease direct contact our companyOther Test (Please Specify):其它规范(请详细说明)：Service Required (Sample pick-up time not included ) : 服务要求 (不包括取板时间)：Regular 正常 Express(40% Surcharge) 加快 (加收费40%) Immediate(100% Surcharge) 特快 (加收费100%)Returned Test Samples / 返回测试样品：Yes 是No 否报告是否附图片：Yes 是No 否*Service charge may be levied if samples are to be returned by mail/courier. Otherwise, samples submitted for testing will be scrapped at the discretion of GWSTC upon completion of the test. 测试样品在测试完后将被销毁，如果选用邮寄/专递服务，按情况收取相关费用。
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European StandardEN71欧洲标准EN71
EN71-1:Physical and Mechanical Tests物理和机械测试
300 mg/kg
成人珠宝
RG-10-514803
300 mg/kg
金属/非金属/涂层
300 mg/kg
一般产品中铅含量
长期接触皮肤的PVC和聚合物材料
CGC-05-440570
30 mg/kg
长期接触皮肤的PVC雨衣、手套
30 mg/kg
非长期接触皮肤的非PVC塑料/橡胶/塑料电线/塑料开关
CGC-09-489839
整体混测其它:
8
均一材料涂层镀层
整体混测其它:
9
均一材料涂层镀层
整体混测其它:
10
均一材料涂层镀层
整体混测其它:
申请单附表1：（★报价单号(LC填写)：）
申请单附表2：加州65测试项目确认表
产品分类
产品/材料
法案/法庭诉讼编号
限值要求
儿童产品/玩具/儿童护理品中的铅含量
长时间接触皮肤的PVC材料
CGC-05-440570
其他需要在报告中注明的信息，
请填写
★检测点
★测试项目
立创内部填写
样品号
（报告编,后6位数）
1
均一材料涂层镀层
整体混测其它:
2
均一材料涂层镀层
整体混测其它:
3
均一材料涂层镀层
整体混测其它:
4
均一材料涂层镀层
整体混测其它:
5
均一材料涂层镀层
整体混测其它:
6
均一材料涂层镀层
整体混测其它:
7
均一材料涂层镀层
Canadian (Toys) Regulation(SOR/2011-17)
Physical and Mechanical Tests物理和机械测试
Flammability Test易燃性能测试
Toxic Element Test毒性元素测试(总Pb+总Hg+5大可溶金属)
China Standard GB 6675-2003中国标准GB 6675-2003
普通服务(5个工作天)加急服务(3个工作天,40%附加费)特急服务(1.5个工作天,100%附加费)
★Report service报告送递服务Fax传真Email电子邮件Self pick-up客户自取Express delivery快递到付
Delivery to (if different from the above)发票或报告邮寄地址：
其他材料
300mg/kg(2012.12.1起)
产品中邻苯的含量
供儿童使用的产品、玩具、护理品DBP、BBP、DEHP、DINP、DNOP、DIDP、DnHP
美国加利福尼亚州65号提案
&
AB1108法案
各1000mg/kg
AS/NZS ISO 8124.1 :Physical and Mechanical Tests物理和机械测试
AS/NZS ISO 8124.2 :Flammability Test易燃性能测试
Migration of certain elements特定元素的迁移测试
AS/NZS ISO 8124.3:2003AS/NZS ISO 8124.7–2003(指画颜料)
For Powder & Liquid, please list the compositionToxicityYesNo
Others其它(请注明具体法规要求/测试标准/其他特殊要求；若无，LCTECH将按默认方法进行测试）：
★Service required服务类型（星期六，星期日及节假日不计入工作日内）：具体测试周期请参见对应的报价单
★Return sample是否退还样品？Yes需要No不需要样品数量：
★Authorized Signature and Company Chop of the applicant★立创（LCTECH）代表签名：
公司盖章以及申请人签名（盖章）:Date日期：
Date日期：
序号
★样品/部位名称
规格/型号
★申请公司名称：
★Address：
★地址：
Attn (联系人)：E-mail(电子邮件)：
Tel(电话)：Fax(传真)：
Official Use Only (内部专用)
CS (客服专员)
Lab in (进单日期)
Lab out (出单日期)
ReportNo(报告编号)：
★Sample Description：★样品名称：
100 mg/kg
非长期接触皮肤的PVC材料
RG 10-530436
100 mg/kg
含有PVC的材料
CIV-10-00641
600 mg/kg
油漆、油墨、表面涂层
CIV-10-00626
90 mg/kg
油漆、油墨、表面涂层(时尚配件，如钱包、手袋、皮包等个人随身带的物品)
RG-09-459448
90 mg/kg
Flammability Test易燃性能测试
Lead Element Test含铅量测试
Heavy Metals Test特定元素的迁移测试
DEHP Content邻苯二甲酸二酯含量
US CPSC Regulation美国标准CPSC(消费品:油漆或涂层)
Physical and Mechanical Tests物理和机械测试
其它可触及的基材
CGC-11-509211
100 mg/kg
金属
CGC-09-485784
100 mg/kg
纺织品
CGC-11-508435
100 mg/kg
电子产品上的焊锡
CGC-02-407402
1000 mg/kg
非电子产品上的焊锡
CIV090292
200 mg/kg
灯泡上的焊锡
CGC-01-319344
30 mg/kg
油漆、油墨、表面涂层
RG-07-356892
90 mg/kg
其它可触及的基材
100 mg/kg
焊锡
CGC-01-319336
100 mg/kg
接触嘴唇的化妆品
H217587
5 mg/kg
一般化妆品
10 mg/kg
儿童产品/玩具/儿童护理品中的镉含量
儿童珠宝和儿童产品
SB No.929
ASTM F2923-2011儿童饰品法案Lead铅(Pb)Cadmium镉(Cd)Ni-release镍释放7大可溶金属物理性能测试
Proposition 65加州65法案(请填写附表2确认项目)
华盛顿州儿童产品安全法-CHCC (请提供测试项目清单)
Australia澳大利亚标准玩具标准ACCC
DnHPContent邻苯二甲酸二正己酯含量
DiBPContent邻苯二甲酸二异丁酯含量
ISO 8124.3 : Migration of certain elements特定元素的迁移测试
91/338/EEC Cadmiun Content镉含量
2005/84/EC Six(6)PhthalatesContent六种邻苯二甲酸盐
★Sample materials：★样品材质：
Model No./Ref.No.型号/参考型号：
P.O.No.:Buyer买家：
Supplier供应商：Manufacturer制造商：
Country of origin生产国：Exporting countries出口国：
Age group适合年龄组：Other information其他信息：
GB 6675Part 1– Physical and Mechanical Tests物理机械性能
GB 6675Part2– Flammability易燃性能
GB 6675Part3–Migration of certain elements特性是否
Flammability Test易燃性能测试
Lead Element Test含铅量测
US “ConsumerProductSafetyImprovementAct of2008”–CPSIA(H.R.4040)(消费品:涂层+基材)
Lead Element Test含铅量测试
Six(6)PhthalatesContent六种邻苯二甲酸盐
300mg/kg(2012.12.1生效)
其他材料
300mg/kg(2011.12.1起)
腰带和鞋类
涂料和表面涂层
90mg/kg(2012.12.1起)
聚氯乙烯PVC
300mg/kg(2012.12.1生效)
200mg/kg(2013.12.1生效)
皮革
600mg/kg(2012.12.1生效)
300mg/kg(2013.12.1生效)
玩具&消费品测试申请表
Report in English英文报告Report in Chinese中文报告 报价单号：
Please fulfill in English/Chinese, column with★must be fulfilled (请务必用中、英文完整填写带有★号的栏目)
★Applicant Name：
EN71-2:Flammability Test易燃性能测试
EN71-3:1994八特定元素的迁移测试
EN71-3:Migration of certain elements特定元素的迁移测试