new rfa - cts others (toys) v8_writeable
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PH Quality Management System Reference F-LAB-049-CTS
Document title
Request for Laboratory Analysis (Toys)
Version 5
Date 30.06.2013
Author J. T. Samonte
Approved by M. L. Peneyra
UNCONTROLLED COPY
The latest revision of this document and the official distribution list are those approved in the QMS softwarePage 1 of 1
SGS JOB NO. : __________________]
REMINDER
: Please wri te legibl y, some details affirmed herewill be reflected in the Final Report.
CLIENT : _______________________________________ ADDRESS : _______________________________________
_______________________________________TEL. NO. : _______________________________________FAX NO. : _______________________________________CONTACT PERSON: _________________________________POSITION : _______________________________________E-mail Address : ___________________________________
RECEIPT OF SAMPLE: submitted by picked-up others ______________
PRINTED NAME: ____________________________
SIGNATURE/DATE: _________________________
(to be filled-out by SGS Personnel)
DISPATCH THROUGH:delivery courier e-mail picked-up fax
Dispatch by: ___________________ Date: ___________
Received by: ___________________ Date: ___________(Print name & sign)
AMOUNT O.R. # DATE
TOTAL COST _____________ ___________ ________
DEPOSIT _____________ ___________ ________
BALANCE _____________ ___________ ________
Test(s) Required: (please tick appropriate box/es)
Test to US Consumer Products Safety Commission (CPSC)
Physical and Mechanical Tests only
Flammability Test only - CS-191-53/Part 1500.44 16 CFR*
Toxicity Test - Paint and Surface Coating - Lead only (Part 1303 CFR)
Test to US ASTM F963-95
Physical and Mechanical Tests only
Flammability Test only - CS-191-53/Part 1500.44 16 CFR* Toxicity Test - Paint and Surface Coating - Lead and other Seven Heavy Metals (ANSI Z66.1-1984)
Test to the European Standard EN 71 1988/British Standard BS 5665 1989*
EN71: Part 1/BS 5665: Part 1 Mechanical and Physical Tests only
EN71: Part 2/BS 5665: Part 2 Flammability Test only
EN71: Part 3/BS 5665: Part 3 Migration of Certain Elements (Toxicity Test)
Test to Canadian Hazardous Products (Toys) Regulation
Physical and Mechanical Tests only
Flammability Test only
Paint Toxicity (Heavy Metals Test)
Leachable Lead and Cadmium in Ceramicwares/Food Container
Please specify Standard or Specification _____________________________________________________
Others (Please specify) __________________________________________________________________
Rush Service Regular Service Note:Service with subcon analyses has additional 2 working days for courier of samples.
We apply for the above test/s and agree that this contract will be carried out subject to SGS Philippines, Inc. Generalconditi ons of service available upon request, and accessible at www.sgs.com/terms _and_conditions.htm
Sample Received by: _________________________ CONFORME : ________________________________
Date/Time Received: _________________________ (Client’s signature over printed name)Checked/Reviewed by: ________________________
Phil. Fibertech Industries, Inc.
Veterans Center, Western Bictutan, Taguig City, 1630
Compound 4, VFP Industrial Area, Veterans Road,
838-9017 to 18
838-9018
Arjel C. Alvarez
Engineering Staff