MSDS化学品安全技术说明书-CE认证欧盟CE认证MSDS认证LFGB.docVIP

“Material Safety Data Sheet (MSDS)” Service Application Form 客户编号/ CBW No. 化学品安全技术说明书申请表 项目号/Project No.: Section A – To be completed by Applicant 甲部 – 由申请人填写 Please fill the form in English 请用英文填写 Applicant 申请人/公司 ________________________________________________________________________________ Applicant Address 申请人/公司地址 ________________________________________________________________________________ ________________________________________________________________________________ Tel 电话 _______________________________ Fax 传真 _______________________________ Contact Person 联络人 _______________________________ e-mail 电邮 _______________________________ Bill / Invoice to 发票抬头 ________________________________________________________________________________ 税务登记证号码 ________________________________________________________________________________ ________________________________________________________________________________ 选择报告形式 select report type □ 纸质报告 paper report □ 电子报告electronic report 注：只能选择其中一项note：please?mark?ONLY one item 寄报告地址或邮件mailing?address or e-mail address to send report Is this application involved in legal proceedings? ? □ Yes 是 □ No 否 (If yes, please specify the case.) (如有，请注明。) ______________________________________________________________________ Quotation Upon Request 是否需要报价单? □ Yes 是 □ No 否 (If a quotation is requested, testing will only start upon your written acceptance of the quotation.) (如需报价单，测试会在收到书面同意书后进行。) Service Required 所需服务 □ Regular标准服务 (10 days) (十 天) □ Express (Add 40 %) 加快服务 (加 40 %) Accepted subcontracting of test to qualified subcontractor of LT? 是否接受莱徳检测将测试服务外判合资格的承包商? □ Yes 是 □ No 否 Pick-up Delivery 收货服务 □ Yes 是 □ No 否 Return sample residue if laboratory testing required? 如要检测，是否需要退还残余样本? □ Yes 是 □ No 否 □ Not available 不适用 。 Section B – Information for MSDS To be completed by Applicant 乙部 – 化学品安全技术说明书资料(由申请人填写) Please fill the form in English 请用英文填写. The information belo