2.QEHS-Revision I (DoNU)莫仕环保协议.docxVIP

QEHS-699000-700 Revision I Declaration of Non-Use Molex Part Number: Supplier/Manufacturer: Supplier Part Number: Material/Part Description: MCSS Revision: Does material/part contain any of the MCSS1 Prohibited substances2 (section A.1.1) above the MCVs?3 If Yes, please list4 the substances: Material Substance Group Substance Name CAS Number Proportion (%/ppm) Intentional/ Impurity Purpose of Use Applicable Exemption Does material/part contain any of the MCSS1 Phase-out substances2 (section A.1.2) above the MCVs?3 If Yes, please list4 the substances: Material Substance Group Substance