annex B

MD028P1/16 – TESTS APPLICATION FORM TESTING LABORATORY

Acceptance Code
TESTS APPLICATION FORM CENTRO TESSILE SERICO

g r e y / s h a d e d p a r t s a r e f o r C e n t r o T e s s i l e S e r i c o

COMPANY: _______________________________________ CONTACT: ________________________

E-MAIL: PHONE: ______________________________________________

sample description test to carry out

code 5 Test Method and Standard 6

1 article 1:
LIMS declared composition2
typology 3:
end use 4:
note:

2 article 1:
LIMS declared composition2
typology 3:
end use 4:
note:

1) name/code of the article; 2) report the fibers and/or %; 3) sample type (fiber, yarn, fabric, ready-made, etc…) and manufacture state (raw, scoured, yarn dyed, piece dyed, ready to printing, direct
printed, discharge printed, finished, etc…) 4) end use (clothing, accessories, furnishing, linen, etc.); 5) report the test code included into force price list; 6) report the test name included into force price list.

Note:

Ref. CTS Offer n.

NOTE: IN CASE OF REQUEST OF RESIDUAL SAMPLE RETURN, DELIVERY CHARGES ARE AT CUSTOMER’S EXPENSE.
IF THE SAMPLE RETURN ISN’T REQUESTED, THE SAMPLE WILL BE ARCHIVED AND, AFTER 2 MONTHS, IT WILL BE DISPOSED.

THE SAMPLE SUBMITTED TO TEST IS PROVIDED BY CUSTOMER THAT PERFORMS THE SAMPLING TAKING FULL RESPONSIBILITY. THE RESULTS INTO REPORTS OF
CENTRO TESSILE SERICO REFER TO THE TESTED SAMPLES ONLY AND DO NOT WIDEN TO SAMPLING BATCH.
Authorization to cutting: Please, specify right face and/or the side to return request of:
(if it isn’t specified, cutting is be examined
no return □
considered authorized)
test specimens (colourfastness, ageing,
abrasion, pilling) □
yes no residual sample (delivery on Customer’s
charge) □
total number of samples (included the samples reported on the form back):
They are considered valid regulations, quotation and all sales terms reported into Price List in force.
For Colourfastness tests it is required the use of adjacent fabric: □ MONOFIBRE □ MULTIFIBRE

subject to agreement with Customer Service, it is requested (according to sales terms reported into Price List section : extra and
special services): □ 48 hours service (code 90041 - € 10) □ urgency service (code 90051 +50%)

issue of test report in: □ ITALIAN □ ENGLISH

Date: Company Signature:

Date and time receipt of samples: Samples acceptance result / notes:

□ complying □ noncomplying_________________________________________
Test application acceptance date: Estimated Test Report delivery date: Laboratory Secretary sign:

Centro Tessile Serico spa consortile Via Castelnuovo 3 – I-22100 Como; tel. +39 031 3312120, fax +39 031 3312180; P. IVA 02381270137
MD028P2/16 – TESTS APPLICATION FORM

sample description test to carry out

code 5 Test Method and Standard 6

article 1:
3 declared composition2
LIMS
typology 3:
end use 4:
note:

article 1:
4 declared composition2
LIMS
typology 3:
end use 4:
note:

article 1:
5 declared composition2
LIMS
typology 3:
end use 4:
note:

article 1:
6 declared composition2
LIMS
typology 3:
end use 4:
note:

article 1:
7 declared composition2
LIMS
typology 3:
end use 4:
note:

article 1:
8 declared composition2
LIMS
typology 3:
end use 4:
note:

article 1:
9 declared composition2
LIMS
typology 3:
end use 4:
note:

article 1:
10 declared composition2
LIMS
typology 3:
end use 4:
note:

1) name/code of the article; 2) report the fibers and/or %; 3) sample type (fiber, yarn, fabric, ready-made, etc…) and manufacture state (raw, scoured, yarn dyed, piece dyed, ready to printing, direct
printed, discharge printed, finished, etc…) 4) end use (clothing, accessories, furnishing, linen, etc.); 5) report the test code included into force price list; 6) report the test name included into force price list.

Centro Tessile Serico spa consortile Via Castelnuovo 3 – I-22100 Como; tel. +39 031 3312120, fax +39 031 3312180; P. IVA 02381270137