Request Form for Testing - JFRL

1 Request form for Testing Please fill in the form below, after having read and accept the General Conditions of Testing Service on page 3. ( Accept JFRL Agreement). Test No. Date (use by JFRL). (use by JFRL). Payment Information Client Information (If it differs from Client information). Company name Address Department Email @ Contact Person Mr. / Ms. Mr. / Ms. Phone/. Facsimile / FAX / FAX. Test Report Information (If it differs from above Client information). Client Company name Company name in certificates/reports cannot be changed once they are issued.

2 Client Address Client Delivery . address Purpose Storage condition Quality control, Research, Nutritional Labeling, Pharmaceutical application of your Export to Japan, Handling complaint , Others( ). Request Room temperature Food, Food Additive, Drinking water, Package for food, Chemical products, Kind of Refrigerated Cosmetics( Product, Material), Pharmaceuticals, Quasi-Drug Ingredients, Sample Medical Device, Feed, Feed Additive, Pet food, Others( ) Frozen Sample name No. Sample name in certificates/reports cannot be Test Parameter changed once they are issued 1.

3 Note(Please write here if you want to tell us something more.). NET(use by JFRL) TAX/HC (use by JFRL) TOTAL(use by JFRL) (use by JFRL). Test samples are disposed after completion of tests. Please refrain from Testing other companies' products. Unless otherwise specified, we will test your test samples using appropriate test methods for them. (1) Please send this Request form to Customer Consulting Department E-mail: (2) Please send your test samples to the address below. Tokyo Head Office; 52-1 Motoyoyogi-cho, Shibuya-ku, Tokyo 151-0062, Japan Phone: +81-3-3469-7131.

4 Osaka Branch; 3-1 Toyotsu-cho, Suita-shi, Osaka 564-0051, Japan Phone: +81-6-6386-1851. Tama Laboratory; 11-10 Nagayama 6-chome, Tama-shi, Tokyo 206-0025, Japan Phone: +81-42-372-6711. (Nov 2017). Request form for Testing Test No. (use by JFRL). Sample name No. Sample name in certificates/reports cannot be Test Parameter changed once they are issued 2. 3. 4. 5. 6. 7. 8. Note(Please write here if you want to tell us something more.). (use by JFRL). (Nov 2017). Japan Food Research Laboratories Agreement This Agreement defines basic agreements between the client as the consignor (hereinafter referred to as the Client ) and Japan Food Research Laboratories (hereinafter referred to as JFRL ) necessary for JFRL to carry out services concerning analytical Testing , training, investigation, and research and development contacted out by the Client (hereinafter referred to as the Services ).

5 Article 1 Acceptance of Contract Article 8 Provision and Handling of samples 1. The Client shall provide objects subject to analytical Testing (hereinafter referred 1. The samples and information required for the Services shall be provided free of to as the samples ) and the following documents or information, and JFRL charge. shall, after receiving them (or after receiving any application form in the case 2. In the case where the samples are hazardous materials, etc., the Client shall where there is no Sample), notify the Client that JFRL can accept the contract.

6 Notify JFRL of such fact in advance as JFRL may not accept such contract. If The acceptance of contract of the Services is considered to take effect with this JFRL suffers personal or material damages due to such samples without such notification. notification, JFRL may claim such damages. (1) A Request for analytical Testing on a form furnished by JFRL (provided 3. The samples which have not been used for Testing shall not be returned in directly, by post, fax, e-mail, etc.) principle, and shall be discarded by JFRL about one (1) month after the (2) An application through a Web system of JFRL (Available only in Japanese) completion of the Testing if they are preservable.

7 Provided, however, the called named Bunsekinavi@jfrl samples shall be returned to the Client, and expenses for such return shall be (3) Conclusion of an individual agreement or other application regarding a borne by the Client in any of the following events: Request for analytical Testing (1) In the event where JFRL finds that it cannot discard the samples on the 2. JFRL shall not accept any contract of which the purpose of any of the Testing , grounds that they cannot be easily discarded because they are hazardous test methods, samples , etc.

8 JFRL finds inappropriate. In the case where it is materials, etc., they are considerable in amount, or for any other reason;. found inappropriate after accepting the contract, JFRL shall discontinue the or Services and notify the Client of the fact. (2) In the event where the samples are rare items, etc., and the Client specifies on the Request for analytical Testing , etc. that it desires to have such Article 2 Individual Agreement samples returned. In the case where a separate individual agreement is concluded, which sets out any provision different from this Agreement, the individual agreement Article 9 Report shall be preferentially applied for such different matter.

9 1. The results of the analytical Testing shall be reported or sent by the specified due date as an analytical Testing certificate or an analytical Testing report Article 3 Method of Analytical Testing (hereinafter referred to as the Certificate ). Provided, however, this shall not 1. The analytical Testing shall be implemented in a manner JFRL finds appropriate. apply in the case of contents of which results cannot be documented, such as 2. In the event where the Client desires a specific method of analytical Testing , the training.

10 A due date may be changed owing to the situation of analytical Testing . Client shall notify JFRL in advance. JFRL shall employ the method if JFRL finds 2. In principle, the description shall not be changed after the issuance of the such method feasible and reasonable. Certificate. 3. The method and amount of preparation of the samples shall be determined by 3. In the case where the Client desires to have the Certificate sent, JFRL will send JFRL. In the event where the Client has cautionary advice or any other it by post or other means.