材料成分表(2)

材料成分表

Substances in Product

一、供应商基本信息Basic Information of Supplier

供应商名称manufacturer name：填写时间Date：填写人员Completed by：电话Tel：填写部门Department：E-MAIL：传真Fax：二、材料成分信息Substances in Product

拆分部位名称DisassemblyUnit/componentdescription物料名称型号（图号）(e.g. Resistor、Descriptimode(DrawingCapacitor、Inductor、onnumber)homogeneous Material ofcable and MechanicalPart)均质材料名称HomogeneousMaterial Name.(e.g. Aluminumalloy)ContentRate(％)（均质材料中的含量perhomogeneousmaterials）物质名称Substance Name (e.g.Copper (Cu))CAS No.物质重量SubstanceMass. (mg)材料重量Material weight (mg）0.000.00Ⅲ. 声明Declaration我公司保证上述数据真实有效，如果发生变更会将变更后数据及时通知贵公司。I guarantees that the information provided is true and accurate. If the data will be changed, We will inform Huaqin for the Huaqin'sacceptance before the change take effect.供应商（法人或授权人）签字、盖章、签署时间Supplier (the legal representative or authorized officer) ：Signed by : Seal : Date