消防电子产品质量检验申请说明表
时间:2020-10-16 04:29:39 来源:勤学考试网 本文已影响 人
消 防 电 子 产 品 质 量 检 验 申 请 表
APPLICATION FORM FOR THE QUALITY APPROVAL TEST OF FIRE ELECTRONIC PRODUCT
申请企业名称
Applicant Firm’s Name
企业法人代表
Firm’s Legal Representative
( 签字 )
(Signature)
(加盖公章)
(Official Seal of the Applicant)
填报日期: 年 月 日
Date:
中国·国家消防电子产品质量监督检验中心印制
Printed and Distributed by China National Supervision
and Test
注 意 事 项
Notice to Matters Concerned
1.请用正楷字填写检验申请表。
Please fill in the Application Form by the regular script.
2.封面企业法人签字处应由企业法人亲自签写。
The artificial person should sign in the cover of this form.
3.企业联络人应是企业法人授权、含有全权处理相关检验事宜资格人员。必需时,企业法人应在检验申请表中注明检验汇报领取人。
The linkman should be the personnel,authorized by the artificial person,deal with matters about the test of your products.If it is necessary,the artificial person should designate the person who will take away the test report in the Application Form.
申 请 企 业 概 况
General Description of the Applicant Firm
申请企业名称、
地址、邮政编码
Applicant firm’s
name, address and post code
法人及联络人
姓名、电话、传真
Name, telephone and fax of
firm’s legal person and
contact person
生产厂名称、
地址、邮政编码
Name, address and post code
of the factory
厂长及联络人
姓名、电话、传真
Name, address and fax
of the head of the factory and contact person
企业产品质量检验能力
Capability for the quality
approval test of the firm
产品生产日期
及出厂检验情况
Manufacturing date and
summary about the product
test in manufacturer
申 请 检 验 产 品 情 况
Description of the Product Applied for Test
序 号
Serial No.
产品名称
Name of Product
型号规格
Model and specification
实施标准
Implemented standard
商 标
Trademard
主型产品
Major Model Product
分型产品
Sub-model Product
申请检验产品名称、型号及照片
Name, Model and Photograph due to be Applied for Test
主型产品
Major Model Product
贴 照 片 处
Photograph of the product stickup here
名 称 型 号
Name Model
分型产品
Sub-Model Product
贴 照 片 处
Photograph of the product stickup here
名 称 型 号
Name Model
分型产品
Sub-Model Product
贴 照 片 处
Photograph of the product stickup here
名 称 型 号
Name Model
分型产品
Sub-Model Product
贴 照 片 处
Photograph of the product stickup here
名 称 型 号
Name Model
分型产品
Sub-Model Product
贴 照 片 处
Photograph of the product stickup here
名 称 型 号
Name Model
分型产品
Sub-Model Product
贴 照 片 处
Photograph of the product stickup here
名 称 型 号
Name Model
分型产品
Sub-Model Product
贴 照 片 处
Photograph of the product stickup here
名 称 型 号
Name Model
分型产品
Sub-Model Product
贴 照 片 处
Photograph of the product stickup here
名 称 型 号
Name Model
简明说明送检产品用途和特点
Summary about Usage and Feature of the Product
提交中心送检产品技术资料明细表(需标明资料名称、页数及份数)
The List of Technical Document to be Submitted
(including Name、 Number of Copies and Pages)
每种分型产品和主型产品区分
Difference between Major Model and Sub-model Product
企业责任人:
Person in Charge of Quality:
企业对产品检验要求或其它需说明事项
Some Necessary Requirements of the Firm for the Product Test
企业责任人:
Person in Charge of Quality:
注:
Notes:
1. 请按要求填写检验申请表一式一份,并附产品照片三张(125mm×88mm)
Please fill in the form in 1 copy according to the requirements, and enclose 3 pieces of photos (125mm×88mm) with.
2. 提交企业注册证实复印件
Please submit the certificate of your commercial registration.
3. 提交技术资料:
产品安装使用说明书一式两份;
产品设计计算说明书一式一份;
产品调试纲领一式一份;
产品机械设计图纸一式一份;
产品电路设计图纸及元器件明细表(包含印刷线路板图、程序框图)一式一份;
送检产品如无对应国家标准,应提供企业标准两份,同时提供市级以上技术监督部门同意实施该企业标准批文。
The technical documents to be submitted:
Instruction of the use and installation, 2 copies;
Instruction of the product design and calculation, 1 copy;
Guide to product adjustment, 1 copy;
Mechanical drawing of the product, 1 copy;
Circuit diagrams, and list of the parts of the product(including the PCB diagram the program software flow diagram), 1 copy;
If no China National Standards corresponding to your approving product, the test report and corresponding standards provided by relevant approval organization should be submitted to our center.
样本数量:
每种型号火灾报警控制器三台、和其配套探测器每台两只及最大负载条件下等效负载;(如火灾报警控制器为总线制,需增加和其配套探测器十只。)
每种型号探测器二十二只;
手动火灾报警按钮十四只;
消防应急灯具三台;
如送检产品无对应国家标准,样品数量应和企业标准要求相符。
Numbers of the samples:
The samples to be selectively submitted according to the test items.
Control panel:3 pieces with 6 detectors(each panel with 2 detectors)and necessary equivalent loads in maximum load condition(if working on the bus type, 10 pieces of this type detector should be attached to one of the control panels);
Detector:22 pieces;
Manual call points:14 pieces;
Fire emergency lighting appliances:3 pieces;
Other products corresponding to no China National Standards, the numbers of the products should be submitted according to test items.
通讯地址:
单位名称:国家消防电子产品质量监督检验中心
地 址:辽宁省沈阳市皇姑区蒲河街七号
帐 户:国家消防电子产品质量监督检验中心
开 户 行:中国银行黄河分理处
帐 号:8391001
电 话: 电 挂:6195 沈阳
传 真:
邮政编码:110031
Communication to the Center:
Name:National Supervision and Test Center for Fire Electronic Product Quality
Address:7, Puhe Street, Huanggu District, Shenyang, P.R.China.
Bank:Subbranch of Huanggu District of Shenyang, Bank of China.
Account Number:8391001
Telephone:0086-24 Fax:0086- 24Post Code:110031
样品编号
Sample number
中国产品送检请省、自治区、直辖市消防局(处)介绍信
Please submit introductive letter from fire bureau for homemade products.
注:此页由检验中心填写
Notes: this page should be filled in by the test center
检 验 方 案(合 同)评 审 记 录
检验申请受理人
受理时间
评审内容:
参评人员:
年 月 日
评审结论:
同意人:
年 月 日
国家消防电子产品质量监督检验中心