口罩英语整理请用中文和英文填写此表内容为必填项目文档格式.docx

1、*Tel （电话）:*Email address 电子邮箱:*Fax （传真）:备注：请确保此信息正确并随申请表提供营业执照供核对。Payment Information （if not the same as above） 付款方信息（如与上述不同）:* Name（名称）:* Address （地址）:* E-mail 地址: * Contact Person （联系人）: *Tel （电话）: Product Information （产品信息） （Return remaining sample是否退还剩余样品：Yes是 No否）Product Name产品名称：Type产品型号：Test

2、 Required（测试需求）（Please tick “”请在所需测试项目前打“”）Test 申请的测试标准Test items（测试项目）医用防护类标准（欧盟）EN 14683:2019医用口罩要求和试验方法细菌过滤效率 Bacterial filtration efficiency（BFE） 抗合成血液穿透性 Splash resistance 压力差 Differential pressure 微生物-清洁度Microbial cleanliness （： CE认证测试项目）EN 13795-1:手术服和手术单要求和测试方法 第1部分：手术衣和手术单干态微生物穿透Microbial p

3、enetration-dry 湿态微生物穿透Microbial penetration-wet 洁净度-微生物Cleanliness microbial 落絮Particle release 液体渗透 Liquid penetration 干态胀破强力Bursting strength-dry 湿态胀破强力 Bursting strength-wet 干态拉伸断裂强度Tensile strength-dry 湿态拉伸断裂强度Tensile strength-wetEN 13795-2:手术服和手术单要求和测试方法 第2部分：洁净服干态微生物穿透Microbial penetration-dry

4、 洁净度-微生物Cleanliness microbial 落絮Particle release 干态胀破强力Bursting strength-dry 干态拉伸强度Tensile strength-dry防护类标准 （美国）ASTM F 2100-2019医用口罩材料性能规范细菌过滤效率BFE 压力差Differential pressure 燃烧性能Flame spreadAAMI PB70防护服和手术衣阻隔性能和分类Level 1防水性：冲击渗水性测试 Water Resistance: Impact Penetration TestLevel 2Level 3抗水性：静水压法Water

5、 Resistance: Hydrostatic pressure TestLevel 4抗血液携带病原体穿透性（手术衣、隔离服和其他防护服） Resistance of Protective Clothing Materials to Penetration by Blood-Borne Pathogens Using Viral Penetration as a Test System抗合成血液穿透（手术罩袍、手术单） Resistance of Materials Used in Protective Clothing to Penetration by Synthetic Blood非

6、医用口罩标准（美国）42 CFR Part 84呼吸保护装置颗粒物过滤效率 the efficiency level of the filter（s）Others（其他项目及说明）：Declaraction:1）The test reports are published in English. 2） This inspection application form is signed by the principle of voluntary. 3） Samples return shall be within 45 days. 4） By signing this application

7、form, the applicant agrees to accept the testing service terms.说明：1）报告默认出英文版本。2）申请表本着双方自愿的原则共同签署。3）申请人须在检测报告签发日期45天之内取走样品，过期恕不退还。 4）申请人签署本申请表即同意接受检测服务条款。*Authorized signature & chop : _ （申请公司签名及印章）GTTC signature : （GTTC合同评审签名）*Date （日期）: _Acceptance Date （受理日期） :Due Date（报告预发日期） :Testing Service Ter

8、msTesting applications are voluntarily signed by both parties. Our group will offer services in accordance with the following terms. Any violation and modification is not allowed. The applicant has fully understood all the terms of this application and has confirmed that none of formatting clause, t

9、hat any rules for interpretation of formatting clause are not applicable.1 Submittal for inspection1.1 The applicant should provide all materials required for inspection on time, including the information of the applicant, the requirements for inspection, and samples. The applicant should be respons

10、ible for the accuracy of all the information and materials provided. If the applicant fails to or delays to provide the correct information or samples, our group may fail to or delay to fulfill our service commitments or fail to collect the data as expected. We will not be responsible for any loss i

11、ncurred. 1.2 The applicant should inform our group in time of any potential danger of the samples. Otherwise, the applicant should be responsible for any loss incurred.1.3 Normally, the inspection cycle is within the time as stipulated in the application, unless under exceptional circumstances.1.4 N

12、ormally, the contact and address specified in the application are sending information by default, unless under exceptional circumstances.1.5 The applicant shall ensure the legality of the sample for inspection. If the source of sample is suspected to be illegal, the applicant shall submit sufficient

13、 relevant proof materials in time. Otherwise, the applicant must be fully responsible for any penalties, detention, confiscation and the relevant consequences.2 Inspection of samples and test Report2.1 Unless the applicant specifies the requirements, it is assumed that the business is for the domest

14、ic production and marketing and we will choose a suitable standard or means for the tests. If necessary, the applicant may need to agree that the samples are tested by a testing standard established by our group.2.2 The applicant must specify the version of the testing standard if necessary. Otherwise, our group will test the samples by the latest or suitable version of the standard.2.3 If necessary, our group will explain the situation to the applicant that an appointed subcontractor will undertake the whole or most of the testing se