REACH声明

REACH – DECLARATION OF CONFORMITY

Application of Final Product Supplier for FOXDA Technology Industrial(Shenzhen) Co.,Ltd. 适用于由 订购产品之厂商。

Supplier Name(厂商名称)： Address(地址)： Contact Person(名称) Tel./Email(电话名称/电邮)

Supplier Part(s)/ Component(s) No. (厂商编号) BOM No. (序号) Pars(s)/Component(s) No. Part(s) Description（产品名称) Test Report No. (报告号码) Date (日期) (物料编号)

We certify that the above mentioned Part(s) sold to Customer- comply with the REACH and FOXDA Technology Industrial (Shenzhen)Co.,Ltd. Requirements. Documentation to support this certification document is available for inspection. Furthermore, intentional use of the REACH banned substances【15 Substances(SVHC) are shown below】 is prohibited.

We declare that the above information is true and effective. Otherwise, we will bear all the legal responsibilities and costs due to false information.

我们保证上述销售给 的产品符合欧盟REACH和福兴达科技（实业）有限公司的要求。如有需要，将提供支持该符合性的文件资料。此外，在生产工艺中有意识的使用REACH禁止物质【如下所列15种物质（SVHC）】是被禁止的。

我们承诺上述信息真实有效。否则，我公司将承担由于提供虚假信息所产生的一切法律责任和费用。

The list of these 15 Substances(SVHC) are shown below.有关这15种物质(SVHC)详见下表：中文名称蒽4,4'-二氨基二苯基甲烷邻苯二甲酸二丁酯（DBP）二氯化钴五氧化二砷三氧化二砷重铬酸钠二甲苯麝香邻苯二甲酸二辛酯（DEHP）六溴环十二烷（HBCDD）以及所有主要的非对映异构体（α –HBCDD, β-HBCDD, γ-HBCDD）英文名称Anthracene4,4'- DiaminodiphenylmethaneDibutyl phthalateCobalt dichlorideDiarsenic pentaoxideDiarsenic trioxideSodium dichromate5-tert-butyl-2,4,6-trinitro-m-xylene (musk xylene)Bis (2-ethyl(hexyl)phthalate)(DEHP)Hexabromocyclododecane(HBCDD) and allmajordiastereoisomersidentified (α – HBCDD, β-HBCDD, γ-HBCDD)Alkanes, C10-13, chloro (ShortChain Chlorinated Paraffins)Bis(tributyltin)oxideLead hydrogen arsenateBenzyl butyl phthalateTriethyl arsenateEC编号204-371-1202-974-4201-557-4231-589-4215-116-9215-481-4234-190-3??201-329-4204-211-0CAS编号120-12-7101-77-984-74-27646-79-91303-28-21327-53-37789-12-0??10588-01-981-15-2117-81-725637-99-4和3194-55-6(134237-50-6,134237-51-7,134237-52-8)85535-84-856-35-97784-40-985-68-715606-95-8247-148-4221-695-9短链氯化石蜡氧化双三丁基锡酸式砷酸铅邻苯二甲酸丁苄酯（DEHP）三乙基砷酸酯287-476-5200-268-0232-064-2201-622-7427-700-2

Place and Date Chop and Signature of Responsible Person (地点及日期) （签名、盖公章）

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