201704171101009578.docx

1、委托方信息Informationforsponsor申請公司Applicantname地址Applicantaddress報告抬頭公司Companynameshownonreport同申請公司Sameasapplicant?匚是Yes匚否No,請注明Pleasespecify:地址Addressshownonreport同申請地址Sameasapplicantaddress?匚是Yes匚否No,請注明Pleasespecify:聯(lián)系人Contactperson電話Tel./手機Mobile郵箱Email付款公司Payer公司抬頭Payer匚同申請公司Sameasapplicant匚同報告抬頭公

2、司Sameascompanyshownonreport其它，請注明Others,pleasespecify:地址Address匚同申請公司Sameasapplicant匚同報告抬頭公司Sameascompanyshownonreport其它，請注明Others,pleasespecify:聯(lián)系人Contactperson電話TeL/手機Mobile郵箱Email發(fā)票類型Invoicetype匚增值稅專用發(fā)票(需提供準(zhǔn)確的增值稅開票資料：公司名稱、地址、納稅人識別號、公司電話、開戶銀行及賬號)匚增值稅普通發(fā)票匚形式發(fā)票(Proformainvoice)發(fā)票抬頭公司Sameasapplicant匚

3、同申請公司Sameasapplicant匚同報告抬頭公司Sameascompanyshownonreport匚同付款公司Sameaspayer其它，請注明Others,pleasespecify:發(fā)票寄送地址Invoicedeliveryaddress發(fā)票寄送至Invoicedeliverto:匚同申請公司Sameasapplicant匚同報告抬頭公司Sameascompanyshownonreport匚同付款公司Sameaspayer其它，請注明Others,pleasespecify:供試品信息Testiteminformation供試品名稱(Testitemname)：注Remark:供

4、試品詳細(xì)信息請?zhí)顚懺诠┰嚻沸畔紊稀leasedescribethetestitemontheTestItemInformationForm.遵從的管理體系Studycompliance匚GLP(CHJ/T155-2004,匚NYT1906-2010,匚GB/T22278-2008)HCNAS17025/CMA其它Others：檢測方法Guidelines匚OECD匚USEPA匚國標(biāo)(GB)LASTM匚ISO匚環(huán)保部化學(xué)品測試方法Theguidelinesforthetestingofchemicals匚化學(xué)農(nóng)藥環(huán)境安全評價試驗準(zhǔn)則Testguidelinesonenvironmentals

5、afetyassessmentforchemicalpesticidesGB/T31270.1-21,2014其它，請注明Others,pleasespecify:專題方案Studyplan是否需要提供方案Ifstudyplanisrequiredornot.匚是Yes匚否No是否需要英文譯版IfEnglishversionisrequiredornot.：匚是Yes匚否No方案原版語言默認(rèn)為中文，如需翻譯成英文，每份加收200RMBoOriginallanguageforstudyplanwillbeChinese,ifEnglishversionneeded,200RMBwillbecha

6、rgedforeachplan.報告語言Reportlanguage是否需要英文翻譯版ifEnglishversionisrequiredornot.：匚是Yes匚否No報告原版語言默認(rèn)為中文，如需翻譯成英文，每份加收WOORMBoOriginallanguageforreportwillbeChinese,ifEnglishversionneeded,1000RMBwillbechargedforeachreport.報告收取方式Reportdelivery匚郵寄Express匚份數(shù)，默認(rèn)為1份正本，每多要1份，加收200RMBoThedefaultis1original,200RMBwil

7、lbechargedforeachanotherreport.寄送地址ExpressAddress:匚同申請公司Sameasapplicant匚同報告抬頭公司Sameascompanyshownonreport匚同付款公司Sameaspayer其它,請注明Others,pleasespecify:匚自取SelfPick-up匚份數(shù)，默認(rèn)為1份正本，每多要1份，加收200RMBoThedefaultis1original,200RMBwillbechargedforeachanotherreport.匚僅要電子檔，無需紙質(zhì)版，onlyelectronicreport,發(fā)送E-mail:委托測試項

8、目TestProjectCommitted-化學(xué)品ChemicalSubstance理化性質(zhì)測試PhysicochemicalPropertyTestEpH匚閃點Flashpoint匚熔點/熔融范圍Meltingpoint/range匚蒸汽壓Vapourpressure匚液體和固體密度Densityofliquidsandsolids匚粒度分布Particlesizedistribution水溶液表面張力Surfacetensionofaqueoussolutions匚固體和液體化合物脂溶性Fatsolubilityofsolidandliquidsubstances匚水溶解度Watersol

9、ubility匚與pH值有關(guān)的水解作用HydrolysisasafunctionofpHvalue二分配系數(shù)(正辛醇/水)一搖瓶法Partitioncoefficient(n-octanol/water)-shakeflaskmethod匚分配系數(shù)(正辛醇/水)一HPLC法Partitioncoefficient(n-octanol/water)-HPLC匚聚合物的數(shù)均分子質(zhì)量及分子質(zhì)量分布測定一GPCDeterminationoftheNumber-AverageMolecularWeightandtheMolecularWeightDistributionofPolymersusingGe

10、lPermeationChromatography匚聚合物低分子質(zhì)量部分的含量測定一GPCDeterminationoftheLowMolecularWeightContentofaPolymerUsingGelPermeationChromatography匚聚合物在水中的溶解和萃取行為Solution/ExtractionBehaviourofPolymersinWater匚分配系數(shù)(正辛醇/水)一慢速攪拌法Partitioncoefficient(n-octanol/water)-slow-stirringmethod匚吸附/解吸試驗批平衡法Adsorption-desorptionus

11、ingabatchequilibriummethod匚土壤和污水污泥吸附系數(shù)(Kbc)的估算-HPLC法Estimationoftheadsorptioncoefficient(/<bc)onsoilandonsewage-HPLC生態(tài)毒性測試EcoToxicologicalTest匚藻類生長抑制試驗Algagrowthinhibitiontest匚涌類急性活動抑制試驗Daphniasp.acuteimmobilizationtest匚魚類急性毒性試驗Fishacutetoxicitytest匚魚類14天延長毒性試驗Fish,prolongedtoxicitytest:14daystud

12、y匚蚯蚓急性毒性試驗Earthwormacutetoxicitytest匚陸生植物：幼苗萌芽和生長試驗TerrestrialPlantTest:SeedlingEmergenceandSeedlingGrowthTest匚活性污泥呼吸抑制試驗Activatedsludge,respirationinhibitiontest匚魚類早期生活階段毒性試驗Fish,early-lifestagetoxicitytest匚大型潘繁殖試驗Daphniamagnareproductiontest匚魚類胚胎一卵黃囊吸收階段的短期毒性試驗Fish,short-termtoxicitytestonembryoan

13、dsac-frystage匚蜜蜂急性經(jīng)口毒性試驗Honeybees,AcuteOralToxicityTest匚蜜蜂急性接觸毒性試驗Honeybees,AcuteContactToxicityTest匚魚類幼體生長試驗Fish,juvenilegrowthtest匚蚯蚓繁殖試驗Earthwormreproductiontest匚陸生植物活力試驗TerrestrialPlantTest:VegetativeVigourTest匚魚類胚胎急性毒性試驗Fishembryoacutetoxicity(FET)test匚種子發(fā)芽和根伸長毒性試驗Seedgermination/rootelongation

14、toxicitytest匚采用加標(biāo)沉積物的沉積物水體搖蚊毒性試驗Sediment-waterchironomidtoxicityusingspikedsediment匚采用加標(biāo)水的沉積物水體搖蚊毒性試驗Sediment-waterchironomidtoxicityusingspikedwater匚浮萍生長抑制試驗Lemnasp.growthinhibitiontest匚沉積物水體系(加標(biāo)水或加標(biāo)沉積物)的搖蚊生命周期毒性試驗Sedimentwaterchironomidlife-cycletoxicitytestusingspikedwaterorspikedsediment搖蚊急性抑制試驗

15、Chironomussp.,acuteilmmobilisationtest降解和蓄積測試DegradationandAccumulationTest匚快速生物降解性：DOC消減試驗Readbiodegradability:DOCdie-awaytest匚快速生物降解性：C02產(chǎn)生試驗Readbiodegradability:CO2evolutiontest匚快速生物降解性：改進的MITI試驗Readbiodegradability:ModifiedMITItest匚快速生物降解性：密閉瓶法試驗Readbiodegradability:Closedbottletest匚快速生物降解性：改進的O

16、ECD篩選試驗Readbiodegradability:ModifiedOECDScreeningTest匚快速生物降解性：測壓呼吸計量法試驗Readbiodegradability:Manometricrespirometrytest二快速生物降解性：密閉瓶CO2法(頂空試驗)ReadyBiodegradability-CO2insealedvessels(HeadspaceTest)匚固有生物降解性：贊恩惠倫斯試驗Inherentbiodegradability:Zahn-WellensEMPAtest匚固有生物降解性：改進的MITI試驗(II)Inherentbiodegradabili

17、ty:ModifiedMITItest(II)匚生物富集試驗：魚類生物富集性試驗Bioconcentrationsemi-staticfishtest匚化學(xué)需氧量Chemicaloxygendemand(COD)匚生化需氧量(BOD5)Biologicaloxygendemand(BOD5)備注：若遇特殊情況(如本單位儀器設(shè)備故障，測試項目無法正常實施等)，委托單位是否同意對測試進行轉(zhuǎn)包？Ifunavoidablecircumstances(suchastheinstrumentfailureandthetestcan'tbeperformedasplanned)occurs,whet

18、hertoagreewithsubcontract?匚是Yes匚否No我公司申請以上測試并保證所提供的信息均為準(zhǔn)確和真實的，我司同意并遵照CTI公司服務(wù)通用條款的規(guī)定。(“服務(wù)通用條款”詳情請見Weherebyapplyforthetestaboveanddeclarethattheinformationgivenaboveistrueandcorrect.Weacceptandagreetoabideby“GeneralTermsandConditions"ofCenterTestingInternational(Shenzhen)Corporation.(GeneralTermsandConditionsfromhttp:/w