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/XXXX实业有限公司環境關聯物質問卷調查表(ROHS2.0)一、供應商基本資料廠商名稱:填表日期:蓋章處:公司代表(審核者):連絡電話:連絡人(填表人):電子郵件信箱:零件之名稱與料號:二、環境關聯物質調查清單Environment—RelatedSubstancesSurveylist1、鎘及鎘的化合物Cadmiumanditscompounds物質名稱Name化學式chemicalformula標準限值LimitCASNO管制對象/用途Purpose調查結果Suveyresult是否含有Contain含量濃度Unit使用用途Purpose零件名稱或部位Material備註Remark全文完鎘CadmiumCd〈5ppm7440-43-9Connectionmaterials,surfacetreatmentNiCdbatteries用於塑膠製品、色素、電鍍、塗料、油墨、塑膠袋製造等之穩定劑.□YES□NOppm鎘合金Cadmiumalloy-<50ppm—CopperalloycontainingZinc、aluminumalloy銅鋅壓鑄合金,鋁合金□YES□NOppm<20ppmLowmeltingpointsolder,fuses,etc。銲錫氧化鎘CadmiumOxideCdO不可含有Banned1306-19—0Pigments,alkalinebatteries,andmaterialsforchemicalsynthesis色素、鹼性電池和化學合成□YES□NOppmCl化鎘CadmiumChlorideCdCl2不可含有Banned10108—64—2Platingbath,thestabilizersusedforvinylchloride用於電鍍和氯乙烯的穩定劑□YES□NOppm硫化鎘CadmiumsulfideCdS不可含有Banned1306—23-68048Pigments,paints,inks,andlightreceivingelementsforsemiconductors色素、油漆、墨水和半導體的光線接收元素□YES□NOppm硝酸鎘CadmiumnitrateCd(NO3)2不可含有Banned10325—94-7Coloringagents,batteries,andphotographs著色劑、電池和相片□YES□NOppm四水硝酸鎘CadmiumnitratetetrahydrateCd(NO3)24H2O不可含有Banned10022—68—1-□YES□NOppm硫酸鎘CadmiumsulfateCdSO4不可含有Banned10124-36-4Cadmiumstandardcells,reagent鎘電池、試劑□YES□NOppm硬脂酸鎘CadmiumstearateCd(C18H35O2)2不可含有Banned2223-93—0Thestabilizersusedforvinylchloride用於氯乙烯的穩定劑□YES□NOppm其他鎘化合物Othercadmiumcompounds-不可含有Banned-—□YES□NOppm2、鉛及鉛的複合物Leadanditscompounds物質名稱Name化學式chemicalformula標準限值LimitCASNO管制對象/用途Purpose調查結果Suveyresult是否含有Contain含量濃度Unit使用用途Purpose零件名稱或部位Material備註Remark全文完鉛:金屬鉛Lead;metalPb〈40ppm7439—92—1Packingmaterial、PCB、vinylchloridestabilizers、paints、dyes應用於包裝材料、印刷電路板、聚氯乙烯等樹脂之穩定劑、塗料、染料等.□YES□NOppm<3500ppmSteelalloy鐵合金<4000ppmAluminumalloy鋁合金<4wt%Copperalloy銅合金Lead/Tinalloy-<500ppm-Solder,brazingmaterials,andelectricalconnection錫絲、焊料、電源線元件□YES□NOppm氧化鉛(二價)Lead(II)oxidePbO不可含有Banned1317—36-8Pigments,rubbervulcanizationaccelerators,andsolidlubricants色素、著色劑,硫化促進劑和固體潤滑劑□YES□NOppm氧化鉛(四價)Lead(IV)oxidePbO2不可含有Banned1309—60-0Lead-acidbatteries,rubbercuringagents,andmaterialsforpigments鉛酸電池,固化劑和色素材料□YES□NOppm三氧化二鉛DileadtrioxidePb2O3不可含有Banned-chemicalsynthesis化學合成材料□YES□NOppm四氧化三鉛;氧化鉛(二價、四價)Lead(II,IV)oxidePb3O4不可含有Banned1314—41-6Pigments,lead-acidbatteries,glass,andpaints顏料,鉛酸電池,玻璃和油漆□YES□NOppm疊氮化鉛LeadazidePbN6不可含有Banned13424—46-9Dynamite炸藥□YES□NOppmLead(II)fluoride氟化鉛(二價)PbF2不可含有Banned7783-46-2Specialopticalglass,pigments特殊光學玻璃,色素□YES□NOppm

Lead(IV)chloride氯化鉛(四價)四氯化鉛PbCl4不可含有Banned13463—30—4Reagent試劑□YES□NOppmLead(II)iodide碘化鉛(二價)PbI2不可含有Banned10101-63-0Bronze,printing,andphotographs青銅,印刷,相片和圖片用途□YES□NOppm硫化鉛(二價)Lead(II)sulfidePbS不可含有Banned1314—87-0Infraredraydetectorsinwhichsemiconductorelementsareutilized半導體元件所使用的紅外線探測器□YES□NOppm氫化鉛(二價)Lead(II)cyanidePb(CN)2不可含有Banned592-05-2Antirustpigmentstreatment防銹色素□YES□NOppm氟化硼鉛LeadfluoroboratePb(BF4)2不可含有Banned13814—96—5Platingbath,anticorrosivesurfaceTreatment電鍍,防銹表面處理□YES□NOppm氟化碳鉛LeadfluosilicatePbSiF6不可含有Banned25808-74-6Platingbath,leadrefinement電鍍,鉛提煉□YES□NOppm硝酸鉛LeadnitratePb(NO3)2不可含有Banned10099—74-8Opticalglass光學玻璃,化學合成材料□YES□NOppm碳酸鉛LeadcarbonatePbCO3不可含有Banned598-63—0Reagent試劑□YES□NOppm氫氧碳化鉛Leadhydroxycarbonate(PbCO3)2Pb(OH)2不可含有Banned1344-36—1Pigments,vinylchloridestabilizers色素,氧乙烯穩定劑□YES□NOppm高氧酸鉛LeadperchloratePb(CIO4)2不可含有Banned13637-76—8chemicalsynthesis化學物質□YES□NOppm硫酸鉛(二價)Lead(II)sulfatePbSO4不可含有Banned7446—14-215739-80—7Pigments,rubbercompoundingingredients,vinylchloridestabilizers,andbatteries色素,橡膠組成成分,氯乙烯穩定劑和電池□YES□NOppm硫酸鉛LeadoxidesulfatePb4SO7不可含有Banned12202-17—4Pigments色素□YES□NOppm磷酸鉛(二價)Lead(II)phosphatePb3(PO4)2不可含有Banned7446-27-7Stabilizersforplastics塑料穩定劑□YES□NOppm硫氫酸鉛LeadthiocyanatePb(SCN)2不可含有Banned592—87—0Stain,matches著色劑,火柴□YES□NOppm三水醋酸鉛(二價)Lead(II)acetate,trihydratePb(CH3COO)2·3H2O不可含有Banned6080-56—4chemicalsynthesis化學合成材料□YES□NOppm醋酸鉛(二價)Lead(II)acetatePb(CH3COO)2不可含有Banned301—04-2chemicalsynthesis化學合成材料□YES□NOppm醋酸鉛(四價)Lead(IV)acetate546-67-8Pb(CH3COO)4不可含有Banned546-67-8chemicalsynthesis化學合成材料□YES□NOppm油酸益鉛LeadoleatePb[CH3(CH2)7CHCH(CH2)7COO]2不可含有Banned1120—46—3Lubricants,curingagents,etc.潤滑劑,固化劑等□YES□NOppm硬脂酸鉛LeadstearatePb(C17H35COO)2不可含有Banned7428—48-0Lubricants,stabilizersforvinylchloride潤滑劑,氧乙烯穩定劑□YES□NOppm偏硼酸鉛(二價)Lead(II)metaboratePb(BO2)2·H2O不可含有Banned10214-39-8Desiccantsforpaints油漆乾燥劑□YES□NOppm矽酸鉛LeadmetasilicatePbSiO3不可含有Banned11120-22-210099—76—0Ceramics陶瓷生產□YES□NOppm亞銻酸鉛LeadantimonitePb3(SbO4)2不可含有Banned13510—89—9Pigments,coloringagentsforglass色素,玻璃著色劑□YES□NOppm砷酸鉛Leadarsenate(1:1)PbHAsO4不可含有Banned7784—40—9Fertilizer化肥□YES□NOppm亞砷酸鉛(二價)Lead(II)arsenitePb(AsO2)2不可含有Banned10031—13-7Pesticides殺蟲劑□YES□NOppm氧酸鉛:鉻黃Leadchromate;chromeyellowPbCrO4不可含有Banned1344-37-2Pigments,paints,andinks色素,油漆和墨水□YES□NOppm鉛酸鉛LeadmolybdatePbMoO4不可含有Banned10190-55—3Pigments色素,試劑□YES□NOppm鉛酸化鈣CalciumplumbateCa2PbO4不可含有Banned12013—69-3Oxidizers氧化劑,焰火和火柴□YES□NOppm四甲基鉛TetramethylleadPb(CH3)4不可含有Banned75-74—1Gasolineadditive汔油添加劑□YES□NOppm四乙鉛TetraethylleadPb(C2H5)4不可含有Banned78-00—2Gasolineadditive汔油添加劑□YES□NOppm其它鉛化合物Otherleadcompoundsandalloys-不可含有Banned—-□YES□NOppm3、汞及汞化物Mercuryandmercurycompounds物質名稱Name化學式chemicalformula標準限值LimitCASNO管制對象/用途Purpose調查結果Suveyresult是否含有Contain含量濃度Unit使用用途Purpose零件名稱或部位Material備註Remark全文完汞MercuryHg不可含有Banned7439-97-6ink,plastic,rubber,resininthePackagingMaterials包裝材料之油墨、塑膠、橡膠、樹脂□YES□NOppmElectrodes,mercurylamps電池(鹼性錳電池或氧化銀電池)、水銀燈、油墨汞合金:汞齊Mercuryalloys;amalgam-不可含有Banned—-□YES□NOppmMercury(I)oxide氧化二汞:一價Hg2O不可含有Banned15829-53-5-□YES□NOppm氧化汞:二價Mercury(II)oxideHgO不可含有Banned21908-53—2Mercurycells,preservatives汞電池、防腐劑□YES□NOppm二氯化汞:一價Mercury(I)ChlorideHg2Cl2不可含有Banned10112-91—1Electrodes,pigmentsandfertilizer電極、色素和化肥□YES□NOppm氯化汞:二價Mercury(II)chlorideHgCl2不可含有Banned7487-94—7Metaletching,batteries,andpreservatives金屬蝕刻、電池、防腐劑□YES□NOppm硝酸汞:二價Mercury(II)nitrateHg(NO3)2不可含有Banned10045—94-0Felt,fertilizer,catalysts油毛毯、化肥和催化劑□YES□NOppm硫酸汞:一價Mercury(I)sulfateHg2SO4不可含有Banned-Batteries電池□YES□NOppm雷汞:二價Mercury(II)fulminateHg(ONC)2不可含有Banned628-86—4Dynamite炸藥□YES□NOppm醋酸汞:二價Mercury(II)acetateHg(CH3COO)2不可含有Banned1600—27-7chemicalsynthesis化學合成材料□YES□NOppm鉀基汞鹽MethylmercurysaltsCH3HgX;X=Cl,Br,I,OH,etc.不可含有Bannede。g.22967-92—6Fungicides殺真菌劑、醫療產品□YES□NOppm乙烷基汞鹽EthymercurysaltsC2H5HgX;X=Cl,Br,I,OH,etc.不可含有Banned-Preservatives,disinfectants防腐劑、消毒劑□YES□NOppm內基汞鹽PropylmercurysaltsC3H7HgX;X=Cl,Br,I,OH,etc.不可含有Banned-chemicalsynthesis化學合成材料□YES□NOppm苯基汞鹽PhenylmercurysaltsC6H5HgX;X=Cl,Br,I,OH,etc。不可含有Banned-Preservatives,disinfectants防腐劑、消毒劑□YES□NOppm鉀基氧乙烷基汞鹽MethoxyethylmercurysaltsCH3OC2H4HgX;X=Cl,Br,I,OH,etc.不可含有Banned-Disinfectants,fungicides消毒劑、殺菌劑□YES□NOppm二烴基組汞DialkylmercuryR2Hg;R=alkylgroup(CnH2n+1)不可含有Banned--□YES□NOppm二苯基汞Diphenylmercury(C6H5)2Hg不可含有Banned587—85-9chemicalsynthesis化學合成材料□YES□NOppm其他汞化合物Othermercurycompounds-不可含有Banned—chemicalsynthesis化學合成材料□YES□NOppm4、六價鉻化合物Hexavalentchromiumcompounds物質名稱Name化學式chemicalformula標準限值LimitCASNO管制對象/用途Purpose調查結果Suveyresult是否含有Contain含量濃度Unit使用用途Purpose零件名稱或部位Material備註Remark全文完六價鉻化合物-不可含有Banned-Packagingmaterial、platingantirusttreatment包裝材料、電鍍防銹處理□YES□NOppm三氧化鉻Chromium(VI)oxide;ChromiumtrioxideCrO3不可含有Banned1333-82-0Pigments,catalysts,plating,andtanning色素、催化劑、電鍍和制革□YES□NOppm氧化鉻(六價)鹵化鉻-不可含有Banned--□YES□NOppm鉻酸鋰LithiumchromateLi2CrO4不可含有Banned14307—35—8Corrosionprevention防腐劑□YES□NOppm鉻酸鈉SodiumchromateNa2CrO4不可含有Banned7775-11—3Antirust,tanning防銹、制革□YES□NOppm鉻酸鉀PotassiumchromateK2CrO4不可含有Banned7789—00—6Pigments,inks,andtanning色素、墨水和制革□YES□NOppm氯鉻酸鉀PatassiumchlorochromateK[CrO3Cl]不可含有Banned16037—50-6chemicalsynthesis化學合成材料□YES□NOppm鉻酸銨Ammoniumchromate(NH4)2CrO4不可含有Banned7788-98-9Photographs,catalysts相片、催化劑□YES□NOppm鉻酸銅CopperchromateCuCrO4不可含有Banned13548-42-0Mordants金屬腐蝕劑□YES□NOppm鉻酸鎂MagnesiumchromateMgCrO4不可含有Banned13423-61—5Antirust,surfacetreatment防銹、表面處理□YES□NOppm鉻酸鈣CalciumchromateCaCrO4不可含有Banned13765-19-0Pigments,inks,andtanning色素、墨水和制革□YES□NOppm鉻酸鍶StrontiumchromateSrCrO4不可含有Banned7789-06-2Pigments,antirust色素、防腐劑□YES□NOppm鉻酸鋇BariumchromateBaCrO4不可含有Banned10294-40-3Pigments,corrosionprevention,andcoloringagentsforceramics色素、防腐蝕和陶瓷著色劑□YES□NOppm鉻酸鉛:鉻黃Leadchromate;ChromeyellowPbCrO4不可含有Banned1344—37-2Pigments,paints,andinks色素、油漆和墨水□YES□NOppm鉻酸鋅ZincchromateZnCrO4不可含有Banned12018—19—8;13530-65-9;14018-95-2Pigments,anticorrosives色素、防蝕劑□YES□NOppm重鉻酸鈉Sodiumdichromate;SodiumbichromateNa2Cr2O7不可含有Banned10588-01-9Pigments,photographs,tanning,andcorrosionprevention色素、相片、制革、防腐劑□YES□NOppm重鉻酸鉀Potassiumdichromate;PotassiumbichromateK2Cr2O7不可含有Banned7778—50—9Pigments,photographs,batteries,plating,andtanning色素、相片、電池、電鍍、制革□YES□NOppm重鉻酸銨Ammoniumdichromate;Ammoniumbichromate(NH4)2Cr2O7不可含有Banned7789-09-5Pigments,photographs,andcatalysts色素、相片、催化劑□YES□NOppm重鉻酸鈣Calciumdichromate;CalciumbichromateCaCr2O7不可含有Banned14307-33-6Catalysts,corrosionprevention催化劑、防腐劑□YES□NOppm重鉻酸鋅Zincdichromate;ZincBichromateZnCr2O7不可含有Banned—Pigments色素□YES□NOppm其他六價鉻化合物Otherhexavalentchromiumcompounds-不可含有Banned--□YES□NOppm5、多溴聯苯(PBB)和多溴聯苯醚(PBDE)Polybrominatedbiphenyls(PBB)&Polybrominateddiphenylethers(PBDE)物質名稱Name化學式chemicalformula標準限值LimitCASNO管制對象/用途Purpose調查結果Suveyresult是否含有Contain含量濃度Unit使用用途Purpose零件名稱或部位Material備註Remark全文完PBB多溴化聯苯;聚溴二聯苯醚Polybrominatedbiphenyls;C12H10—xBrx(x=1–10)不可含有Bannede.g.67774—32-7Flameretardants阻燃材料□YES□NOppmPBDE;PBDO;PBBE聚溴二苯醚;聚溴二苯基氧化物;聚溴化二苯醚Polybromodiphenylether;Polybromodiphenyloxide;Polybrominatedbiphenylethers;C12H10-xBrxO(x=1–10)不可含有Banned-Flameretardants阻燃材料□YES□NOppmDecabromodiphenylether;Decabromodiphenyloxide;DBDE;DecaBDE;DBDPE;DBDPOC12Br10O-1163-19-5Flameretardants(forPE,ABS,andpolyester)阻燃材料□YES□NOppm十溴二苯醚;十溴二苯機氧化物Octabromodiphenylether;Octabromodiphenyloxide;OBDE;OctaBDEC12H2Br8O—32536-52—0Flameretardants(forABS,HIPS,andLDPE)阻燃材料□YES□NOppm八溴二苯醚;八溴二苯基氧化物Hexabromodiphenylether;HexabromodiphenyloxideC12H4Br6O-36483-60-0Flameretardants阻燃材料□YES□NOppm六溴二苯醚;六溴二苯基氧化物Pentabromodiphenyl

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