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物料调查表

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Z Supplier’s Environmental Agreement

供应商环保无毒协议(LH调查)

本公司(包括本公司的子公司和关联公司)(公司名称)________________, 地 保证(以下简称甲方),直接或间接提供给(公司名称)___________ (地址 ____________ (以下简称乙方),在表1中的产品能满足以下要求(具体要求见表2).承担所有因敝公司所提供的零件未能符合相关要求而带出的责任,并接纳所有追讨。

This Agreement is made between (Company name) (including the affiliated and subsidiary companies) located at (Address) (hereinafter referred to as Party A) and located at _________ (hereinafter referred to as Party B). Party A guarantee that the product listed in Table 1 can fulfill Table 2. Accept the liability cost and return incurred due to any non-compliance result found on the supplied product during the material audit check performed by King Label Limited and her clients. Table 1: List of product

表 1: 产品列表 Part A Material P/N甲方物料编码 CH327 Table 2: Summary

Party A Material Name 甲方物料名称 50μ光银 Party B material P/N 乙方物料编码 T129 Party B Material Name 乙方物料名称 50μ光银 表 2:摘要

Table 1: Summary 表 1:摘要:请填写:是否含有 YES OR NO 含有填写YES,不含有填写NO If contain, fill with \"Yes\";If not, fill with \"NO\" NO NO 如含有,请标明最大含量;其特定属性与用途? If YES, please fill the Maximum concentration, together with brief description of specific properties and application/use 有害物质 Hazardous substances 烷化二苯胺BNST CAS No.: 621-45-9 红磷red phosphorous CAS No.: 7723-14-0 Remark:If it contains, please fill the Maximum concentration. 备注:如含有,请务必在上表中列明含量及用途

____________ (signature & company chop) (签名及公司盖章)

Name : Title: Date : 姓名: 职位: 日期:

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