測(cè)試委托合同 測(cè)試委托合同

1、 Life Science Services Assignment No:測(cè)試委托合同TESTING APPLICATION CONTRACT委托方Applicant :申請(qǐng)人地址Address :申請(qǐng)人簽名Signature :日期Date :測(cè)試方Receiver :通標(biāo)標(biāo)準(zhǔn)技術(shù)服務(wù)(上海有限公司 SGS-CSTC Standards Technical Services (Shanghai Co., Ltd.測(cè)試方地址Address :上海市宜山路889號(hào)3號(hào)樓9樓 9/F, 3rd Building, No.889 Yishan Road, Xuhui District, Shangh

2、ai接受人簽名Signature :日期Date :SGS LSS 提醒提醒:本合同為L(zhǎng)SS 測(cè)試服務(wù)的唯一范本測(cè)試服務(wù)的唯一范本,為了確保測(cè)試的質(zhì)量和時(shí)間為了確保測(cè)試的質(zhì)量和時(shí)間,請(qǐng)準(zhǔn)確請(qǐng)準(zhǔn)確寫寫 以下所有項(xiàng)目以下所有項(xiàng)目。 Note :This is the only format provided by SGS LSS services, all information stated shall be clear and accurate to ensure the testing time and quality. Life Science Services Assignment No

3、:1. Client Information(客戶信息Applicant(申請(qǐng)單位中文/英文 :Address(地址中文/英文 :Post Code(郵編 :Contact Person(聯(lián)系人 :Tel(聯(lián)系電話 :Fax(傳真 :E-mail (電子郵箱 :信息發(fā)票信息2. Invoice Information(發(fā)票Quote No.(報(bào)價(jià)單號(hào) :Testing Fee(測(cè)試費(fèi)用 :Payer (付款單位/開票抬頭 : Same as applicant是否與申請(qǐng)單位相同Yes是No否Invoice to Contact(發(fā)票接收人 : Same as applicant是否與申請(qǐng)人相同

4、Yes是No否Invoice to Address(發(fā)票接收地址 : Same as applicant是否與申請(qǐng)單位相同Yes是No否3. Reporting Information(報(bào)告信息報(bào)告形式3.1 Report format(報(bào)告形式English report(英文報(bào)告Chinese Report (中文報(bào)告Bilingual report(雙語報(bào)告 *extra 200RMB (另收費(fèi)200RMBThe test results for above items will be described in one test report.(以上測(cè)試結(jié)果將包含在一份測(cè)試報(bào)告中報(bào)告上客

5、戶名稱3.2 Report issue to(報(bào)告上客戶名稱Report to Contact(報(bào)告上客戶名稱 : Same as applicant是否與申請(qǐng)單位相同Yes是No否Report to Address(報(bào)告上客戶地址 : Same as applicant是否與申請(qǐng)單位相同Yes是No否報(bào)告寄送給給3.3 Report deliver to(報(bào)告寄送Deliver to Contact(報(bào)告收件人 : Same as applicant是否與申請(qǐng)單位相同Yes是No否Deliver to Address(報(bào)告接收地址 : Same as applicant是否與申請(qǐng)單位相同Ye

6、s是No否Note:Report will be delivered to client when payment is received.備注:SGS 生命科學(xué)部需收到付款后以郵件形式把報(bào)告發(fā)給客戶。 Life Science Services Assignment No:4. Test Information(測(cè)試要求請(qǐng)?zhí)顚懜奖?(See attachment 1每一種產(chǎn)品需填寫一張附表(Each product fill in one form每一種產(chǎn)品5. Payment Information(付款信息For RMB Account(人民幣帳號(hào)公司名稱:通標(biāo)標(biāo)準(zhǔn)技術(shù)服務(wù)(上海有限公司

7、銀行賬號(hào):501510217532開戶行:渣打銀行(中國(guó)有限公司上海分行銀行地址:上海市浦東世紀(jì)大道201號(hào)渣打銀行大廈27樓郵編:200120銀行電話:8009990213For USD Account(美金帳號(hào)Company Name : SGS-CSTC Standards Technical Services (Shanghai Co., Ltd.Bank name : Citibank (chinaCo.,Ltd. Shanghai BranchBank account : 1748074003Bank Address : 31/F Mailing Room Citi Tower N

8、o.33 Hua Yuan Shi Qiao Rd.Lu Jia Zui Financeand Trade Zone Shanghai 200120 P.R.ChinaBank Tel / Fax :(86 21 2896 6000 / (86 21 2896 6701Swift Code :CITICNSXIntermediary Bank Name : Citibank N.A.New York BranchIntermediary SWIFT Code: CITIUS33Account with Intermediary Bank: 36076824備注重要備注6. Important

9、Note(重要Turnaround time counts when sample is received.測(cè)試時(shí)間從我司收到樣品并開出開案通知書起算。The sample will be kept 90 days in lab after testing is finished. But we do not keep sample which exceeds shelf life.實(shí)驗(yàn)室的樣品會(huì)在測(cè)試結(jié)束后保留90天,但是超過保質(zhì)期的樣品實(shí)驗(yàn)室不再保留。The above contents should not be modified once test report is issued,

10、unless sufficient written evidence is given.And for such case, additional request modification charge applies.以上內(nèi)容,在測(cè)試報(bào)告簽發(fā)后將不得隨意修改,如要修改應(yīng)提供充分的書面證據(jù)并支付一定的費(fèi)用。If the sample(s received by noon, test starts in the same day, otherwise turnaround time counts from following day.若實(shí)驗(yàn)室在當(dāng)天12:00之前接收到樣品,則該日算入測(cè)試周期之內(nèi)

11、;若實(shí)驗(yàn)室在當(dāng)天12:00之后接收到樣品,則測(cè)試周期從下一個(gè)工作日起算。The agreement is governed by SGS “General Conditions of Service”.此協(xié)議受SGS“通用服務(wù)條款”的約束。 Life Science Services Assignment No:Appendix(附錄Product Name(產(chǎn)品名稱 : Lot No.(批號(hào):Manufacturer(生產(chǎn)商:S a m p l e i n f o r m a t i o n樣 品 信 息 Product Appearance(產(chǎn)品形狀 : 片劑table 液體liquid

12、膠囊劑capsule粉狀power 其他othersPacking (包裝 : 盒box 瓶bottle 袋bag 桶barrel 其他othersQuality(數(shù)量:盒box瓶bottle 片piece支branch 其他othersStorage condition(儲(chǔ)存條件 :溫度temperature 室溫room temperature (10 to 30 冷藏cold storage(2to8 冷凍freeze(-10to -25 其他others避光avoid light 是Yes 否NoT e s t i t e m測(cè)試項(xiàng)目No. Test Item(測(cè)試項(xiàng)目 Method(

13、測(cè)試方法 Specification(合格范圍1 2 3 4R e f e r e n c e s t a n d a r d i n f o r m a t i o n對(duì)照品信息 Reference standard certificate of analysis provided (是否提供對(duì)照品檢驗(yàn)報(bào)告:Yes(是 No(否 Reference Standard Name(對(duì)照品名稱 : Supplier(供應(yīng)商 : Potency(含量: Packing(包裝: Expire date(有效期:Storage condition(儲(chǔ)存條件 :溫度temperature 室溫room t

14、emperature (10 to 30 冷藏cold storage(2to 8冷凍freeze(-10to -25 其他others避光avoid light 是Yes否NoS a m p l e s t o r a g e留樣信息 Sample remained after testing(測(cè)試完成后是否保留樣品Yes(是. If yes, will charge RMB500/Month (如保留樣品, 需要加收每月500人民幣費(fèi)用. No(否.Return sample to client(退回樣品給客戶Yes(是. If yes, 200 RMB processing fee will be charged(如果退回, 加收200元處理費(fèi) No(否.T A T t i m e測(cè)試 周 期 Turnaround time requirement (測(cè)試周期要求Normal (正常-7 working days(7工作日 Urgent (加急-3 working days(3工作日 Special requirement (其他 工作日* 100% extra charge for urgent case(加急測(cè)試收雙倍費(fèi)用 s u