材料宣誓書（MD）、供給者適合宣言（SDoC）

1 MD SDoC - -2 MD MD ID Number SDoC ID Number SDoC MD SDoC ClassNKMaterial Declaration<Date of Declaration>Date<MD ID Number> <Supplier (Respondent) Information>MD- NameDivision NameAddressContact PersonCompany NameTelephone NumberShip Number FAX NumberE-mail AddressSDoC ID No.:<Product Information>Product NameProduct NumberTotal mass per productSupplied QuantityProduct InformationMassUnit<Material Information>UnitThis material information shows the amount of hazardous materials contained in(unit: piece, kg, m3, m2, m) of the productTableMaterial NameThreshold LevelIntentionally added above threshold levelIf yes, Material MassIf yes, Information of Parts / Region of UseYes / NoMassUnitTable A (Materials Listed in Appendix 1 of the Convention)AsbestosAsbestosno threshold levelPolychlorinated Biphenyls (PCBs)Polychlorinated Biphenyls (PCBs)no threshold levelOzone Depleting SubstanceChlorofluorocaobons (CFCs)no threshold levelHalonsOther fully halogenated CFCsCarbon Tetrachloride1,1,1-TrichloroethaneHydroc hlorofluorocaobonsHydrobromofluorocaobon sMethyl bromideBromochloromethaneOrganotin compoundsTributyl Tins2,500 mg/kgTriphenyl TinsTributyl Tin Oxide (TBTO)

2 TableMaterial NameThreshold LevelIntentionally added above threshold levelIf yes, Material MassIf yes, Information of Parts / Region of UseYes / NoMassUnitTable B (Materials Listed in Appendix 2 of the Convention)Cadmium and Cadmium Compounds100 mg/kg Hexavalent Chromium and Hexavalent Chromium Compounds1,000 mg/kg Lead and Lead Compounds1,000 mg/kg Mercury and Mercury Compounds1,000 mg/kg Polybrominated Biphenyl (PBBs)1,000 mg/kg Polybrominated Dephenyl ethers (PBDEs)1,000 mg/kg Polychloronaphthalenes (Cl >= 3)no threshold levelRadioactive Substancesno threshold levelCertain Shortchain Chlorinated Paraffins1%<Requester Information> Supplier s declaration of conformity for Material Declaration Management 1) SDoC ID No. 2) Issuer s name: Issuer s address: 3) Object of the declaration: 4) The object of the declaration described above is in conformity with the requirement of the following documents Document No.

3 : Title: Edition/Date of issue 5) 6) Additional Information Signed for and on behalf of: (Place and date of issue) 7) (Name, function) (Signature) 3 Material Declaration<Date of Declaration>Date<MD ID Number> <Supplier (Respondent) Information>MD- NameDivision NameAddressContact PersonCompany NameTelephone NumberShip Number FAX NumberE-mail AddressSDoC ID No.:<Product Information>Product NameProduct NumberTotal mass per productSupplied QuantityProduct InformationMassUnit<Material Information>UnitThis material information shows the amount of hazardous materials contained in (unit.

4 Piece, kg, m3, m2, m) of the productTableMaterial NameThreshold LevelIntentionally added above threshold levelIf yes, Material MassIf yes, Information of Parts / Region of UseYes / NoMassUnitTable A (Materials Listed in Appendix 1 of the Convention)AsbestosAsbestosno threshold levelPolychlorinated Biphenyls (PCBs)Polychlorinated Biphenyls (PCBs)no threshold levelOzone Depleting SubstanceChlorofluorocaobons (CFCs)no threshold levelHalonsOther fully halogenated CFCsCarbon Tetrachloride1,1,1-TrichloroethaneHydroc hlorofluorocaobonsHydrobromofluorocaobon sMethyl bromideBromochloromethaneOrganotin compoundsTributyl Tins2,500 mg/kgTriphenyl TinsTributyl Tin Oxide (TBTO)TableMaterial NameThreshold LevelIntentionally added above threshold levelIf yes, Material MassIf yes, Information of Parts / Region of UseYes / NoMassUnitTable B (Materials Listed in Appendix 2 of the Convention)Cadmium and Cadmium Compounds100 mg/kg Hexavalent Chromium and Hexavalent Chromium Compounds1,000 mg/kg Lead and Lead Compounds1,000 mg/kg Mercury and Mercury Compounds1,000 mg/kg Polybrominated Biphenyl (PBBs)1,000 mg/kg Polybrominated Dephenyl ethers (PBDEs)1,000 mg/kg Polychloronaphthalenes (Cl >= 3)no threshold levelRadioactive Substancesno threshold levelCertain Shortchain Chlorinated Paraffins1%<Requester Information> < > < > < >MD- ID-No.

5 FAX E-mail SDoC ID No.< > < >Unit , kg, m3, m2, m / A (PCBs) (PCBs) (CFCs) 1,1,1- 2,500 mg/kg (TBTO) / B 100 mg/kg 1,000 mg/kg 1,000 mg/kg 1,000 mg/kg (PBBs)1,000 mg/kg (PBDEs)1,000 mg/kg 1%< > MD ClassNK4 Material Declaration<Date of Declaration>Date<MD ID Number> <Supplier (Respondent) Information>MD- NameDivision NameAddressContact PersonCompany NameTelephone NumberShip Number FAX NumberE-mail AddressSDoC ID No.

6 :<Product Information>Product NameProduct NumberTotal mass per productSupplied QuantityProduct InformationMassUnit<Material Information>UnitThis material information shows the amount of hazardous materials contained in (unit: piece, kg, m3, m2, m) of the productTableMaterial NameThreshold LevelIntentionally added above threshold levelIf yes, Material MassIf yes, Information of Parts / Region of UseYes / NoMassUnitTable A (Materials Listed in Appendix 1 of the Convention)AsbestosAsbestosno threshold levelPolychlorinated Biphenyls (PCBs)Polychlorinated Biphenyls (PCBs)no threshold levelOzone Depleting SubstanceChlorofluorocaobons (CFCs)no threshold levelHalonsOther fully halogenated CFCsCarbon Tetrachloride1,1,1-TrichloroethaneHydroc hlorofluorocaobonsHydrobromofluorocaobon sMethyl bromideBromochloromethaneOrganotin compoundsTributyl Tins2,500 mg/kgTriphenyl TinsTributyl Tin Oxide (TBTO)

7 TableMaterial NameThreshold LevelIntentionally added above threshold levelIf yes, Material MassIf yes, Information of Parts / Region of UseYes / NoMassUnitTable B (Materials Listed in Appendix 2 of the Convention)Cadmium and Cadmium Compounds100 mg/kg Hexavalent Chromium and Hexavalent Chromium Compounds1,000 mg/kg Lead and Lead Compounds1,000 mg/kg Mercury and Mercury Compounds1,000 mg/kg Polybrominated Biphenyl (PBBs)1,000 mg/kg Polybrominated Dephenyl ethers (PBDEs)1,000 mg/kg Polychloronaphthalenes (Cl >= 3)no threshold levelRadioactive Substancesno threshold levelCertain Shortchain Chlorinated Paraffins1%<Requester Information> Date of Declaration 2009 1 19 2009/01/19 MD-ID-Number _ _ _ NK_Radar_RSmk01_003 Requester Information MD ---- Supplier Respondent Information SDoC ID No.

8 ClassNK5 Material Declaration<Date of Declaration>Date<MD ID Number> <Supplier (Respondent) Information>MD- NameDivision NameAddressContact PersonCompany NameTelephone NumberShip Number FAX NumberE-mail AddressSDoC ID No.:<Product Information>Product NameProduct NumberTotal mass per productSupplied QuantityProduct InformationMassUnit<Material Information>UnitThis material information shows the amount of hazardous materials contained in (unit: piece, kg, m3, m2, m) of the productTableMaterial NameThreshold LevelIntentionally added above threshold levelIf yes, Material MassIf yes, Information of Parts / Region of UseYes / NoMassUnitTable A (Materials Listed in Appendix 1 of the Convention)AsbestosAsbestosno threshold levelPolychlorinated Biphenyls (PCBs)Polychlorinated Biphenyls (PCBs)no threshold levelOzone Depleting SubstanceChlorofluorocaobons (CFCs)no threshold levelHalonsOther fully halogenated CFCsCarbon Tetrachloride1,1,1-TrichloroethaneHydroc hlorofluorocaobonsHydrobromofluorocaobon sMethyl bromideBromochloromethaneOrganotin compoundsTributyl Tins2,500 mg/kgTriphenyl TinsTributyl Tin Oxide (TBTO)

9 TableMaterial NameThreshold LevelIntentionally added above threshold levelIf yes, Material MassIf yes, Information of Parts / Region of UseYes / NoMassUnitTable B (Materials Listed in Appendix 2 of the Convention)Cadmium and Cadmium Compounds100 mg/kg Hexavalent Chromium and Hexavalent Chromium Compounds1,000 mg/kg Lead and Lead Compounds1,000 mg/kg Mercury and Mercury Compounds1,000 mg/kg Polybrominated Biphenyl (PBBs)1,000 mg/kg Polybrominated Dephenyl ethers (PBDEs)1,000 mg/kg Polychloronaphthalenes (Cl >= 3)no threshold levelRadioactive Substancesno threshold levelCertain Shortchain Chlorinated Paraffins1%<Requester Information> Product Information Unit kg m3 m2 m Mass piece Material Information piece kg m3 m2 m ClassNK6 Material Declaration<Date of Declaration>Date<MD ID Number> <Supplier (Respondent) Information>MD- NameDivision NameAddressContact PersonCompany NameTelephone NumberShip Number FAX NumberE-mail AddressSDoC ID No.

10 :<Product Information>Product NameProduct NumberTotal mass per productSupplied QuantityProduct InformationMassUnit<Material Information>UnitThis material information shows the amount of hazardous materials contained in (unit: piece, kg, m3, m2, m) of the productTableMaterial NameThreshold LevelIntentionally added above threshold levelIf yes, Material MassIf yes, Information of Parts / Region of UseYes / NoMassUnitTable A (Materials Listed in Appendix 1 of the Convention)AsbestosAsbestosno threshold levelPolychlorinated Biphenyls (PCBs)Polychlorinated Biphenyls (PCBs)no threshold levelOzone Depleting SubstanceChlorofluorocaobons (CFCs)no threshold levelHalonsOther fully halogenated CFCsCarbon Tetrachloride1,1,1-TrichloroethaneHydroc hlorofluorocaobonsHydrobromofluorocaobon sMethyl bromideBromochloromethaneOrganotin compoundsTributyl Tins2,500 mg/kgTriphenyl TinsTributyl Tin Oxide (TBTO)