附录5 RoHS限用物质承诺书（2014版 科技）.docVIP

杭州海康威视科技有限公司Hangzhou Hikvision Technology Co.,Ltd. PAGE PAGE 4 限用物质的物料确认明细 List of Components and Materials Concerned 供应商名称(Supplier Name): 电话(TEL): 传真(FAX): 联络人(Contact): 以下物料提供给杭州海康威视科技有限公司及其关联公司（以下简称“海康威视”），都符合海康威视所规定的限用物质清单要求，并附限用物质不使用保证书及限用物质第三方检测单位的检测报告，检测报告以书面或电子档的形式提供，但报告日期距提供报告的日期不能超过一年。 All parts and materials below supplied to Hangzhou Hikvision Technology Co., Ltd. and any affiliate of the company (hereinafter “Hikvision”) meet the requirements of Hikvision Technology’s “List of Prohibited Substances”. Non-use of Prohibited Substances Guarantee and Test Report (in hardcopy or softcopy) on prohibited substances from third part tester are attached herein. The date of Test Report shall not be more than one year before the date of report offering. 编号NO. 类别Category 1 □电源类 PSU (Power Supply Unit) 2 □风扇类 Cooling fan 3 □线材类 Wire cable 4 □PCB类 PCB (Printed Circuit Board) 5 □包材类 Packaging material 6 □接插件类 Socket connectors 7 □芯片类 Chips 8 □电子元器件类 Electronic device and components 9 □钣金类 Metal plate 10 □塑料件类 Plastic parts 11 □结构件类 Structural parts 12 □电池类 Batteries 13 □镜头类 Lens 14 □其他（请注明）：Others (Please specify) 限用物质不使用保证书 Non-use of Prohibited Substances Guarantee TO：杭州海康威视科技有限公司 供应商名称（Supplier Name）: ________________________________________ 我司承诺所有供应给杭州海康威视科技有限公司及其关联公司（以下简称“海康威视”）的任何材料、零组件、产品，不使用任何环境保护相关法规中禁用 / 限用的物质; 在生产制造、包装、储存、运输过程中确保向海康威视提供的任何材料、零组件、产品等不违反任何环境保护相关法规中禁用 / 限用物质之相关规定及海康威视禁用 / 限用物质要求。 We hereby declare under our sole responsibility that all materials and components we supply to Hangzhou Hikvision Technology Co., Ltd. and any affiliate of the company (hereinafter “Hikvision”) do not use any substances which are prohibited/restrained to use in any environmental laws and regulations; and that all materials and components do not use any substances which are pr