环境关连物质不使用证明书记入要领GPOEM.docVIP

Date:2009/7/7 承認不使用證明 Certificate of Non-Use of The Controlled Substances(For Parts Approval) Company Name: LITE-ON IT CORPORATION Section Name: Apply approval in HCP 在新竹承認: Technical Support Dept. (SPT)Apply approval in GZP 在廣州承認: Supplier Quality Management Dept. (SQM) 公司名稱Company Name: (Seal). 環境品質負責人Name of Responsible Person: (Signature) E-mail: 公司GP證書號碼(若有取得) Supplier GP ID (if yes,): 　GP證書的有效期限End validation Date: This is to certify that the materials, packaging and other constituents of the commodities delivered to you do not use or contain any substances designated as SS-00259 and 9713100001 *latest version Control Level 1 (Banned Substances) for controlled applications. *Please find References for latest version. 此文件是為了保證此料不含有*最新版之SS-00259 及 9713100001所規定之一級管控物質(禁用物質) *最新版請參閱參考文獻 It is hereby reported that the materials, packaging and other constituents of the commodities are composed of the following components:以下為報告此料之所有材質、包材或其他組成 (1) Part and sub-material/unit part: 建興料號LITE-ON IT Part No.: 零件品名Part and Sub-material Name: 零件重量Part Weight (g): 規格書及圖面編號Spec and Drawing No.: 製造地Production Plant: Table (1) Materials used Please attach the disassembled drawing, according to below table Number. 部位編號Portion No. 部位名稱Portion/ Region Name 此部位有幾家原材製造商?Multi-Source 原材製造商Raw Material Manufacturer 原材質名稱 / 型號Material / Type Name 是否為指定四原材?Designated 4 Raw Materials? (Y/N) 原材質的 ID號碼ID No. in RMV list 原材質於Green Book的註冊號碼GB Number (If knows) MSDS的檔名或頁碼MSDS/ MIL sheet etc. No. ICP報告編號ICP Report No. 部位重量Portion weight (g) 備註Remarks * In case Raw Material Supplier and Raw material can’t be disclosed, Please use the Temporary Name like “Company A”, “Material 01”. Option below must be confirmed and then marked. 原材製造商不能公開時，請使用替代名稱如“Company A”, “Material 01”. 下列選項必須確認後打勾。 We can’t disclose the Raw Material Supplier or Raw Material due to confidential