Annex: Questionnaire to pleted in view of pliance with Article 33(1) REACH
附件:调查表-为符合REACH法令第33条(1)款的要求
• Please indicate if one (or several) of the substances listed below are present in the supplied articles above a concentration of % w/w.
贵方的货品中是否存在一个(或几个)%w/w,请说明。
• Please indicate the precise concentration. The calculation is to be based on the weight of the whole article.
请说明精确的浓度,浓度计算依据整个物品的重量。
• If you supply several articles to us that contain one (or several) of the substances listed below, plete one questionnaire per article.
如果您给我们供应某个商品含有一个(或几个)下列表中的物质。请每个商品填写一个调查表。
Substance name* (Substance of Very High Concern = SVHC)
物质名称 CAS number
CAS 编号 EC number
EC编号 Present in article xxx?
是否在物品中含有?(Y/N) Weight of the article
物品重量 Concentration (% w/w) Please indicate the precise concentration
浓度 Remarks (voluntary)
备注
第一批候选清单 Anthracene 蒽 120-12-7 204-371-1
4,4'- Diaminodiphenylmethane (MDA) 4,4’-氨基二苯甲烷 101-77-9 202-974-4
Dibutyl phthalate (DBP) 二丁基邻苯二甲酸酯 84-74-2 201-557-4
Cobalt dichloride 二***化钴 7646-79-9 231-589-4
Diarsenic pentaoxide 五氧化*** 1303-28-2 215-116-9
Diarsenic trioxide 三氧化*** 1327-53-3 215-481-4
Sodium dichromate ***钠 7789-12-0 and 10588-01-9 234-190-3
5-tert-butyl-2,4,6-trinitro-m-xylene (musk xylene) 5叔丁基-2,4,6 -三硝基间二甲苯(二甲苯麝香) 81-15-2 201-329-4
Bis (2-ethylhexyl)phthalate) (DEHP) 二(2-乙基已基)邻苯二甲酸酯 117-81-7 204-211-0
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