副本N6685_A07_SDoC_Form (2).xls

DECLARATION OF CONFORMITY WITH DELL SPECIFICATIONS
Any modification of this form will result in nullification of the form.

Supplier Name :

Supplier Part Number:

Dell Part Number (optional):

Description of Part Number:

Total Part Weight :
Packaging material information required for finish good product only.
Declares that the product or part(s) specified above has been designed and manufactured pliance with
the following Dell specifications:
Dell Materials Restricted for Use Specification - 6T198 Rev.
*Please attach 3rd party lab report if:
- BFR/CFR/PVC-Free Products/Parts (Dell Specification ENV0199) belonging to these
commodities: Cables, Wires, PCB Laminates, Connectors, Heatsink Assemblies, Power Supply
Units, Adapters, Dislays
- Products/Parts with Arsenic-Free Display Glass
Are File(s) Attached (YES or NO):


Substance Declaration
Category Name
As defined by 6T198
Restricted Substances
Asbestos and pounds
Azo dyes/colorants
Brominated/Chlorinated flame retardants (other than PBBs, PBDEs) (Mechanical Plastics Parts and Halogen Free/BFR-Free Products Only) EXTERNAL PARTS ONLY
Cadmium and pounds
Cadmium and pounds (Batteries Only)
Sum of Cadmium, Chromium VI, Lead and pounds (Packaging only)
Chromium VI and pounds (Metallic Applications)
Chromium VI and pounds (Non-Metallic Applications)
Expanded polystyrene (EPS) foam (KC mark for South Korea Only)
Fluorinated greenhouse gases (GHG) (HFC, PFC, SF6)
Formaldehyde (in Wood Products)
Halogenated plastics or polymers (ex: PVC)(Packaging Only)
Hexabromocyclododecane (HBCDD) and all major disastereoisomers(Restriction Effective by Jul 2011, Reportable in the Interim)
Lead and pounds (Batteries Only)
Lead and pounds (Cables Only)
Lead and pounds
Mercury and pounds
Mercury and pounds (Batteries Only)
Nickel and pounds (External Parts and Chassis Only)
Ozone depleting substances (Class I & Class II CFCs and HCFCs)
Perchlorate