海上设施产品检验服务通知单

Request for Offshore Installations Product Survey	

China Classification Society   surveyOrgName ：
兹委托你单位对下列产品按下述要求进行检验, 我们将就此项委托给予积极配合及提供必要条件，并及时向你单位支付有关费用。此外，关于下述产品的图纸/技术资料，我单位特声明在其使用及提交上系完全合法。并承诺为执行检验的验船师提供符合中国船级社《检验场所安全指南》以及国家和/或检验现场所在地主管当局规定的安全技术要求或等效技术标准的安全检验条件，包括永久或临时的检验通道和设施、舱室环境、安全防护。
We hereby request CCS to carry out inspection of products in accordance with the following requirements. We undertake to provide an active cooperation and necessary conditions for the applied inspection, and pay relevant fees to CCS in time. In addition, we declare that the use and submission with regard to drawings/technical documents of the following products are legally justified. We promise to provide appropriate safety survey conditions for attending surveyors in accordance with CCS Guidelines for Safety of Survey Space and the specified safety requirements by the authorities of the country in which the survey was conducted, including permanent or temporary survey access and facility, environment, safety protection.
	
通知方代表人签署：
Signature of representative of the client:	contactPerson	日期
Date:	applyDate	

委托方
Client	名  称
Name	name		
	地  址
Address	officeAddress	E-mail：	officeEmail		
	联系人
Contact	contactPerson	电话
Tel.	telNumber fax	手机：
Mob.	mobiTel		
制造方
Manufacturer	名  称
Name	name		
	地  址
Address	officeAddress	邮编：
Post Code	postCode		
	联系人
Contact	contactPerson	电话
Tel.	telNumber	传真：
Fax	fax		
委托内容/Content of Request
产品明细/Particular of Product	
序号
No.	名称
Name	型号规格
Type/Model	数量/编号
Quantity/Series No.	认可证书号、图纸批准号和检验依据
Cert. No. of Approval and Approval No.of drawings Standards for Inspection	拟用于的海工项目
Offshore Project Intended for	
F	name	model	amount code	standard	E	
项目名称/Project name：engineerNo	检验日期/Inspection Date: certExpire	
产品总价
Total Price of the Product: 	totalPrice	对证书文字的要求：请用
The text of the certificate requirements: Please use 	language	
其  它/Others： 
remark	
需“纸质证书”/P-Cert. needed	I  EI  E	
注： “□”内：“”表示“是”或“适用”，“─”表示“否”或“不适用”