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SVHC调查表

SVHC调查表
SVHC调查表

公司名稱:

Company's Name:公司所在地:

Company's Address:部門名稱:

Department Name:負責人姓名/職務:

Responsible person/Title:電子郵件:

E-mail:聯系電話:

Contact phone:填寫日期:

Date of Issue:

公司印章Company Seal:

No.

物質名稱substance name

CAS No.

是否含有 (Yes/No)

1蒽

Anthracene

120-12-7NO 24,4'-二氨基二苯基甲烷

4,4'- Diaminodiphenylmethane 101-77-9NO 3邻苯二甲酸二丁酯Dibutyl phthalate 84-74-2NO 4二氯化鈷

Cobalt dichloride 7646-79-9NO 5五氧化二砷

Diarsenic pentaoxide 1303-28-2NO 6三氧化二砷

Diarsenic trioxide 1327-53-3NO 7重铬酸钠

Sodium dichromate

10588-01-9NO 82,4,6-三硝基-3,3-二甲基-5-叔丁基苯(二甲苯麝香)5-tert-butyl-2,4,6-trinitro-m-xylene (musk xylene)81-15-2NO 9邻苯二甲酸(2-乙基己基酯)

Bis (2-ethyl(hexyl)phthalate) (DEHP)

117-81-7

NO

10六溴环十二烷

Hexabromocyclododecane (HBCDD) and all major

diastereoisomers identified (α – HBCDD, β-HBCDD, γ-HBCDD)25637-99-4 and 3194-55-6(134237-51-7, 134237-50-6,

134237-52-8)

NO

11短链型 (C10-13)氯化石蜡

Alkanes, C10-13, chloro (Short Chain Chlorinated Paraffins)85535-84-8NO 12氧化三丁锡 (三釘基氧化錫)Bis(tributyltin)oxide 56-35-9NO 13砷酸氢铅 (酸式砷酸鉛)Lead hydrogen arsenate 7784-40-9NO 14

三乙砷酸酯

Triethyl arsenate

15606-95-8

NO

REACH 法規SVHC 調查表 AGP001 附件六--6/6--1/2SVHC Questionnaire for REACH

0769-********/37

2010.5.14

comments: If the SVHC(s) not present in the part(s)/component(s),please select "No" in the check column;otherwise select "Yes" and fill in the attachment in detail.

備注:調查表中如不含有下列物質,请填寫"No";如果含有下列物質,请填寫"Yes",並詳細填寫附件.

Vendor Certification:

簽署人保證已經獲得公司充分授權,並保證本表格的内容以及所附的測試報告完全準確,真實.

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.協峰電子廠

廣東省東莞市長安鎮新民工業區

品技部

qa@https://www.doczj.com/doc/273922817.html,

立德電子股份有限公司(華南區)

LEADER ELECTRONICS INC. (SOUTH CHINA)

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