Company:
Address:

Tel.
Fax
Contact person:
E-mail:

Product name:

Product number:

Manufacturer:

Contact person:

Tel.:

Address:

Fax:

E-mail:

Declaration information

Documentation enclosed. Mark X

Materials Para. 5

Fibre declaration Para. 5.1

(paper products only - fibre type specified in %)

New fibres:

Reclaimed fibres (cut from new paper pulp):

Bleaching - method Para. 5.2

(paper products only)

D

Additives Para. 5.3

BGA - Empfelung XXXVI:

(paper products only)

Added colour:

Added wet strength agent

D

Coating Para. 5.4

Requirements in order no. 426 of

10 May 2006 must be met

D

Declaration information

Documentation enlosed. Mark X

Product description          Para.1.

Type                             Para. 2.

Number                        Para. 3

Number of rolls: Quantity:
Number of sheets:

Measurement                Para. 4

Net weight                     Para. 4.1
In accordance with no. 10025 1985

Paper weight                 Para. 4.2
(paper products only) DIN 54 540 Teil 2.

Length and width          Para. 4.3
In accordance with no. 10025 1985

Thickness                    Para. 4.4
(aluminium foil only)

Length _______ Width _______

_______ mm

D

D

D

D

Properties                   Para. 6
including use

Grease resistance        Para. 6.1
(paper products only) DIN 53 116

Range of temperatures Para. 6.2
(paper products only - voluntary
information)

D

D

Completed by:

Date: