XRF 與WEEE 委託試驗專用申請書 - Bureau Veritas

<strong>XRF</strong> 與 WEEE 委 託 試 驗專 用 申 請 書<strong>XRF</strong>&WEEE TestingApplication FormFor Laboratory Use OnlyDate Received :Reviewed By :Report No. :Name of Applicant :申 請 廠 商 中 英 文 名 稱 :Address :地 址 :Contact Person :聯 絡 人 :Telephone :電 話 :Name of Invoice :付 款 廠 商 中 英 文 名 稱 :Address :地 址 :Contact Person :聯 絡 人 :Telephone :電 話 :Product Name :Sample Description : 產 品 名 稱 :樣 品 說 明 : Item No. :產 品 型 號 :Country of Original :Special Requirements : 原 產 國 :報 告 特 殊 備 註 事 項 : Manufacturer’s Name :工 廠 名 稱 :E-mail :電 子 信 箱 :Ext. :分 機 :E-mail :電 子 信 箱 :Ext. :分 機 :Due Date :Registered No. :統 一 編 號 :Fax :傳 真 :Registered No. :統 一 編 號 :Fax :傳 真 :Buyer’s Order No. :買 家 型 號 :Sample Q’ty :送 件 樣 數 :Goods Exported to :銷 往 國 家 :Buyer’s Name :買 家 名 稱 :Test Required : 申 請 測 試 項 目X-Ray Fluorescent Screening Test<strong>XRF</strong> 檢 測 服 務Bill of Material (BOM) 材 料 清 單( 請 註 明 成 份 及 材 質 )Explosion Chart 產 品 爆 炸 圖WEEE Assessment Report / WEEE 拆 解 報 告 , 隨 同 申 請 書 提 供 之 文 件 有 :Bill of Material (BOM) 材 料 清 單 ( 請 註 明 成 份 及 材 質 )Explosion Chart 產 品 爆 炸 圖RoHS Testing Report RoHS 檢 測 報 告Material Safety Datasheet(MSDS) 物 質 安 全 資 料 表Green Supply Chain Management Data綠 色 供 應 鏈 管 理 資 料Contract with Recycling ServiceProvider與 回 收 商 簽 署 合 約Other 其 他Service Required 服 務 方 式 Sample Return 退 樣 Report Type 報 告 種 類No 否Chinese-English 中 英 文 報 告Regular:7-10 Working Days Yes 是English 全 英 文 報 告(Express charge will be paid by applicant directlyChinese 全 中 文 報 告普 通 :7-10 工 作 天 退 樣 運 輸 費 用 由 申 請 者 支 付 )Remark 備 註 :Above services not applicable for all items 部 分 測 試 不 適 用We apply for the above tests and agree that all tests will be carries out subject to BVCPS’ scale of charges and turnaround time as set forthin their price list and upon and subject to the terms and conditions of testing printed on the back of this form.本 廠 商 茲 申 請 上 述 之 試 驗 並 同 意 所 有 試 驗 依 據 BVCPS 所 訂 之 試 驗 條 款 屢 行 。Date 日 期Authorized Signature and Company Chop 簽 名<strong>Bureau</strong> <strong>Veritas</strong> Consumer Products Services (Hong Kong) Limited,Taiwan Branch香 港 商 立 德 國 際 商 品 試 驗 有 限 公 司 台 灣 分 公 司2F,No.27,Chung Cheng E. Road, Sec.2,Tanhsui,Taipei Hsien,Taiwan,R.O.C 台 北 縣 淡 水 鎮 中 正 東 路 二 段 27 號 2 樓 總 收 發 ( 請 註 明 測 試 件 )TEL: (02) 8809 2200 FAX: (02) 8809 3583 Website : www.cps.bureauveritas.comSee Reverse For Conditions

CONDITIONS OF TESTING<strong>Bureau</strong> <strong>Veritas</strong> Consumer Products Services (Hong Kong) Ltd., Taiwan Branch (the “Company"), will conduct, at the request of th(“Client”), the required tests specified on the reverse side of this Test Request Form in accordance with, and subject to, the following terms and conditio1. All orders for tests are subject to acceptance by the Company, and no order will constitute a binding commitment of the Company unless and untis accepted by it, as evidenced by the issuance of a written report (“Test Report”) by the Company. The Test Report is issued solely by the Companyfor the exclusive use of Client and shall not be published, used for advertising purposes, copied or replicated for distribution to any other personotherwise publicly disclosed without the prior written consent of the Company. The Company shall not be liable for any loss or damage whatsoever rethe failure of the Company to provide its services within any time period for completion estimated by the Company. If Client anticipates using the Teany legal proceeding, arbitration, dispute resolution forum or other proceeding, it shall so notify the Company prior to submitting the sample for testing.2. The names, service marks, trademarks and copyrights of the Company and its affiliates, including the names “BUREAU VERITAS,” “BUREACONSUMER PRODUCTS SERVICES,” “VERITAS” and “BVCPS”, (collectively, the “Marks”) are and shall remain the sole property of the Company oand shall not be used by Client except solely to the extent that Client obtains the prior written approval of the Company and then only in the manner pthe Company. Client shall not contest the validity of the Marks or take any action that might impair the value or goodwill associated with the Marks or treputation of the Company or its affiliates.3. The Test Report will set forth the findings of the Company solely with respect to the test samples identified therein and, unless specifically anindicated in the Test Report, the results set forth in such Test Report will not be indicative or representative of the quality or characteristics of the lot ftest sample will be taken. The Test Report will reflect the findings of the Company at the time of testing only, and the Company shall have no obligatiothe Test Report after its issuance. The Test Report will set forth the results of the tests performed by the Company based upon the written informationthe Company as set forth in, or attached to, this Test Request Form. The Test Report will represent the entire understanding of the parties hereto witthe subject matter of the Test Report and no modification, variance, extrapolation or conclusion with respect thereto shall be permitted without theconsent of the Company.4. The Company may, in its sole discretion, destroy samples which have been furnished to the Company for testing and which have not been destcourse of testing. The Company may delegate the performance of all or a portion of the services contemplated hereunder to an affiliate, agent or subcthe Company, and Client consents to such delegation.5. Unless a shorter period is provided for on the reverse side of this Test Request Form, payment in full shall be due 30 days after the date of invshall pay interest on any overdue amount from the due date until paid at an interest rate of 1.5% per month or, if less, the maximum rate permittedCompany reserves the right, at any time and from time to time, to revoke any credit extended to Client. Client shall reimburse the Company for any coin collecting past due amounts, including court costs and fees and expenses of attorneys and collection agencies. The Test Report may not be used oby Client if and for so long as Client fails to pay when due any invoice issued by the Company or any affiliate of it to Client or any affiliate or subsiditogether with interest and penalties, if any, accrued thereon.6. The Company may, from time to time, permit Client to access this Test Request Form, the Test Report and other communications by meatransmissions with the Company. Client acknowledges that any such transmission will not be encrypted and, hence, will not be confidentiatransmissions may be read and intercepted by third parties and that the electronic version of a Test Request Form, Test Report or other communicatmodified inadvertently. The Company disclaims any and all responsibility or liability arising out of or in connection with e-mail transmissions of such inf7. The Company represents and warrants solely to Client that the Test Report will be free of any material error or omission caused by the negligCompany. If Client desires to assert a claim for breach of the foregoing warranty, it must submit a claim to the Company within 60 days after the dateof the Test Report to Client in a writing that sets forth with particularity the basis for such claim. If the Company determines that the claim is timelbreach of the foregoing warranty has occurred, then the Company, at its option, may either (a) re-perform the deficient test, without charge to Client,to Client, without interest, the fee paid to the Company for such Test Report. Client waives any and all claims for breach of the foregoing warrantwithout limitation, claims that the Test Report is inaccurate, incomplete or misleading or that additional or different testing is required, unless and theextent that Client submits a written claim to the Company within such 60-day period.8. The Company shall, to the extent of the limitation of liability set forth in Section 9, indemnify Client against third party claims asserting aexclusively from the negligence of the Company, but only if Client (a) notifies the Company of the assertion of such claim immediately upon its being(b) provides to the Company the option to assume the defense of such claim or participate in such defense.9. EXCEPT TO THE EXTENT OF THE LIMITED WARRANTY SET FORTH IN SECTION 7 OR AS MAY OTHERWISE BE AGREED TO IN WRITICOMPANY AND NOTWITHSTANDING ANY PROVISION TO THE CONTRARY CONTAINED HEREIN OR IN ANY TEST REPORT, NO WARGUARANTEE, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSEMADE. IN NO EVENT WHATSOEVER SHALL THE COMPANY BE LIABLE FOR ANY CONSEQUENTIAL, SPECIAL OR INCIDENTAL DACONNECTION WITH OR ARISING OUT OF THE SERVICES PROVIDED BY THE COMPANY HEREUNDER, INCLUDING WITHOUT LIMITATION LDAMAGE TO PROPERTY, LOSS OF INCOME, PROFIT OR USE, OR CLAIMS OR DEMANDS MADE AGAINST CLIENT OR ANY OTHER PERSOTHIRD PARTY IN CONNECTION WITH OR ARISING OUT OF THE SERVICES PROVIDED BY THE COMPANY HEREUNDER. NOTWITHSTANPROVISION TO THE CONTRARY CONTAINED HEREIN, UNDER NO CIRCUMSTANCES WHATSOEVER SHALL THE LIABILITY OF THE CORESPECT OF ANY CLAIM FOR LOSS, DAMAGE OR EXPENSE, OF WHATEVER NATURE OR MAGNITUDE, AND HOWEVER ARISING, EAMOUNT EQUAL TO THE AMOUNT OF THE FEES PAID TO THE COMPANY FOR THE SPECIFIC SERVICES WHICH GAVE RISE TO SUCH CLA10. The Company shall not be liable for any loss or damage resulting from any delay or failure in performance of its obligations hereunder resultinindirectly from any cause that is beyond the control of the Company, including, but not limited to, fire, flood, tornado, hurricane or other acts of God, waccident, embargo, governmental actions, orders of courts or tribunals, non-performance of third parties, strike, lock-out, or other difficulties withinability timely to obtain labor, material, equipment or services through the Company’s usual sources or delays of carriers. If any such event occurs, thmay immediately cancel or suspend its performance hereunder without incurring any liability whatsoever to Client.11. These Conditions of Testing shall be governed by, and construed in accordance with, the local laws of the country where the Company performsin the case of tests performed in the United States of America, the laws of the Commonwealth of Massachusetts. Client waives the right to incounterclaim or setoffs of any nature in any litigation arising hereunder. Any proceeding related to the subject matter hereof shall be brought, if at all,of the country where the Company performs the tests or, in the case of tests performed in the United States of America, in the courts of the CommMassachusetts.12. These Conditions of Testing are available at the website https://www.mtl-acts.com. If there is a discrepancy between the terms and conditions set forth in theseConditions of Testing and the terms and conditions set forth (a) at such website; (b) in the Test Report, (c) on the reverse side of this Test Request Form or (d) in anyother writing other than a master agreement which expressly (i) provides that its terms and conditions shall take precedence over these Conditions of Testing and(ii) cross-references this Section 12 or the equivalent section at such website, the Conditions of Testing set forth at such website shall govern and any inconsistentprovision of this Test Request Form or other writing, as applicable, shall be disregarded. If no Conditions of Testing are set forth at such website, then theConditions of Testing set forth herein shall govern.