vendor cover page for shipment approval test reports must be ...

VENDOR COVER PAGE FOR SHIPMENT APPROVAL
TEST REPORTS MUST BE ATTACHED UNLESS PRODUCT EXEMPT FROM
ALL TESTING
Vendor:
Name:
Address:
Telephone:
Product(s) Tested:
Style/SKU Number:
Description:
Date of Manufacture-Production Start and End Dates:
Name of Manufacturer & Place of Manufacture:
Name:
City:
Country:
Plant location (if
more than one within
city):
Applicable Regulation(s):
Non-Children
Footwear
16 CFR 1610-
Flammability of
Wearing Apparel
(Choose One)
16 C.F.R. 1303-
Lead in Surface
Coatings
15 U.S.C.
1278(a)(2)- Lead
Content in Children’s
Products
No applicable regulations
Compliant
Exempt from Testing under 16 C.F.R. 1610.1(d)
Compliant
Not Applicable
Compliant
Not Applicable
16 C.F.R. 1500- Compliant

Sharp Points &
Edges
16 C.F.R. 1501-
Small Parts
CPSIA Title 1,
Section 108-
Phthalates
ASTM F 1816-97-
Ties and Drawstrings
Not Applicable
Compliant
Not Applicable
Compliant
Not Applicable
Compliant
Not Applicable
[Other]
Date & Location of Testing:
Laboratory:
Address:
Telephone:
Standard:
(check all that apply)
16 CFR 1610 - Flammability
16 C.F.R. 1303 - Lead in Surface Coatings
15 U.S.C. 1278(a)(2)- Lead Content in Children’s Products
16 C.F.R. 1500 - Sharp Points & Edges
16 C.F.R. 1501 - Small Parts
CPSIA Title 1, Section 108 – Phthalates
ASTM F 1816-97- Ties and Drawstrings
[Other]
Date of Testing:
Test Results Maintained by:
Name:
Address:
Email:
Telephone:
For additional information about these regulations, go to: http://www.cpsc.gov/about/cpsia/cpsia.html
E-mail reports and completed form to vendorcompliance@Genesco.com