201704171101009578.docx

1、委托方信息Informationforsponsor申请公司Applicantname地址Applicantaddress报告抬头公司Companynameshownonreport同申请公司Sameasapplicant?匚是Yes匚否No,请注明Pleasespecify:地址Addressshownonreport同申请地址Sameasapplicantaddress?匚是Yes匚否No,请注明Pleasespecify:联系人Contactperson电话Tel./手机Mobile邮箱Email付款公司Payer公司抬头Payer匚同申请公司Sameasapplicant匚同报告抬头公

2、司Sameascompanyshownonreport其它，请注明Others,pleasespecify:地址Address匚同申请公司Sameasapplicant匚同报告抬头公司Sameascompanyshownonreport其它，请注明Others,pleasespecify:联系人Contactperson电话TeL/手机Mobile邮箱Email发票类型Invoicetype匚增值税专用发票(需提供准确的增值税开票资料：公司名称、地址、纳税人识别号、公司电话、开户银行及账号)匚增值税普通发票匚形式发票(Proformainvoice)发票抬头公司Sameasapplicant匚

3、同申请公司Sameasapplicant匚同报告抬头公司Sameascompanyshownonreport匚同付款公司Sameaspayer其它，请注明Others,pleasespecify:发票寄送地址Invoicedeliveryaddress发票寄送至Invoicedeliverto:匚同申请公司Sameasapplicant匚同报告抬头公司Sameascompanyshownonreport匚同付款公司Sameaspayer其它，请注明Others,pleasespecify:供试品信息Testiteminformation供试品名称(Testitemname)：注Remark:供

4、试品详细信息请填写在供试品信息单上。PleasedescribethetestitemontheTestItemInformationForm.遵从的管理体系Studycompliance匚GLP(CHJ/T155-2004,匚NYT1906-2010,匚GB/T22278-2008)HCNAS17025/CMA其它Others：检测方法Guidelines匚OECD匚USEPA匚国标(GB)LASTM匚ISO匚环保部化学品测试方法Theguidelinesforthetestingofchemicals匚化学农药环境安全评价试验准则Testguidelinesonenvironmentals

5、afetyassessmentforchemicalpesticidesGB/T31270.1-21,2014其它，请注明Others,pleasespecify:专题方案Studyplan是否需要提供方案Ifstudyplanisrequiredornot.匚是Yes匚否No是否需要英文译版IfEnglishversionisrequiredornot.：匚是Yes匚否No方案原版语言默认为中文，如需翻译成英文，每份加收200RMBoOriginallanguageforstudyplanwillbeChinese,ifEnglishversionneeded,200RMBwillbecha

6、rgedforeachplan.报告语言Reportlanguage是否需要英文翻译版ifEnglishversionisrequiredornot.：匚是Yes匚否No报告原版语言默认为中文，如需翻译成英文，每份加收WOORMBoOriginallanguageforreportwillbeChinese,ifEnglishversionneeded,1000RMBwillbechargedforeachreport.报告收取方式Reportdelivery匚邮寄Express匚份数，默认为1份正本，每多要1份，加收200RMBoThedefaultis1original,200RMBwil

7、lbechargedforeachanotherreport.寄送地址ExpressAddress:匚同申请公司Sameasapplicant匚同报告抬头公司Sameascompanyshownonreport匚同付款公司Sameaspayer其它,请注明Others,pleasespecify:匚自取SelfPick-up匚份数，默认为1份正本，每多要1份，加收200RMBoThedefaultis1original,200RMBwillbechargedforeachanotherreport.匚仅要电子档，无需纸质版，onlyelectronicreport,发送E-mail:委托测试项

8、目TestProjectCommitted-化学品ChemicalSubstance理化性质测试PhysicochemicalPropertyTestEpH匚闪点Flashpoint匚熔点/熔融范围Meltingpoint/range匚蒸汽压Vapourpressure匚液体和固体密度Densityofliquidsandsolids匚粒度分布Particlesizedistribution水溶液表面张力Surfacetensionofaqueoussolutions匚固体和液体化合物脂溶性Fatsolubilityofsolidandliquidsubstances匚水溶解度Watersol

9、ubility匚与pH值有关的水解作用HydrolysisasafunctionofpHvalue二分配系数(正辛醇/水)一摇瓶法Partitioncoefficient(n-octanol/water)-shakeflaskmethod匚分配系数(正辛醇/水)一HPLC法Partitioncoefficient(n-octanol/water)-HPLC匚聚合物的数均分子质量及分子质量分布测定一GPCDeterminationoftheNumber-AverageMolecularWeightandtheMolecularWeightDistributionofPolymersusingGe

10、lPermeationChromatography匚聚合物低分子质量部分的含量测定一GPCDeterminationoftheLowMolecularWeightContentofaPolymerUsingGelPermeationChromatography匚聚合物在水中的溶解和萃取行为Solution/ExtractionBehaviourofPolymersinWater匚分配系数(正辛醇/水)一慢速搅拌法Partitioncoefficient(n-octanol/water)-slow-stirringmethod匚吸附/解吸试验批平衡法Adsorption-desorptionus

11、ingabatchequilibriummethod匚土壤和污水污泥吸附系数(Kbc)的估算-HPLC法Estimationoftheadsorptioncoefficient(/<bc)onsoilandonsewage-HPLC生态毒性测试EcoToxicologicalTest匚藻类生长抑制试验Algagrowthinhibitiontest匚涌类急性活动抑制试验Daphniasp.acuteimmobilizationtest匚鱼类急性毒性试验Fishacutetoxicitytest匚鱼类14天延长毒性试验Fish,prolongedtoxicitytest:14daystud

12、y匚蚯蚓急性毒性试验Earthwormacutetoxicitytest匚陆生植物：幼苗萌芽和生长试验TerrestrialPlantTest:SeedlingEmergenceandSeedlingGrowthTest匚活性污泥呼吸抑制试验Activatedsludge,respirationinhibitiontest匚鱼类早期生活阶段毒性试验Fish,early-lifestagetoxicitytest匚大型潘繁殖试验Daphniamagnareproductiontest匚鱼类胚胎一卵黄囊吸收阶段的短期毒性试验Fish,short-termtoxicitytestonembryoan

13、dsac-frystage匚蜜蜂急性经口毒性试验Honeybees,AcuteOralToxicityTest匚蜜蜂急性接触毒性试验Honeybees,AcuteContactToxicityTest匚鱼类幼体生长试验Fish,juvenilegrowthtest匚蚯蚓繁殖试验Earthwormreproductiontest匚陆生植物活力试验TerrestrialPlantTest:VegetativeVigourTest匚鱼类胚胎急性毒性试验Fishembryoacutetoxicity(FET)test匚种子发芽和根伸长毒性试验Seedgermination/rootelongation

14、toxicitytest匚采用加标沉积物的沉积物水体摇蚊毒性试验Sediment-waterchironomidtoxicityusingspikedsediment匚采用加标水的沉积物水体摇蚊毒性试验Sediment-waterchironomidtoxicityusingspikedwater匚浮萍生长抑制试验Lemnasp.growthinhibitiontest匚沉积物水体系(加标水或加标沉积物)的摇蚊生命周期毒性试验Sedimentwaterchironomidlife-cycletoxicitytestusingspikedwaterorspikedsediment摇蚊急性抑制试验

15、Chironomussp.,acuteilmmobilisationtest降解和蓄积测试DegradationandAccumulationTest匚快速生物降解性：DOC消减试验Readbiodegradability:DOCdie-awaytest匚快速生物降解性：C02产生试验Readbiodegradability:CO2evolutiontest匚快速生物降解性：改进的MITI试验Readbiodegradability:ModifiedMITItest匚快速生物降解性：密闭瓶法试验Readbiodegradability:Closedbottletest匚快速生物降解性：改进的O

16、ECD筛选试验Readbiodegradability:ModifiedOECDScreeningTest匚快速生物降解性：测压呼吸计量法试验Readbiodegradability:Manometricrespirometrytest二快速生物降解性：密闭瓶CO2法(顶空试验)ReadyBiodegradability-CO2insealedvessels(HeadspaceTest)匚固有生物降解性：赞恩惠伦斯试验Inherentbiodegradability:Zahn-WellensEMPAtest匚固有生物降解性：改进的MITI试验(II)Inherentbiodegradabili

17、ty:ModifiedMITItest(II)匚生物富集试验：鱼类生物富集性试验Bioconcentrationsemi-staticfishtest匚化学需氧量Chemicaloxygendemand(COD)匚生化需氧量(BOD5)Biologicaloxygendemand(BOD5)备注：若遇特殊情况(如本单位仪器设备故障，测试项目无法正常实施等)，委托单位是否同意对测试进行转包？Ifunavoidablecircumstances(suchastheinstrumentfailureandthetestcan'tbeperformedasplanned)occurs,whet

18、hertoagreewithsubcontract?匚是Yes匚否No我公司申请以上测试并保证所提供的信息均为准确和真实的，我司同意并遵照CTI公司服务通用条款的规定。(“服务通用条款”详情请见Weherebyapplyforthetestaboveanddeclarethattheinformationgivenaboveistrueandcorrect.Weacceptandagreetoabideby“GeneralTermsandConditions"ofCenterTestingInternational(Shenzhen)Corporation.(GeneralTermsandConditionsfromhttp:/w