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["台灣罐頭食品工業同業公會專用申請書"]
["電話:台北：02-22993279轉6650~6659台中：04-23591515轉2701~2704高雄：07-3012121轉3250~3259"]
["申請廠商","廠商名稱:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"「報告抬頭」不同於申請廠商請列出:"]
[null,"廠商地址:"]
[null,"報告聯絡人:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"「報告抬頭地址」不同於申請廠商請列出:"]
[null,"報告聯絡電話:"]
[null,"※以上粗框內資訊均會呈現於報告中。"]
[null,"統一編號:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail:"]
[null,"手機號碼:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話:",null,null,null,null,null,null,"Ext:",null,null,"傳真:"]
["發票廠商",null,"同申請廠商(勾選此欄以下免填)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"若與申請廠商不同請填寫以下資料，並填寫”付款切結書”。"]
[null,"廠商名稱:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地址:"]
[null,"統一編號:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話:",null,null,null,null,null,null,"Ext:",null,null,"傳真:"]
[null,"聯絡人:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail:"]
[null,"郵寄報告&發票若不同於申請廠商地址請另列:"]
["送測產品資訊","1.產品名稱：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"送檢產品需拍照並紀錄狀態呈現於報告上，以下資訊請詳實填寫:",null,null,null,null,null,null,"由SGS填寫收樣時樣品狀態:"]
[null,"2.產品型號：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"產品保存方式:",null,null,null,null,"冷凍",null,null,null,null,"冷凍"]
[null,"3.產品批號：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"冷藏",null,null,null,null,"冷藏"]
[null,"4.製造日期(年/月/日):    ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"常溫",null,null,null,null,"常溫"]
[null,"5.有效日期(年/月/日):",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"產品狀態與數量:"]
[null,"6.生產或供應廠商： ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"市售完整 ;",null,null,"數量:",null,null,"個",null,null,"包       瓶"]
[null,"7.原產地/國：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 盒",null,null," 桶"]
[null,"8.其他須在報告上顯示之資料(SGS保留審核與修正之權利)：    ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"散裝 ;",null,null,"重量:",null,null," g         ml"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"其他:"]
[null,"※以上粗框內資訊為報告必出之欄位，若未填寫視同無，報告則將出具「-」。產品名稱、保存方式和數量/重量為必填。"]
["委託\n檢測\n項目","※同一份委託單上載明之所有委託檢驗項目，其檢驗結果應以同一份測試報告出具。"]
[null,"※務必提供足量樣品進行測試，若事後補樣均視為不同樣品，並不與原報告結果一同出具。"]
[null,"※若未指定檢測方法，即同意SGS依樣品基質以最適方法進行檢測。"]
[null,"(2018年12月1日至2019年1月31日 及 7月1日至8月30日期間旺季優惠含稅)"]
[]
[]
["服務件別","報告服務類別:",null,null,null,null,null,null," 普通件",null,null,null,null," 急件(費用加40%)",null,null,null,null,null,null,null," 特急件(費用加96%)"]
[null,"※急件或特急件之檢驗服務，送驗前請先來電洽詢(工作天數:收樣當日及例假日不計入)。 \n※預出報告當天僅提供報告電子檔，正本報告為隔日提供自取或寄出服務。"]
["報告需求",1,"報告使用目的：",null,null,null,null,null,"自主管理",null,null,null,null,"出口使用",null,null,null,null,"食品衛生法規要求"]
[null,2,"報告提供方式:",null,null,null,null,null,"電子檔",null,null,null,null,"傳真",null,null,null,null,"兩者都需要"]
[null,3,"報告語言:",null,null,null,null,null,"中文報告",null,null,null,null,"英文報告(英文資訊請主動提供)如勾選兩種以上，將酌收行政作業費368元"]
[null,4,"取紙本報告方式:",null,null,null,null,null,"普掛郵寄",null,null,null,null,"自取(超過三天未自取者將逕行寄出)"]
[null,5,null,"測試報告QR code(此QR code將顯示在該份測試報告上做為期兩年的真實性查證用)，申請將酌收行政作業費105元。"]
["注意\n事項","敬告 貴客戶:\n1.貴客戶所提供的測試樣品，會因取樣與測試需要，而造成樣品之減損與破壞；且本公司對於送驗之常溫樣品僅保留20天/冷凍.冷藏樣品保留7天(由出報告日起算)，除非貴客戶另有要求(退樣)且記載於申請書上，否則將會另作處置。\n2.若取消測試檢驗則酌收前處理費即測試費的一半(收件日當天取消不列入)。\n3.申請者應保證所提供資料真實性及正當性，確保申請廠商、報告抬頭廠商、生產與供應商知悉且同意揭露於正式報告中，若有提供虛偽不實之情形，申請人應承擔相關法律責任。報告以申請書資訊為主，報告出具後，內容一律不得更改。\n4.測試報告出具天數為所有委託檢驗項目中最長之天數。\n5.實驗室承諾，除法律要求外，對在執行實驗室活動中所獲得或產生的所有資訊予以保密。\n6.本實驗室不於測試報告中提供符合性聲明與量測不確定度。"]
["簽名","※我願意授權SGS將測試結果主動上傳至SGS安心資訊平台，SGS保有最終上傳與否之審核權力。         ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同意",null,"申請人簽名:___________________________\n"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"不同意"]
["1.本申請廠商申請上述之檢驗，同意所有試驗依本公司所訂之測試服務條款履行。2本公司之通用服務條款可在本公司網站http://www.sgs.com/en/terms-and-conditions.aspx閱覽。3.如未附報價單，以本公司定價為主。4.因本件檢驗及其檢驗費用涉訟時,雙方當事人同意以台灣台北地方法院為第一審管轄法院。 \n文件編碼:FOOD-F-01-20190626                                                                                                                                                               "]

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["*委託檢測項目: ※同一樣品於一份檢驗委託單上載明之所有委託檢驗項目，其檢驗結果應以同一份檢驗報告出具。"]
["1、SGS多重農藥殘留檢測 "]
[null," SGS多重農殘檢測373項",null,null,null,null,null,null," SGS多重農殘檢測374項含二硫代",null,null,null,null,null,null,null,null,null,"SGS多重農殘檢測473項(※有外銷目的之自主管理者適用)"]
[null," SGS多重農殘檢測380項",null,null,null,null,null,null," SGS多重農殘檢測381項含二硫代"]
["2、SGS多重農藥殘留檢測(禽畜類) "]
[null,"SGS禽畜產品多重農藥殘留60項(肌肉、內臟)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SGS禽畜產品多重農藥殘留125項(肌肉、內臟、蛋)"]
["3、人工添加劑"]
["添加劑：",null,"     防腐劑5項(酸類)",null,null,null,null,null,"防腐劑7項(酯類)",null,null,null,null,null,null,"防腐劑-丙酸",null,null,null,null,null,null,null,"甜味劑4項 ",null,null,null,null,null,null," 多重甜味劑10項"]
[null,null,"抗氧化劑11項",null,null,null,null,null," 亞硝酸鹽(保色劑)",null,null,null,null,null,"       硼酸及其鹽類"]
["漂白劑：",null,null,"二氧化硫(食品)",null,null,null,null,"二氧化硫(冷凍蝦)",null,null,null,null,null,null,"二氧化硫(冷藏蝦、活蝦) ",null,null,null,null,null,null,null,"過氧化氫"]
["色素：",null,null,"食用色素8項(食品)",null,null,null,null,"16項色素(適合飲料.糖果) "]
["4、毒素定量"]
[null,"總黃麴毒素(Alfatoxin B1.B2.G1.G2)",null,null,null,null,null,null,null,"  黃麴毒素M1",null,null,null,null,null,"赭麴毒素",null,null,null,null,"棒麴毒素",null,null,null,null,null,"橘黴素( Citrinin )"]
[null,"鐮刀黴菌毒素T-2及HT-2",null,null,null,null,null,null,null,"伏馬毒素B1及B2",null,null,null,null,null,"多重毒素",null,null,null,null,"脫氧雪腐鐮刀菌烯醇"]
["5、營養標示                ",null,null,null,null," ※ 驗八大營養標示/美國FDA營養標示(新版):每一份量                   公克/毫升，本包裝含      份(請提供整數)"]
[null,"八大營養標示",null,null,null,null,null,"膳食纖維",null,null,null,null,null,null,null,"八大營養標示+膳食纖維",null,null,null,null,null,null,null,null,null,null,"五大營養標示"]
[null,"香港九項營養標示",null,null,null,null,null,"美國FDA營養標示(新版)",null,null,null,null,null,null,null,"五大營養標示(大陸使用)"]
["※茶湯驗營養標示請提供沖泡條件：樣品",null,null,null,null,null,null,null,null,null,null,"(g)茶葉，沖泡",null,null,null,null,null,"(ml)的水，",null,null,null,null,null,"(度)水溫沖泡",null,null,null,null,null,null,"分鐘"]
["6.微生物(以衛福部公告為主，如有指定方法請另列________________ )"]
[null,"生菌數",null,null,null,null,"大腸桿菌",null,null,null,null,null,"大腸桿菌群",null,null,null,null,"金黃色葡萄球菌",null,null,null,null,null,null,null,"沙門氏桿菌"]
[null,"黴菌&酵母菌",null,null,null,null,"腸桿菌科",null,null,null,null,null,"李斯特菌",null,null,null,null,"仙人掌桿菌",null,null,null,null,null,null,null,"金黃色葡萄球菌腸毒素(AOAC方法)"]
[null,"糞便性鏈球菌",null,null,null,null,"綠膿桿菌",null,null,null,null,null,"腸炎弧菌",null,null,null,null,"阪崎腸桿菌",null,null,null,null,null,null,null,"黴菌(參考)",null,null,null,null,null,"酵母菌(參考)"]
["7.重金屬： "]
[null,"食用油脂：砷(As)、鉛(Pb)、汞(Hg)",null,null,null,null,null,null,null,null,null,"食米：汞(Hg)、鎘(Cd)、鉛(Pb)            ;",null,null,null,null,null,null,null,null,null,null,null,null,null,"食米：無機砷 "]
[null,"食用菇類：鉛(Pb)、鎘(Cd)",null,null,null,null,null,null,null,null,null,"水產動物類(生鮮)：甲基汞、鉛(Pb)、鎘(Cd)　 ;",null,null,null,null,null,null,null,null,null,null,null,null,null,"水產動物類(生鮮)：無機砷 "]
[null,"蛋類：鉛(Pb) 銅(Cu)",null,null,null,null,null,null,null,null,null,"飲料類：砷(As)、鉛(Pb)、銅(Cu)、銻(Sb)　；",null,null,null,null,null,null,null,null,null,null,null,null,null,"錫(Sn) ※金屬罐需加測"]
[null,"食用冰塊：砷(As)、鉛(Pb)、汞(Hg)",null,null,null,null,null,null,null,null,null,"包裝飲用水：砷(As)、鉛(Pb)、汞(Hg)、鎘(Cd)；",null,null,null,null,null,null,null,null,null,null,null,null,null,"銻(Sb) (以PET容器包裝者需加測)"]
[null,"禽畜產品類：鉛(Pb)、鎘(Cd)",null,null,null,null,null,null,null,null,null,"食用藻類：鉛(Pb)、鎘(Cd)、汞(Hg)　；",null,null,null,null,null,null,null,null,null,null,null,null,null,"食用藻類：無機砷 "]
[null,"果汁類:鉛(Pb)、銻(Sb) ",null,null,null,null,null,null,null,null,null,"嬰兒食品：鉛(Pb)、鎘(Cd)",null,null,null,null,null,null,null,null,null,null,null,null,null,"乳品類:鉛(Pb)"]
[null,"麥、穀類:砷(As)、鉛(Pb)、鎘(Cd)",null,null,null,null,null,null,null,null,null,"蔬果類：鉛(Pb)、鎘(Cd)"]
[null,"金屬罐頭：鉛(Pb)、錫(Sn)",null,null,null,null,null,null,null,null,null,"食鹽:鉛(Pb)、汞(Hg)、砷(As)、銅(Cu)、鎘(Cd)"]
["定量極限：      2.0ppm:           0.01ppm:",null,null,null,null,null,null,null,null,null,null,"砷(As)、",null,null,"鉛(Pb)、",null,null,"鎘(Cd)、",null,null,null,"汞(Hg)、",null,null,null,"銅(Cu)、",null,null,null,"其他元素：",null,null,null,null,"                  "]
["8.酒類測項："]
["  　甲醇＋鉛＋二氧化硫+乙醇 ",null,null,null,null,null,null,"     ","甲醇＋鉛＋乙醇",null,null,null,null,null,"甲醇",null,null,"乙醇",null,null,null,null,"鉛",null,null,null,"二氧化硫"]
["        防腐劑(己二烯酸)",null,null,null,null,null,null,"     ","防腐劑(苯甲酸)",null,null,null,null,null,"其他 ",null,"                    "]
["9、可塑劑測項：  "]
["   九種塑化劑",null,null,null,"         十八種塑化劑(大陸規定)  "]
["10、動物用藥/抗生素相關檢測：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"若產品為進口生鮮魚蝦類請打勾:",null,null,null,null,null,null,null,null,null,null," (若未勾選皆視為國內養殖魚蝦類)     ",null,null,null,null,null,null,null,null,null,null," "]
[null,"孔雀綠與還原型孔雀綠",null,null,null,null,null,"硝基呋喃代謝物( 4項)",null,null,null,null,null,null,"氯黴素類(4項)",null,null,null,null,"多重殘留分析(抗原蟲劑)7項",null,null,null,null,null,null,null,null,null,null,"胺基醣苷類"]
[null,"四環黴素類( 7項)",null,null,null,null,null,"瘦肉精(乙型瘦體素(21項) ",null,null,null,null,null,null,"多重殘留分析48項(含磺胺類、氟奎諾酮類、抗菌劑類)"]
[null,"β-內醯胺類抗生素( 8項)",null,null,null,null,null,"離子型抗球蟲",null,null,null,null,null,null,"抗生素及其代謝物多重殘留分析(16項)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Avermectin類"]
["11、食用油脂："]
[null,"苯駢芘(BaP)",null,null,"      多環芳香族碳氫化合物(BaA、Chrysene、BbF、BaP)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"芥酸",null,null,null,null,"酸價"]
[null,"過氧化價",null,null,"          總極性物質",null,null,null,null,null,null,"脂肪酸組成",null,null,null,null,"膽固醇",null,null,null,null,null,null,"反式脂肪酸",null,null,null,null,"碘價"]
["12、其他："]
["        三聚氰胺  ",null,null,null,"   揮發性鹽基態氮",null,null,null,null,null,null,"咖啡因",null,null,null,null," 3-單氯丙二醇",null,null,null,null,null,null,"丙烯醯胺",null,null,null,null,"組織胺"]
[null,"水解胺基酸18項",null,null,null,null,null,null,null,null,null,"其他："]
["申請人簽名：                                       "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"文件編碼:FOOD-F-01-20190626"]

{"sheet":"郵寄地址-中文","index":2,"n_rows":22,"n_cols":24,"rows_kept":22,"cut":false,"hidden":false,"merged":[[1,1,1,3],[1,4,1,31],[2,4,2,31],[3,4,3,12],[3,13,3,22],[3,23,3,24],[9,1,9,3],[9,4,9,31],[10,4,10,31],[11,4,11,12],[11,13,11,22],[11,23,11,24],[20,4,20,13],[21,4,21,13],[12,4,12,14],[13,4,13,14],[17,1,17,3],[17,4,17,31],[18,4,18,31],[19,4,19,12],[19,13,19,22],[19,23,19,24]]}
[]
[null,248,null,null,"新北市新北產業園區五工路125號4F"]
[null,null,null,null,"台灣檢驗科技股份有限公司"]
["     ",null,null,null,"台北食品服務部- ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"收"]
[null,null,null,null,"Tel: 02-2299-3279 "]
[null,null,null,null,"Fax: 02-2299-1687"]
[]
[]
[]
[null,407,null,null,"台中市西屯區工業區十四路9號"]
[null,null,null,null,"台灣檢驗科技股份有限公司"]
[null,null,null,null,"台中食品服務部- ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"收"]
[null,null,null,null,"Tel: 04-23591515"]
[null,null,null,null,"Fax: 04-23592948"]
[]
[]
[]
[null,811,null,null,"高雄市楠梓加工區開發路61號"]
[null,null,null,null,"台灣檢驗科技股份有限公司"]
[null,null,null,null,"高雄食品服務部- ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"收"]
[null,null,null,null,"Tel: 07-3012121 "]
[null,null,null,null,"Fax: 07-3012867 "]

{"sheet":"安心平台聲明書","index":3,"n_rows":5,"n_cols":1,"rows_kept":5,"cut":false,"hidden":false,"merged":[[0,0,0,33],[1,0,1,33],[2,0,2,33],[3,0,3,33],[4,0,4,33]]}
["SGS安心資訊平台"]
["親愛的客戶您好,\n　　安心資訊平台(MSN)的構思起源於2008年三聚氰胺事件之後，有些客戶因苦於找尋經過SGS測試過的產品，進而詢問SGS是否可提供廠商資訊與檢測結果作為採購之參考，基於服務客戶又可促進客戶之間的交易更活絡，因此推出了這個網站平台在取得所有權人的同意下提供透明的資訊給任何需要的人參考。\n　　這幾年，經過幾次的食安事件後，安心資訊平台更擔負起善盡企業社會責任的角色，由於越來越多的廠商與消費者因相信SGS的檢測報告，所以SGS有義務對社會大眾傳遞正確的觀念，以及提供正確真實的檢測報告資訊，深入耕耘大眾對SGS的信任度，藉此網站平台讓優良的產品與廠商可以提供給消費者與需要的廠商查詢，進一步達到協助廠商網路行銷的加值目的。\n　　您若認同SGS安心資訊平台的精神，我們鼓勵您將您對食安把關的用心與努力讓更多潛在買家/下游廠商/消費者了解，您只需要在申請書的第一頁最下方勾選\"同意\"-授權SGS將您的測試結果主動上傳至SGS安心資訊平台\"，並於右下方簽名處簽名即可完成授權，SGS在檢驗報告完成後會於數日內將您的檢測報告上傳到SGS的平台上。(SGS保有最終上傳與否之審核權力)\n　　如果不同意則在申請書的第一頁最下方勾選\"不同意\"即可。未來，您如評估有需要使用此服務時，請本頁的下方填寫報告編號並簽名後，寄回正本，我們將立即為您審核後上傳該份檢測報告。"]
["SGS安心資訊平台的特色\n1.  本網站可查詢委託測試廠商資料，增加廠商的社會形象，亦可做為另一類的行銷管道。\n2.  本網站查詢的檢測報告均為完整的檢測報告，加速潛在買家選購的意願。\n3.  本網站所提供之檢測報告如有本國相關法規之規範，將於報告中加註國內衛生法規標準便於閱讀報告者參考。\n4.  本網站所提供之任何資料皆無涉及商業行為，僅為傳遞正確且透明的資訊。\n5.  本網站為SGS台灣官方網站，其揭露之檢測報告均為真實報告，為提供查證報告真實性之最佳工具。"]
["注意事項\n1.  本網站提供之檢測報告結果僅代表廠商送測時的單一樣品，不代表該廠商該所有產品。\n2.  若送測廠商為個人戶或非原本製造廠商，SGS有權利不予刊登。(為保障商業機密)\n3.  安心平台網站非以營利為目的之網頁，不提供商品交易服務。\n4.  若廠商之送測資訊(如產品名稱、製造批號、原產國、供應商，或其它資料)有造假之情況，\n     其衍生之相關法律責任需自行負責。\n5.  SGS保有最終審核刊登與否的權利。\n6.  若委託測試之項目有國內的衛生法規標準，測試報告上會加註該測項之法規標準做為參考，\n     若是等收到正式報告後才申請同意放安心平台，需加收368元作為報告加註法規之行政作業費用。\n7. 上傳報告不接受混合測試報告。\n8. 本網站提供廠商測試報告在SGS安心資訊平台曝光年限為2年(當二年期限满，系統即會自動將報告下架，若有特殊\n    需求請洽客服人員)。\n9. 若在申請送測時未同意上傳SGS安心資訊平台，事後欲申請上傳SGS安心資訊平台請在此處\n    蓋章(公司大小章):_________________。 上架報告編號: _________________。"]
["費用說明：\n若於委託檢驗服務的同時同意上傳SGS安心資訊平台，則免費此加值服務。若於完成檢驗並收到檢驗結果後才同意此上傳的服務，則需加收368元作為報告加註法規之行政作業費用。"]

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["FOOD SERVICES APPLICATION FORM"]
["TAIPEI: 02-22993279 Ext 6651/6653/6657 TAICHUNG: 04-23591515 Ext 2701-2708 KAOHSIUNG: 07-3012121 Ext 3250-3259"]
["APPLICANT","Applicant:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Please list below, if Report Title is different from the applicant:"]
[null,"Address:"]
[null,"Contact person:\n(Report enquries)",null,null,null,"                                             ",null,null,null,null,null,null,null,null,null,null,null,null,"Please list below, if Report Address is different from the applicant:"]
[null,"Phone :\n(Report enquries)"]
[null,"※Please note: the above information enclosed in the black border will be shown in the report."]
[null,"VAT number:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail:"]
[null,"Mobile:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Phone:",null,null,null,null,null,null,"Ext:",null,null,"Fax:"]
["INVOICE To",null,"Please tick if the same applicant is to be invoiced. ",null,null,null,null,null,null,null,null,null,null,null,null,"If different, please fill in below information and fill the \"payment declaration form\""]
[null,"Company Title:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Address"]
[null,"VAT No.:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Phone:",null,null,null,null,null,null,"Ext:",null,null,"Fax:"]
[null,"Contact Person:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail:"]
[null,"If the address to send  is different from the invoice address, please fill:"]
["SAMPLE INFORMATION","1.Sample Name：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Upon receipt, the sample will be photographed,  documented, and shown in the report. Please state below:"]
[null,"2.Product No.：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sample status when received\n(To be filled by SGS):",null,null,null,null,null,"Frozen"]
[null,"3.Lot No.：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Refrigerated"]
[null,"4.Manufactured Date (yyyy/mm/dd):",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ambient temp."]
[null,"5.Expiry Date (yyyy/mm/dd):    ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Packaging Information:"]
[null,"6.Manufactured by/Supplied by： ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Retail package",null,null,"Number :",null,"   pack          bag          bottle"]
[null,"7.Country of Origin：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"    box            barrel "]
[null,"8.Additional information required to be stated in the report\n(Note:SGS reserves the right to review & revise the information)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"In bulk ",null,null,"Weight :",null,"   g               ","      ml"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other:"]
[null,"※Please fill in all the information enclosed in the black boarder. If left blank, the report will show \"-\". Sample name, storage and packaging number/weight are required. "]
["Testing Item","※The results of all testing items listed in the same application form will be shown in the same report."]
[null,"※Please provide enough sample for testing requirements. Additional samples sent for the same application will be regarded as different samples and the results will not be shown in the same report. "]
[null,"※Unless specified, it is agreed that SGS laboratories will apply the most suitable methods for the sample matrix."]
[]
[]
["Service","Service type:",null,null,null,null,null,null," Regular",null,null,null,null," Express (Regular fee + 40%)  ",null,null,null,null,null,null,null,null,null,null,"Expedited (Regular fee + 96%)     "]
[null,"※Please contact us first if you wish to use Express or Expedited services. (Note: Working days exclude the day of receipt and public holidays)\n※On the reporting date, the electronic report will be sent. The hardcopy will be available for pick-ups or posting the next day."]
["Report",1,"Purpose of the report：",null,null,null,null,null,null,"Self monitoring",null,null,null,null,null,"Exports",null,null,null,null,null,"To comply with food safety & hygiene regulations"]
[null,2,"E-report delivery:",null,null,null,null,null,null,"Email",null,null,null,null,null,"Fax",null,null,null,null,null,"Both"]
[null,3,"Language:",null,null,null,null,null,null,"Chinese",null,null,null,null,null,"English (Provide English information).\nIf both are required, an admin fee of NTD 368 will be charged."]
[null,4,"Hardcopy delivery:",null,null,null,null,null,null,"Standard post",null,null,null,null,null,"Pick-ups (The report will be posted after 3 days if remained uncollected)."]
[null,5,null,"Report QR code (The QR code will be shown on the report for authenticity check for two years. An admin fee of 105NTD will be charged.)"]
["Additional Notes","1. There will be some damage and loss due to sampling and test requirements. We store the ambient temp samples for 20 days; frozen & refrigerated samples for 7 days (from the date of reporting). Unless specified on the application to return the sample, the sample will be handled by SGS.\n2. Should the cancellation occurs, a pre-treatment charge will incur (unless cancelled on the day of sample receipt). \n3. The applicant shall ensure the authenticity and validity of  supplied information. The applicant also shall ensure that the information to be disclosed in the report is understood by and ageed upon the client to which the report is titled, the manufacturer and the supplier. The applicant will be held legally liable if false information is provided. All information will refer to this application and once the report is issued no alterations will be accepted. \n4. If more than one testing is requested, the report will be issued based on the longest working days required among testing items.\n5. SGS laboratories declare that all information generated from the testing will be regarded as confidential and will not be disclosed  unless requested by legal authorities. \n6. SGS laboratories do not provide declaration of conformity & measurement uncertainty information in the testing report"]
["Signature","※I authorize SGS to upload the testing results to SGS My Safety Net (SGS reserves the final rights to review and upload).  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Agree",null,null,"Applicant Signature:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Disagree"]
["1. By signing the application, the applicant agrees that the above testing(s) will be conducted according to the service terms and conditions of SGS. \n2. The terms and conditions can be found on our website (http://www.sgs.com/en/terms-and-conditions.aspx). \n3. If no quotation is provided, the standard price will be applied. \n4. By signing the application, both applicant and SGS agress that  the Taiwan Taipei District Court shall be the court of competent jurisdictions for the first instance.                                                      "]

{"sheet":"郵寄地址-英文","index":5,"n_rows":35,"n_cols":15,"rows_kept":35,"cut":false,"hidden":false,"merged":[[1,2,1,29],[2,2,2,29],[23,3,23,31],[24,4,24,12],[24,14,24,15],[24,16,24,27],[10,0,10,2],[10,3,10,30],[11,3,11,30],[12,3,12,11],[12,13,12,14],[12,15,12,26],[6,2,6,14],[3,2,3,28],[4,2,5,29],[22,1,22,3],[22,4,22,31],[30,1,30,3],[30,4,30,31],[31,4,31,31],[32,4,32,12],[32,14,32,15],[32,16,32,27]]}
[null,"※Notes："]
[null,1," Information in the report will be stated based on the information provided in this application."]
[null,2,"Please make sure to notify us through e-mail with this application attached before mailing your sample. "]
["     ",null,"E-mail:"]
[null,3,"In case of custom inspection, packages containing food or food additives (including spices) should provide us the application form. Information such as sample name, country of origin, product use (please write: for testing) and treatment of remained sample (please write: destroy) and ingredient (picture of ingredient label on package can be used) should also be provided."]
[]
[null,4,"Custom inspection takes 4-7 business days. "]
[null,5,"SGS Taiwan only provide invoices in one format."]
[]
[null,null,"※When you express delivery the test sample, please remember fill out the application."]
[248,null,null,"Level 4 No. 125, Wu Kung Rd., New Taipei Industrial Park, Wuku Dist. New Taipei City, Taiwan"]
[null,null,null,"SGS Taiwan Limited - Taipei"]
[null,null,null,"Food Services ",null,null,null,null,null,null,null,null,null,"Attn:"]
[null,null,null,"Tel:+886-2-2299-3279 "]
[null,null,null,"Fax:+886-2-2299-1687"]
[]
[]
[]
[]
[]
[]
[]
[null,407,null,null,"No. 9, 14th Rd., Taichung Industrial Park, Taichung City, Taiwan"]
[null,null,null,"SGS Taiwan Limited-Taichung"]
[null,null,null,null,"Food Services ",null,null,null,null,null,null,null,null,null,"Attn:"]
[null,null,null,null,"Tel:+886-4-23591515"]
[null,null,null,null,"Fax:+886-4-23592948"]
[]
[]
[]
[null,811,null,null,"No. 61, Kaifa Rd., Nanzi Dist., Kaohsiung City, Taiwan "]
[null,null,null,null,"SGS Taiwan Limited-Kaohsiung"]
[null,null,null,null,"Food Services ",null,null,null,null,null,null,null,null,null,"Attn:"]
[null,null,null,null,"Tel:+886-7-3012121 "]
[null,null,null,null,"Fax:+886-7-3012867 "]