新无石棉声明格式1(中英).doc

PAGE 1 无石棉声明 /Asbestos-free Declaration 1、 产品制造厂家信息/Manufacturer Information： 公司名称/Company Name 公司地址/Company Address 联系人/Contact person 电话号码/Telephone Number 传真号码/FAX Number 电子邮件地址/E-mail Address 2、我公司声明为SWS Hull No. H 提供的以下产品不含有石棉，符合已建立的程序和下面第4条所述的相关规则及其它规定的要求/This company declares the product(s) described following which supplied to SWS Hull No. H are asbestos-free and in conformity with the procedures and relevant regulation(s) of the following document(s) as listed under 4. 3、产品信息/Product Information (Including and not limited): 产品名称/ Product Name 产品型号 /Type 产品编/批号 /Serial/batch Number (如适用If applicable) 产品数量 /Product Quantity (如适用If applicable) (Including spare parts and supplies) 4、 适用的规则和其它规定的要求/Applicable Regulation(s) or other stipulated Requirement(s): 文件编号 /Document No. 标题/Title 版本号 /Edition MSC.282(86) 经修正的《1974年国际海上人命安全公约》修正案 / Amendments to the International Convention for the Safety of Life at Sea,1974, as Amended IMO MSC.1/Circ.1379 SOLAS修正案II-1/3-5统一解释 / Unified Interpretation of SOLAS Regulation II-1/3-5 IMO MSC.1/Circ.1426 SOLAS修正案II-1/3-5统一解释 / Unified Interpretation of SOLAS Regulation II-1/3-5 ISO 9001（如适用） /(If applicable) 质量管理体系要求 / Quality management systems 制造厂家其他相关内部程序（请列举）/Manufactures’ other relevant internal procedures (to be listed) 地点和日期 制造厂家代表（姓名，职位，头衔） /Place and date: /Manufacturer’s representative (Name, position, title)： （签名、盖章）