供應商信息/Supplier Information :
公司名稱/Company Name 部門/職稱/Department/Title REACH法规中高度關注物質(SVHC)声明及调查表
List for investigation and Declaration of high dangerous substances the REACH regulation
公司公章/Company official seal 授權代表/Authorized Representative 電子郵件/E-mail 電話號碼/Tel. 填表日期/Date
1、貴公司提供给的所有零件或產品是否含有REACH 所關注之168項高度關注物質(>0.1%)？ Do your component or product deliver to Guangzhou Opto- Electronic Co., LTD. with 168 SVHC substances (>0.1%) or not?
Y/N(含有/不含有)
项次/Item 是否含有/Whether contains 填写方式/Fill in the way
表1/Table1 No Yes
表2/Table2 若選No,即結束/End if you select No
若選Yes, 請填写表2/Please go to Table 2 if you select Yes 表2.高度關注物質使用情況/Table 2. SVHC Application Situation
零件/成品 類別 or 料 何種物質被 號/Type or 零件/成品名称 使用 part /Parts/Product /Which number of name Substances 使用部位 使用目的 /Use parts /purpose of use 每一物質 零件/成品 使用的重 重量, 克 量,wt%/We 削減计划 /Weight of 備註/Remark component ight for /Reduce / product (g) each Plan component/ product be added substances (wt%) 2、如果貴司對有任何隱瞞，從而導致損失，則一切損失及相關法律責任均由貴司承擔。
In case of any concealment from Your company resulting in Guangzhou Opto- Electronic Co., LTD. to losses or damages, Your company shall bear them from Guangzhou Opto- Electronic Co., LTD. claiming the defaults in accordance with this article.
3、此調查表以雙方產生交易之日起正式生效。並且長期有效。
This investigation has entered into force on the date of bilateral trading in both parties and effectively until lasting.
4、此調查表用中文及英文書寫，同具法律效力。
This investigation has been written in Chinese and in English. Both languages are equally authentic.
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