限用物质含有情况标示声明书-财团法人台湾电子检验中心.DOC

表設備名稱：，型號： 單元Ｕnit 限用物質及其化學符號 鉛 (Pb) 汞 (Hg) 鎘 (Cd) 六價鉻(Cr+6) 多溴聯苯(PBB) 多溴二苯醚 (PBDE) 備考1.〝超出0.1 wt %〞及〝超出0.01 wt %〞係指限用物質之百分比含量超出百分比含量基準值。備考2.〝〞係指該項限用物質之百分比含量未超出百分比含量基準值。備考3.〝－〞係指該項限用物質為排除項目。 表設備名稱：，型號： 單元Ｕnit 限用物質及其化學符號 鉛 (Pb) 汞 (Hg) 鎘 (Cd) 六價鉻(Cr+6) 多溴聯苯(PBB) 多溴二苯醚 (PBDE) 備考.〝〞係指該項限用物質之百分比含量未超出百分比含量基準值。備考.〝－〞係指該項限用物質為排除項目。 (註)如樣張標示之位置已能清楚表達與商品對應之關係，可免除於樣張上方標示設備名稱及型號一欄；另樣張同時適用多種型號，則可將多種型號標示於同一欄位。 限用物質含有情況標示聲明書 證書號碼／受理編號：(No.) 商品標籤及商品檢驗標識：(Picture) 樣張及其標示位置：(Description and Picture) 設備名稱：，型號： 單元Ｕnit 限用物質及其化學符號 鉛 (Pb) 汞 (Hg) 鎘 (Cd) 六價鉻(Cr+6) 多溴聯苯(PBB) 多溴二苯醚 (PBDE) 備考1.〝超出0.1 wt %〞及〝超出0.01 wt %〞係指限用物質之百分比含量超出百分比含量基準值。備考2.〝〞係指該項限用物質之百分比含量未超出百分比含量基準值。備考3.〝－〞係指該項限用物質為排除項目。 I hereby ensure that “the presence conditions of the restricted substance” provided above have been proved by testing or appropriate quality control measures, and make sure the relevant documents provided are correct and ready. Also, I agree to cooperate with BSMI, as the Article 49 of the Commodity Inspection Act stipulates, to provide the relevant documents, if needed, for verification within 28 working days when BSMI carries out the market surveillance activities. 此致 　財團法人台灣電子檢驗中心 Electronics Testing Center, Taiwan 　申請人：　　　　　　　　　　　　　　　 　負責人：　　　　　　　　　　　　　　　（簽章） 　中　華　民　國　　　　年　　　　月　　　 日   Declaration of the Presence Condition of the Restricted Substances Marking Certificate No／Application No. Product Label and Commodity Inspection Mark. Sample and its location Type designation (Type) Equipment name Restricted substances and its chemical symbols Note 1：“Exceeding 0.1 wt %” and “exceeding 0.01 wt %” indicate that the percentage content of the restricted substance exceeds the reference percentage value of presence condition. Note 2：“○” indicates that the percentage content of the restricted substance does not exceed the percentage of reference value of presence. Note 3：