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Eurofins

Inspection Booking Form检验预约表

Date of Application

FRI (Final Random Inspection)()PSI (Pre-Shipment Inspection)DUPRO (During Production Inspection)

Loading SupervisionProduct Sampling Pickup Re-inspection (previous report no.)

Factory Inspection Amendment ______Manufacturing Process Audit Other

Court CaseYes / No (no indication which assumed no court case related/involved)

Client Information:
Client / Contact person
Tel. / Fax / Email
Address
Product Information:
Product description / Inspection Date
Total Quantity (sets/ pieces) / Serial no. (if any) / Destination
Buyer Order no. / Buyer Model no. / Supplier Model no.
Inspection Requirement
Inspection level / Functional
AQL Level / Critical / 0 / Major / Minor
Remark: if no indication of AQL level provided by client, Eurofins will applylevel II with Critical : 0.0 / Major : 2.5 / Minor : 4.0
Reference Material will be submitted on or before:
Approval Sample (Already submitted within last 3 months Yes / No)
Digital Image (>5M pixel resolution) / Material / Color Swatches / Product Specifications / Drawing
Packing List / Copy of Purchase Order / Client Instruction
Road Map / Copy of Letter of Credit / Other
Remarks:
Supplier /Vendor :
Factory Location (please write in both Chinese for inspector use and English for inspection report use)
Factory Name (Chinese).: / Factory Name (English):
Factory Address (English):
Factory Address (Chinese):
Contact person in Factory: / Tel./Mobile: / Fax:
Remarks:-

1)To submit booking form at least 3 working days in advance for Hong Kong/Guangdong/Shanghai province, and 5 working days in advance for other areas (all Saturdays, Sunday & Hong Kong public holiday not included).

2)Make sure that 80% of the goods have been packed and 100% of the goods have been finished upon inspector(s) arrival, otherwise the inspection may be worked overtime or cancelled and supplier/factory has to be required to pay the abortive inspection cost, which is the inspection fee quoted.

3)For inspection on Saturday, 1.5 times of normal man-day rate. For inspection on Sunday, 2 times of normal man-day rate.

4)Any booking within the period of legal holiday such as Lunar New Year Holiday, China May 1st Labor Day Holidays and China Oct. 1 National Day Holidays, etc should be at least 2 weeks in advance. Eurofins reserved the right to accept the booking, depends on availability of staff.The man-day fee in such period will be 3 times of that of normal man-day rate.

5)Overtime charge (= man-day rate / 8 hours) will be charged per hour after normal working hours and will be counted from 6:00pm onwards. Less than 1 hour will be counted as an hour. This is applicable to weekday, Saturday, Sunday and public holiday.

6)Handling fee of USD200 will be charged to the supplier/factory for any postponement or cancellation request made less than ONE working dayofthe scheduled inspection date. In case, for inspection location which requires our inspector to travel by air, and air ticket has been made, the client should be responsible for the air ticket charge. The working day of Eurofins is 9:00am to 6:00pm and from Monday to Friday (Hong Kong public holidays are not included).

7)Re-send this form for all amendments made and also put indications on the amendment area on the top of this sheet.

8)Follow up your booking by phone call to (852)2636 3288 or (86-755-83585700) to ensure that we have received your booking.

9)The liability of Eurofins in respect of any claim for loss, damage, or expenses of any nature shall be aroseby written noticewithin 3 months from date of inspection completed howsoever in no circumstances exceed a total aggregate sum equal to 10 times the amount of the fee paid in respect of the specific services which give rises to such claim or USD 10,000 whichever is the lesser and Eurofins shall have no liability for any indirect or consequential loss (including loss of profits).

We declared that the above information given by us is true and correct. We agree that the inspection be carried out in accordance with an agreed inspection plan and Eurofins has the full discretion to carry out the inspection. We agree that the inspection certificate or report is issued on the understanding that it cannot form the basis of, or the instrument for, any legal liability against Eurofins.

Signature for and on behalf of the applicant and Company Chop :
Printed Name and Position: / Date:
EUROFINS INTERNAL USE

AQL Major/Minor: / Inspection level: ______

Inspector Name: Sample Size: ______Report No.

表格编号Doc ID: EFSZ-QM-F-03.22 生效日期Effective: 2013-09-16

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