# Specimen For ODOR, FOGGING & VOC Test Must Be Wrapped With Aluminium Foil and Enclosed in Plastic Bag at The Time of Submission

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* Mandatory information

TEST REQUEST FORM -

SUPPLIER/ClENT INFORMATION
Client Name and Code.* Bhavnish Metal India Pvt. Ltd PO No.
Bhavnish Metal India Pvt. Ltd. Plot No. 66/5 ,7 ,8 & 9 , Bharat
Address* Country of Origin India
carbon complex , Industrial Area ,NIT Faridabad
Contact Person* Baljeet Singh OEM/Project
Phone No.* 9654358486 Additional Information Required
E-Mail ID* info@bhavnishmetal.com On Report
INFORMATION REQUIRED ON REPORT
TEST(s) REQUIRED
S.no Test Name & Requirements Sample Description (Lot No./Part No.) Test Charges TAT Sample Qty. Method/Std. Remarks Service group
Cu ( 1mm) (After TIN Plating) , Cu (1.5mm) (After TIN Plating) ,
1 ROHS 1 each
Cu (2.0mm) (After TIN Plating )

Terms And Conditions :

# Test feasibility and charges mentioned above are subjected to change with respect to sample dimensions, profile, test parameters etc.
# Test charges mentioned above are basic and per sample and exclusive of applicable Service Tax
# Test charges mentioned above doesn't include any fabrication charges for jigs & supports, if required. JOE
# Payment Term is 100% advance in favour of 'SGS India Pvt Ltd'. No. of Reports
# Rates mentioned are applicable till 31 Dec of current Year.
st
Discount
#   For general conditions of Services’ visit www.sgs.com.
# In case of equipment failure test can be sub contracted to any of the SGS group labs.
# Specimen for ODOR, FOGGING & VOC test must be wrapped with aluminium foil and enclosed in plastic bag at the time of submission.
#Tested sample will be retained with lab for 1 month only, thus kindly get it collected after test, if required
Confirmation from Customer:
We request for the above tests and agree that all the testing will be carried out as per SGS General Conditions of Services & Testing charges
agreed.
Contact person Name: Signature & Date:
Designation :

SGS India Private Ltd Transportation –Automotive testing Laboratory, Plot-21, Sector-3, IMT Manesar, Gurgaon -122050, Haryana India t: (+91-124) 678 7600-6787672
Regd. & Corp. Off: SGS House, 4B, A.S. Marg, Vikhroli (West), Mumbai-400083. t: (022) 6640 8888 f: (022) 6640 8829 www.sgs.com
Member of the SGS Group (SGS SA)

RE-IN-TRP-T01-QU-286/ Version 2.1/24.02.2016/ Page 1 of 1


TSZ0001G : Control method for substances of environmental concern
SL NO SUBSTANCE NAME Toyota Standard: TSZ0001G Standard Actual Value

1000 ppm
1 Lead (Pb) Table 1, Sr No.7 - 10
maximum

100 ppm
2 Cadmium (Cd) Table 1, Sr No.7 - 10
maximum

1000 ppm
3 Mercury (Hg) Table 1, Sr No.7 - 10
maximum

1000 ppm
4 Hexavalent Chromium (Cr6+) Table 1, Sr No.7 - 10 maximum

5 Asbestos Table 1, Sr No.1 0 ppm


6 PBB (Polybrominated biphenyls) Table 1, Sr No. 18 0 ppm
7 HBCD (Hexabromocyclo dodecane) Table No.1, Sr No. 40 0 ppm
8 PFOS (Perfluorooctane sulfonates) Table No.1, Sr No. 29 0 ppm
9 PBDE (Polybrominated diphenyls ethers) Table No.1, Sr No.21 0 ppm
10 Deca DBE (Decabromo diphenyl ether) Table No.1, Sr No.21 0 ppm

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