,,,,,,,,,,,,,,,,,,,,,,,,

I.供應(yīng)商基本信息BasicInformationofSupplier（以下為必填項目）,,,,,,,,,,,,,,,,,,,,,,,

"材料成分表

MaterialCompositionDeclaration",,,,,,,,,,,,,,,,,,,,,,,

,,,,,,,,,,,,,,,,,,,,,,,,

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,,,,,,,,,,,,,,,,,,,,,,,,

Ⅱ.材料成分信息SubstancesinProduct（以下為必填項目）---如下填寫請參考“填寫范例”頁或“材料成分填寫說明”頁。,,,,,,,,,,,,,,,,,,,,,,,

"供應(yīng)商料號

suppliermodel","格蘭博料號

Grand-ProPartNo.","*物料名稱

Description

（填寫交貨產(chǎn)品名稱）","*物料重量

weigh(mg)","*原材料供應(yīng)商名稱

Rawmaterialsuppliername","*拆分部件名稱

DisassemblyUnit/componentdescription","*拆分部件重量

weigh(mg)","*重量百分比

Weightpercent","*均質(zhì)材料名稱

HomogeneousMaterialName.

(e.g.Aluminumalloy)","*化學(xué)物質(zhì)名稱

Nameofchemicalsubstance(e.g.Copper(Cu))","*化學(xué)物質(zhì)登記號

CASNo.","*均質(zhì)材料重量

HomogeneousSubstanceMass

(mg)","*重量百分比

Weightpercent","測試報告信息

Testreportinformation",,,,"豁免

Exemption",*TestReport&MSDS,,,,,"備注

Remark"

,,,,,,,,,,,,,"*測試機(jī)構(gòu)

Testagency","*報告編號

TestreportNO","*報告測試日期

Testreportdate","*報告到期日期

Overduedate","填寫使用到的豁免條款

Fillintheexemptiontermsused",RoHS,HF,REACHSVHC,MSDS,"其他測試項othertest

（VOCetc)",

"

ECTH100505103F3435FST",DRC1037F60,NTC,126740,XXX,線皮,100000,79%,LDPE料,PE,9002-88-4,79000,79%,SGS,ETR21604873,20210402,20220401,,,,,,,

,,,,,,,,,Carbonblack,1333-86-4,1000,1%,,,,,,,,,,,

,,,,,,,,,Bis(2-methoxyethyl)phthalate,117-82-8,20000,20%,,,,,,,,,,,

,,,,XXX,絕緣線,20000,16%,LDPE料,PE,9002-88-4,15800,79%,CTI,A2220006188101001E,20210402,20220401,,,,,,,

,,,,,,,,,Carbonblack,1333-86-4,200,1%,,,,,,,,,,,

,,,,,,,,,Bis(2-methoxyethyl)phthalate,117-82-8,4000,20%,,,,,,,,,,,

,,,,XXX,銅線,6740,5%,銅材,,7440-50-8,6000,89%,ITS,XXXXXXXXX,20210402,20220401,,,,,,,

,,,,,,,,,Pb,7439-92-1,202,3%,,,,,,,,,,,

,,,,,,,,,Sn,7440-31-5,269,4%,,,,,,,,,,,

,,,,,,,,,Zn,7440-66-6,269,4%,,,,,,,,,,,

,,,,,,,,,,,,,,,,,,,,,,,,

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Ⅲ.聲明Declaration,,,,,,,,,,,,,,,,,,,,,,,

"我公司保證上述數(shù)據(jù)真實有效，如果發(fā)生變更會將變更后數(shù)據(jù)及時通知格蘭博公司。

Iguaranteesthattheinformationprovidedistrueandaccurate.Ifthedatawillbechanged,WewillinformGrand-ProfortheGrand-Pro'sacceptancebeforethechangetakeeffect.",,,,,,,,,,,,,,,,,,,,,,,

供應(yīng)商（法人或授權(quán)人）簽字、蓋章、簽署時間Supplier(thelegalrepresentativeorauthorizedoffice