環(huán)境關聯物質問卷調查表

1、 XXXX實業(yè)有限公司環(huán)境關聯物質問卷調查表（ROHS2.0、供應商基本資料廠商名稱：填表日期：蓋章處：公司代表（審核者）:連絡電話：連絡人（填表人）:電子郵件信箱：零件之名稱與料號：二、環(huán)境關聯物質調查清單Environment-Related Substances Survey list1、鎘及鎘的化合物 Cadmium and its compou nds物質名稱Name化學式 chemical formula標準限值LimitCAS NO管制對象/用途Purpose調查結果Suvey result是否含有Con tain含量濃度Un it使用用途Purpose零件名稱或部位Materi

2、al備註Remark鎘CadmiumCd5ppm7440-43-9Connection materials, surface treatment NiCd batteries 用於塑膠製品、色素、電鍍、塗料、油墨、塑膠袋製造等 之穩(wěn)定劑.YESNOppm鎘合金Cadmium alloy50ppmCopper alloy containing Zinc 、aluminum alloy 銅鋅壓鑄合金，鋁合金YESNOppm20ppmLow melting point solder, fuses, etc.銲錫氧化鎘CadmiumOxideCdO不可含有Banned1306-19-0Pigments

3、, alkaline batteries, and materials for chemical synthesis色素、鹼性電池和化學合成YESNOppmCl化鎘CadmiumChlorideCdCl2不可含有Banned10108-64-2Plating bath, the stabilizers used for vinyl chloride 用於電鍍和氯乙烯的穩(wěn)定劑YESNOppm硫化鎘CadmiumsulfideCdS不可含有Banned1306-23-68048-07-5Pigments, paints, inks, and light receiving elements for

4、 semiconductors色素、油漆、墨水和半導體的光線接收元素YESNOppm硝酸鎘Cadmium nitrateCd(NO 3)2不可含有Banned10325-94-7Coloring agents, batteries, and photographs 著色劑、電池和相片YESNOppm四水硝酸鎘Cadmium nitrate tetrahydrateCd(NO3)2 4H2O不可含有Banned10022-68-1YESNOppm硫酸鎘Cadmium sulfateCdSO4不可含有Banned10124-36-4Cadmium standard cells, reagent 鎘

5、電池、試劑YESNOppm硬脂酸鎘Cadmium stearateCd(C18H35 O2) 2不可含有Banned2223-93-0The stabilizers used for vinyl chloride 用於氯乙烯的穩(wěn)定劑YESNOppm其他鎘化合物Other cadmium compounds不可含有BannedYESNOppm2、鉛及鉛的複合物 Lead and its compou nds物質名稱Name化學式 chemical formula標準限值LimitCAS NO管制對象/用途Purpose調查結果Suvey result是否含有Con tain含量濃度Unit使用用

6、途Purpose零件名稱或部位Material備註Remark鉛:金屬鉛Lead; metalPb40ppm7439-92-1Packing material、PCB vinyl chloride stabilizers 、paints、dyes 應用於包裝材料、印刷電路板、聚氯乙烯等樹脂之穩(wěn)定劑、塗料、 染料等.YESNOppm3500ppmSteel alloy 鐵合金4000ppmAluminum alloy 鋁合金4wt%Copper alloy 銅合金Lead/Tin alloy500ppmSolder, brazing materials, and electrical conne

7、ction 錫絲、焊料、電源線元件YESNOppm氧化鉛(二價)Lead (II) oxidePbO不可含有Banned1317-36-8Pigments, rubber vulcanization accelerators, and solid lubricants 色素、著色劑，硫化促進劑和固體潤滑劑YESNOppm氧化鉛(四價)Lead (IV) oxidePbO2不可含有Banned1309-60-0Lead-acid batteries, rubber curing agents, and materials for pigments鉛酸電池，固化劑和色素材料YESNOppm三氧化二

8、鉛Dilead trioxidePb2O3不可含有Bannedchemical synthesis 化學合成材料YESNOppm四氧化三鉛;氧化鉛(二價、四價) _ead (II, IV) oxidePb3O4不可含有Banned1314-41-6Pigments, lead-acid batteries, glass, and paints 顏料，鉛酸電池，玻璃和油漆YESNOppm疊氮化鉛Lead azidePbN6不可含有Banned13424-46-9Dynamite 炸藥YESNOppmLead (II) fluoride氟化鉛(二價)PbF2不可含有Banned7783-46-2S

9、pecial optical glass, pigments 特殊光學玻璃，色素YESNOppmLead (IV) chloride氯化鉛(四價) 四氯化鉛PbCl4不可含有Banned13463-30-4Reagent試劑YESNOppmLead (II) iodide碘化鉛(二價)PbI2不可含有Banned10101-63-0Bronze, printing, and photographs 青銅，印刷，相片和圖片用途YESNOppm硫化鉛(二價)Lead (II) sulfidePbS不可含有Banned1314-87-0Infrared ray detectors in which

10、semiconductor elements are utilized 半導體元件所使用的紅外線探測器YESNOppm氫化鉛(二價)Lead (II) cyanidePb(CN)2不可含有Banned592-05-2Antirust pigments treatment 防銹色素YESNOppm氟化硼鉛LeadfluoroboratePb(BF4)2不可含有Banned13814-96-5Plating bath, anticorrosive surface Treatment電鍍,防銹表面處理YESNOppm氟化碳鉛LeadfluosilicatePbSiF6不可含有Banned25808-

11、74-6Plating bath, lead refinement 電鍍,鉛提煉YESNOppm硝酸鉛Lead nitratePb(NO3)2不可含有Banned10099-74-8Optical glass光學玻璃,化學合成材料YESNOppm碳酸鉛Lead carbonatePbCO3不可含有Banned598-63-0Reagent 試劑YESNOppm氫氧碳化鉛Leadhydroxycarbonate(PbCO3)2Pb(OH)2不可含有Banned1344-36-1Pigments, vinyl chloride stabilizers 色素,氧乙烯穩(wěn)定劑YESNOppm高氧酸鉛Le

12、adperchloratePb(CIO4)2不可含有Banned13637-76-8chemical synthesis 化學物質YESNOppm硫酸鉛(二價)Lead (II) sulfatePbSO4不可含有Banned7446-14-215739-80-7Pigments, rubber compoundingingredients, vinyl chloride stabilizers, and batteries 色素,橡膠組成成分，氯乙烯穩(wěn)定劑和電池YESNOppm硫酸鉛Lead oxidesulfatePb4SO7不可含有Banned12202-17-4Pigments 色素YE

13、SNOppm磷酸鉛(二價)Lead (II) phosphatePb3(PO4)2不可含有Banned7446-27-7Stabilizers for plastics 塑料穩(wěn)定劑YESNOppm硫氫酸鉛Lead thiocyanatePb(SCN)2不可含有Banned592-87-0Stain, matches 著色劑,火柴YESNOppm三水醋酸鉛(二價)Lead (II) acetate, trihydratePb(CH3COO)23H2O不可含有Banned6080-56-4chemical synthesis 化學合成材料YESNOppm醋酸鉛(二價)Lead (II) aceta

14、tePb(CH3COO)2不可含有Banned301-04-2chemical synthesis 化學合成材料YESNOppm醋酸鉛(四價)Lead (IV) acetate546-67-8Pb(CH3COO)4不可含有Banned546-67-8chemical synthesis 化學合成材料YESNOppm油酸益鉛Lead oleatePbCH3(CH2)7CHCH(CH2)7COO2不可含有Banned1120-46-3Lubricants, curing agents, etc. 潤滑劑，固化劑等YESNOppm硬脂酸鉛Lead stearatePb(C17H35COO)2不可含有

15、Banned7428-48-0Lubricants, stabilizers for vinyl chloride 潤滑劑,氧乙烯穩(wěn)定劑YESNOppm偏硼酸鉛(二價)Lead (II) metaboratePb(BO2)2 H2O不可含有Banned10214-39-8Desiccants for paints 油漆乾燥劑YESNOppm矽酸鉛LeadmetasilicatePbSiO3不可含有Banned11120-22-210099-76-0Ceramics 陶瓷生產YESNOppm亞銻酸鉛LeadantimonitePb3(SbO4)2不可含有Banned13510-89-9Pigme

16、nts, coloring agents for glass 色素，玻璃著色劑YESNOppm砷酸鉛Leadarsenate(1:1)PbHAsO4不可含有Banned7784-40-9Fertilizer化肥YESNOppm亞砷酸鉛(二價)Lead (II) arsenitePb(AsO2)2不可含有Banned10031-13-7Pesticides殺蟲劑YESNOppm氧酸鉛:鉻黃Lead chromate; chrome yellowPbCrO4不可含有Banned1344-37-2Pigments, paints, and inks 色素，油漆和墨水YESNOppm鉛酸鉛Lead m

17、olybdatePbMoO4不可含有Banned10190-55-3Pigments色素，試劑YESNOppm鉛酸化鈣Calcium plumbateCa2PbO4不可含有Banned12013-69-3Oxidizers氧化劑,焰火和火柴YESNOppm四甲基鉛Tetramethyl leadPb(CH3)4不可含有Banned75-74-1Gasoline additive汔油添加劑YESNOppm四乙鉛Tetraethyl leadPb(C2H5)4不可含有Banned78-00-2Gasoline additive汔油添加劑YESNOppm其它鉛化合物Other lead compou

18、nds and alloys不可含有BannedYESNOppm3、汞及汞化物 Mercury and mercury compo unds物質名稱Name化學式 chemicalformula標準限值LimitCAS NO管制對象/用途Purpose調查結果Suvey result是否含有Con ta in含量濃度Un it使用用途Purpose零件名稱或部位Material備註Remark汞MercuryHg不可含有Banned7439-97-6ink, plastic, rubber, resinin thePackaging Materials包裝材料之油墨、塑膠、橡膠、樹脂YESNO

19、ppmElectrodes, mercury lamps電池（鹼性錳電池或氧化銀電池）、水銀燈、油墨汞合金：汞齊Mercury alloys;amalgam不可含有BannedYESNOppmMercury (1) oxide氧化二汞：一價Hg2O不可含有Banned15829-53-5YESNOppm氧化汞：二價Mercury (II) oxideHgO不可含有Banned21908-53-2Mercury cells, preservatives 汞電池、防腐劑YESNOppm二氯化汞：一價Mercury (I)ChlorideHg2Cl2不可含有Banned10112-91-1Elect

20、rodes, pigments and fertilizer 電極、色素和化肥YESNOppm氯化汞：二價Mercury (II) chlorideHgCl2不可含有Banned7487-94-7Metal etching, batteries, and preservatives 金屬蝕刻、電池、防腐劑YESNOppm硝酸汞：二價Mercury (II) nitrateHg(NO3)2不可含有Banned10045-94-0Felt, fertilizer, catalysts 油毛毯、化肥和催化劑YESNOppm硫酸汞：一價Mercury (I) sulfateHg2SO4不可含有Bann

21、edBatteries電池YESNOppm雷汞：二價Mercury (II) fulminateHg(ONC)2不可含有Banned628-86-4Dynamite 炸藥YESNOppm醋酸汞：二價Mercury (II) acetateHg(CH3COO)2不可含有Banned1600-27-7chemical synthesis 化學合成材料YESNOppm鉀基汞鹽Methylmercury saltsCH3HgX; X=Cl, Br, I, OH, etc.不可含有Bannede.g.22967-92-6Fungicides殺真菌劑、醫(yī)療產品YESNOppm乙烷基汞鹽Ethymercur

22、y saltsC2H5HgX; X=Cl, Br, I, OH, etc.不可含有BannedPreservatives, disinfectants 防腐劑、消毒劑YESNOppm內基汞鹽Propylmercury saltsC3H7HgX; X=Cl, Br, I, OH, etc.不可含有Bannedchemical synthesis 化學合成材料YESNOppm苯基汞鹽Phenylmercury saltsC6H5HgX; X=Cl, Br, I, OH, etc.不可含有BannedPreservatives, disinfectants 防腐劑、消毒劑YESNOppm鉀基氧乙烷基

23、汞鹽Methoxyethylmerc ury saltsCH3OC2H4HgX!X=Cl, Br, I, OH, etc.不可含有BannedDisinfectants, fungicides 消毒劑、殺菌劑YESNOppm二烴基組汞DialkylmercuryR2Hg;R=alkyl group (CnH2n+1)不可含有BannedYESNOppm二苯基汞Diphenylmercury(C6H5)2Hg不可含有Banned587-85-9chemical synthesis 化學合成材料YESNOppm其他汞化合物Other mercury compounds不可含有Bannedchemi

24、cal synthesis 化學合成材料YESNOppm4、六價路化合物 Hexavale nt chromium compo unds物質名稱Name化學式 chemicalformula標準限值LimitCAS NO管制對象/用途Purpose調查結果Suvey result是否含有Con tain含量濃度Unit使用用途Purpose零件名稱或部位Material備註Remark六價鉻化合物不可含有BannedPackaging material 、 plating antirust treatment 包裝材料、電鍍防銹處理YESNOppm三氧化鉻Chromium (VI) oxide

25、;Chromium trioxideCrO3不可含有Banned1333-82-0Pigments, catalysts, plating, and tanning 色素、催化劑、電鍍和制革YESNOppm氧化鉻（六價） 鹵化鉻不可含有BannedYESNOppm鉻酸鋰Lithium chromateLi2CrO4不可含有Banned14307-35-8Corrosion prevention 防腐劑YESNOppm鉻酸鈉Sodium chromateNa2CrO4不可含有Banned7775-11-3Antirust, tanning 防銹、制革YESNOppm鉻酸鉀Potassium ch

26、romateK2CrO4不可含有Banned7789-00-6Pigments, inks, and tanning 色素、墨水和制革YESNOppm氯鉻酸鉀PatassiumchlorochromateKCrO3CI不可含有Banned16037-50-6chemical synthesis 化學合成材料YESNOppm鉻酸銨Ammonium chromate(NH4)2CrO4不可含有Banned7788-98-9Photographs, catalysts 相片、催化劑YESNOppm鉻酸銅Copper chromateCuCrO4不可含有Banned13548-42-0Mordants

27、 金屬腐蝕劑YESNOppm鉻酸鎂Magnesium chromateMgCrO4不可含有Banned13423-61-5Antirust, surface treatment 防銹、表面處理YESNOppm鉻酸鈣Calcium chromateCaCrO4不可含有Banned13765-19-0Pigments, inks, and tanning 色素、墨水和制革YESNOppm鉻酸鍶StrontiumchromateSrCrO4不可含有Banned7789-06-2Pigments, antirust 色素、防腐劑YESNOppm鉻酸鋇Barium chromateBaCrO4不可含有B

28、anned10294-40-3Pigments, corrosion prevention, and coloring agents for ceramics色素、防腐蝕和陶瓷著色劑YESNOppm鉻酸鉛：鉻黃Lead chromate;Chrome yellowPbCrO4不可含有Banned1344-37-2Pigments, paints, and inks 色素、油漆和墨水YESNOppm鉻酸鋅乙nc chromateZnCrO4不可含有Banned12018-19-8;13530-65-9; 14018-95-2Pigments, anti corrosives 色素、防蝕劑YESN

29、Oppm重鉻酸鈉Sodium dichromate;Sodium bichromateNa2Cr2O7不可含有Banned10588-01-9Pigments, photographs, tanning, and corrosion prevention 色素、相片、制革、防腐劑YESNOppm重鉻酸鉀Potassium dichromate;Potassium bichromateK2Cr2O7不可含有Banned7778-50-9Pigments, photographs, batteries, plating, and tanning 色素、相片、電池、電鍍、制革YESNOppm重鉻酸銨

30、 Ammonium dichromate;Ammonium bichromate(NH4)2Cr2O7不可含有Banned7789-09-5Pigments, photographs, and catalysts 色素、相片、催化劑YESNOppm重鉻酸鈣Calcium dichromate;Calcium bichromateCaCr2O7不可含有Banned14307-33-6Catalysts, corrosion prevention 催化劑、防腐劑YESNOppm重鉻酸鋅Zinc dichromate;ZincBichromateZnCr2O7不可含有BannedPigments 色

31、素YESNOppm其他六價鉻化合物Other hexavalent chromium compounds不可含有BannedYESNOppm5、多溴聯苯(PBB)和多溴聯苯醚(PBDE) Polybrominated biphenyls (PBB) & Polybrominated diphenylethers (PBDE)物質名稱Name化學式 chemicalformula標準限值LimitCAS NO管制對象/用途Purpose調查結果Suvey result是否含有Con tain含量濃度Un it使用用途Purpose零件名稱或部位Material備註RemarkPBB多溴化聯苯；

32、聚溴二聯苯醚Polybrominated biphenyls;C12H10-xBrx(x = 1 -10)不可含有Bannede.g.67774-32-7Flame retardants阻燃材料YESNOppmPBDE; PBDO; PBBE 聚溴二苯醚；聚溴二 苯基氧化物；聚溴化 二苯醚Polybromodiphenyl ether;Polybromodiphenyl oxide;Polybrominated biphenyl ethers;C12H10-xBrxO(x = 1 -10)不可含有BannedFlame retardants阻燃材料YESNOppmDecabromodiphen

33、y l ether;Decabromodipheny loxide;DBDE; DecaBDE;DBDPE; DBDPOC12Br10O1163-19-5Flame retardants (for PE, ABS, and polyester) 阻燃材料YESNOppm十溴二苯醚； 十溴二苯機氧化物Octabromodipheny l ether;Octabromodipheny loxide;OBDE; OctaBDEC12H2Br8O32536-52-0Flame retardants (for ABS, HIPS, and LDPE) 阻燃材料YESNOppm八溴二苯醚； 八溴二苯基氧化物Hexabromodiphen yl ether;Hexabromodiphen yloxideC12H4Br6O36483-60-0Flame retardants阻燃材料YESNOppm六溴二苯醚； 六溴二苯基氧化物Pentabromodiphen ylehter;P