■(G) AOV-OD-FM-B-020 A/2 第1页 / 共2页
环境可靠性检测专用
申请表
食品经营许可证新办申请表下载调动申请表下载出差申请表下载就业申请表下载数据下载申请表
Environment Reliability Testing Application
Sample No. : Project No.:
Quotation No. 报价单号: Name销售工程师:
Approved By 核准: Start Date 开案日期:
Tel 电话:
请用中文/英文完整填写,带有★的栏目为必须填写项目Please fulfill in English/Chinese, column with ★ must be fulfilled.
★Applicant申请商中/英文名称:
★Address申请商中/英文地址:
★Contact Person联系人:
E-MAIL:
★Tel电话:
Fax传真:
Post Code邮政编码:
★Report Delivered To
报告
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寄往 中文地址:
★发票抬头(中文):
If you need other items in report, please specify 如果您的报告还需要注明其他项目,请说明:
★Tests Required Please Tick Appropriate Boxes 检测项目(请在 (内打上钩)
气候环境检测Climate Environment Test
FORMCHECKBOX
高温检测 High temperature test
FORMCHECKBOX
低温检测 Low temperature test
FORMCHECKBOX
冷热冲击检测Thermal shock test
FORMCHECKBOX
快速温变检测 Speedy temperature test
FORMCHECKBOX
恒温恒湿检测Constant temperature and humidity test
FORMCHECKBOX
交变湿热检测 Damp heat test
FORMCHECKBOX
低气压检测 low air pressure test
FORMCHECKBOX
IP等级(防尘防水)IP Code
FORMCHECKBOX
盐雾检测 Salt fog test FORMCHECKBOX
气体腐蚀 Gas corrosion
FORMCHECKBOX
太阳辐射Solar radiation FORMCHECKBOX
UV
机械环境检测 Mechanical Environment test
FORMCHECKBOX
振动试验Vibration test FORMCHECKBOX
机械冲击试验Mechanical Shock
FORMCHECKBOX
跌落试验 Drop tests FORMCHECKBOX
摩擦试验 Abrasion test
FORMCHECKBOX
模拟运输 simulate transportation FORMCHECKBOX
HALT & HASS
FORMCHECKBOX
塑胶,金属材料拉,压.弯检测Plastic, metal material pull ,pressure and flex
表面分析
FORMCHECKBOX
切片检测 Cross section test FORMCHECKBOX
晶须观察 Tin whisker check
FORMCHECKBOX
可焊性检测Solderability test FORMCHECKBOX
成分分析Component Analysis
FORMCHECKBOX
涂层厚度检测 Coating thickness FORMCHECKBOX
百格检测Cross-cut tape test
FORMCHECKBOX
焊点拉伸强度检测Solder point pull strength test
★Other Tests 其它检测:
★Report Service :
报告服务:
FORMCHECKBOX
Fax 传真 FORMCHECKBOX
Express Mail 快递到付 FORMCHECKBOX
EMS 快递,预收费RMB15元 FORMCHECKBOX
Self Pick-Up 自取
FORMCHECKBOX
English Report 英文报告 FORMCHECKBOX
Chinese Report中文报告 FORMCHECKBOX
Chinese & English Report中文、英文报告各一份需另加费用
FORMCHECKBOX
one report of a whole product出一份报告 FORMCHECKBOX
Report individually分开出报告
FORMCHECKBOX
Certificate证书: (Sets份)/ Testing Report检测报告: (Sets份)
★请选择服务类型 Tick the required service:
FORMCHECKBOX
Regular Service ,the test report is available after 3 days
标准
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服务 , 检测完成后3天内出报告 FORMCHECKBOX
Express Service(surcharge RMB200/copy)加急服务加收RMB200/份 的服务费 the test report is available in the same day检测完成后当天出报告
★Sample kept
样品保存:
FORMCHECKBOX
sample kept for 30 days样品保存30天 FORMCHECKBOX
Sample Return 样品退回(快递到付)
FORMCHECKBOX
AOV disposal AOV自行处理
We request for the above tests and agree that all testing will be carried out subject to AOV Testing Organization scale of charges as set forth in their latest price list of which we have seen a copy and upon and subject to the terms and conditions set out hereon and overleaf.
★Date日期:
★Authorized Signature申请人签名(盖章):
Notes :
1.Applicant should retain the Duplicate for own reference and present the same for collection of test report in our office.
2.No comment may be given for some of the test items if related standard or specification is not available.
此检测申请表的传真件、复印件均有效,检验单位仅对来样负责,检测结果仅反映对该样品的评价,并不表示对该检测结果在使用过程中所产生的后果作任何
承诺
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。
The fax and copy of the application are also effective. The testing party is just responsible for the sample(s) received, and the test result(s) only show the comments on the sample(s), without bearing any responsibility for the mass production of products upon the product usage.
环境可靠性检测专用申请表
Environment Reliability Testing Application
样品及检测项目清单
(Sample and Testing Item List)
请将测试相关信息填入下表,测试报告以客户填写内容为准。如有其他要求,请与备注栏填写。
★Declaration:The submitted samples with声明:送测的样品具有 FORMCHECKBOX
Fatalness危险性 FORMCHECKBOX
Corrosion腐蚀性 FORMCHECKBOX
Toxicity毒性 FORMCHECKBOX
Flammability易燃易爆 FORMCHECKBOX
Radioactivity放射性 FORMCHECKBOX
Others 其他请注明:
★No.
序号
★ Sample Description
样品名称
★ Testing Item
申请检测项目
★Testing Standard and Method 测试标准及方法
★Technical Requirement结果判定依据
★ Model
型 号
Item No./Lot No.
批 号
Others
其他
Remark备注:
行动与责任成就生活之美! Authenticators with full Obligations to Verification! 客服热线:400 700 8600 网址:www.aovt.com