申请公司中英文名称（ApplicantName）

鞋类和箱包测试申请表申请编号：Application No.Footwear and Luggage & Bag Goods Test Application Form申请公司中英文名称(Applicant Name): 地址中/英文(Address):联系人(Contact Person):电子信箱(E-mail):电话(Tel. No.):传真(Fax .No.): 付款公司 (Payer Name): 中英文地址 (Address) : 邮编(Post Code): 联系人(Contact Person):电话(Tel): 传真(Fax): 报告原件寄至 (Report Delivered To): 上述申请公司(Applicant) 上述付款公司(Payer) 发票寄至 (Invoice Delivered To): 上述申请公司(Applicant) 上述付款公司(Payer) 样品描述(Sample Description):样品名称 Sample Name:款号 Style No.:材料成分 Material Composition:订单号 PO No. / Order No.:颜色 Sample Color:买家 Buyer:样品量 Amount of Sample:供应商 Supplier:商标名称 Label:来源地 Country of Origin:最终用途 End uses:目的地 Country of Destination: 请在所选项目前打钩，或在空白处写出所需其它测试项目(Test Required: please (X) as appropriate)鞋 (Footwear): 钢勾心（Shank） Hardness 硬度 Bending Resistance 弯曲性能 Rigidity 刚度 Fatigue Resistance 抗疲劳成品鞋 (Shoe):Sole Bonding Strength 鞋底黏着力Flex 曲折Heel Attachment 鞋跟拉力Anti-yellowing 耐黄变Aging 老化Pull Strength for Strap/Ornament 带子/饰物拉脱Slip 防滑 Phenolic Yellowing 酚黄鞋面 (Upper):Burst 爆破Flex 曲折Tensile Strength 抗拉Tear 撕裂Abrasion 耐磨CF to Crocking摩擦褪色CF to Water 耐水色牢度Anti-yellowing 耐黄变大底 (Outsole): Density 密度Flex 曲折Oil Resistance 耐油Tear 撕裂Tensile 拉伸Non-marking 不留痕Slip Resistance 防滑Blooming 吐霜 Anti-yellowing 耐黄变Hydrolysis 耐水解Abrasion 耐磨中底(Insole):Transfer Tensile Strength 平面抗拉Flex 曲折鞋带/松紧带(Lace/ Gore):Tensile 拉力金属扣(Metallic Buckle):Corrosion 腐蚀性拉链(Zipper):Puller Attachment 拉头拉力Top and Bottom Stop Attachment 止滑扣结合力Breaking Strength of Chain 链齿咬合强度Slider Locking 闭锁强度Torque Test 扭力测试箱包(Luggage & Bag):Dimension 规格尺寸Appearance Quality外观质量 Identifying标识Oscilation Impact performance 振荡冲击性能Drop Impact Test 坠落试验Stattic Pressure Resistance 硬箱箱体耐静压性Falling Ball Impact Resistance 硬箱箱面耐落球冲击Rod Fatigue Resistance Performance拉杆耐疲劳性Walking Performance 行走性能Surface Harness 箱铝口表面硬度Stitching Seam Strength 缝合强度Zipper Durability 拉链耐用度Zipper Between Strong 拉链平拉强力Corrosion 配件耐腐蚀性Color Fastness(Rubbing Water Perspiration Light )色牢度 Azo Dyes 偶氮染料pH Value 酸碱值Formaldehyde 甲醛Pesticides 杀虫剂Extractable Heavy Metals 可萃取重金属Allergenous Dyes 致敏染料Carcinogenic Dyes 致癌染料Total Lead Content 总铅含量Total Cadmium Content 总镉含量Phthalates 邻苯二甲酸盐PAHs多环芳烃PCP TeCP TriCP 五/四/三氯苯酚Chromium (VI) (Aging Without Aging)Organotin Compounds 有机锡化合物Nickel Release 镍释放量DMF 富马酸二甲酯DMFA二甲基甲酰胺APEO 烷基酚聚氧乙烯醚VOCs 挥发性有机化合物其它检测项目Other Testing Items采用标准/方法Standard Methods usedISO AATCC/ASTM BS DIN JIS AS CAN-CGSB GB QB Others:测试周期Service Required: 正常, 5个工作日加急, 2-3个工作日加收50费用特快, 当天服务, 加收100费用报告语言Report Version:英文English中文Chinese中文+英文报告各一份 (加收RMB 100.00)报告寄送Report Delivery:自取No传真by Fax电邮by E-mail快递by EMSThe above services are bound to General Conditions of Services以上测试服务均接受服务通用条款约定 以上申请是否涉及法律纠纷，如果有，请说明委托方代表签字 (Authorized Signature & Company Chop): 申请日期Date: 深圳市英柏检测技术有限公司 Shenzhen IMPAQ Testing Technology Co.,Ltd. 地址：中国深圳市南山区南头关口二路智恒战略性新兴产业园28栋3楼Address: 3rd Floor, Building 28, Zhiheng Wisdomland Business Park, Nantou Checkpoint Road 2, Nanshan District,Shenzhen ,ChinaTel:0755-32998288 Fax: 0755-32998299 Website:www.impaq-生效日期Effective Date：2019.06.03 编号Document ID：SZMPF-CSD-007 版本Version：3.1 页码Page: 1/1