· web vieweco mark product category no.155 “imaging equipment such as copiers,...

155V1 Attached certificate

155V1 Attached certificate

Eco Mark Product Category No.155 Imaging Equipment

Such As Copiers, Printers, etc. Version1 Attached Certificate

This attached certificate shall be submitted accompanied with Application for Eco Mark product certificate and utilization when applying for the product category No. 155 Imaging Equipment Such As Copiers, Printers, etc. Version1.

Date of application:

Brand Name

Applicant

(company name)

(company seal)

1. Required items on the product under application shall be checked or entered in Fill in this Column or Compliant/ noncompliant.

2. Prepare the certificates specified in Certificate to be submitted. Submit these certificates with this attached certificate when applying for Eco Mark Product certification and use.

* Shaded areas in Certificate to be submitted do not require a submission.

3. Refer [Form] for preparing each certificate.

4. The issuer(s) of the certificate to be submitted shall prepare the Certificate to be submitted.

Item

Fill in this Column / documents attached

(check all items that apply)

Planned Display of Eco Mark

* in principal, Eco Mark shall be indicated on the product, packaging, instruction, product manual (pamphlet, etc), etc.

( Product ( Packaging ( Instruction

( Product manual (Catalogue/leaflet) ( Web

( Other ( )

Planned design of Eco Mark indication

Please refer Eco Mark use guideline for indication of Eco Mark

Please submit the design drawing of Eco Mark indication (Format free, draft)

Reason (to plan) not to indicate Eco Mark

[ ]

Item

Fill in this Column

(check all items that apply)

Certificate to be submitted

issuer(s) of the certificate to be submitted

Company which developed the product

< > Other company

< > Own company

If developed by other companies, attach Approval of Eco Mark Application(Form0)

Approver of the application

If a product certified under this product category is applied as another brand

Are there any changes in addition to brand name?

< > Yes < > No

- A copy of notice of Eco Mark certification

-Correspondence table between certified model and applying model, identical proof by each item (or indication on this Attached certificate)

- Documents on 4-1-1.(5)-(7), (9)-(13), 4-1-2.(15), 4-1-4.(32), (33) and certifying changes

Model/product number

Type

Copier / Printer / Fax (facsimile machine) / Scanner / Multifunctional device

Size

Standard format (A3 size accommodatenot accommodate) / Large format /

Small format

Marking Technologies(not required for scanners)

Electoro-Photographic / InkJet / High performanceIJ / Direct Thermal /

Dye Sublimination / Impact / Solid Ink / Thermal Transfer

Monochrome / colour

Colour / Monochrome

Module for Colourant, Container (no entry required when these are not used)

Toner cartridge / Toner container / Ink cartridge / Ink ribbon cartridges

Product number of cartridge/module

Eco Mark cerfication number (if certified)

Name on Form 7

Name on SDS

Name on the result of Ames test (if no result of Ames test on SDS)

Main purpose of use

Office use / Household use / Other [ ]

Model/product number

Type

Copier / Printer / Fax (facsimile machine) / Scanner / Multifunctional device

Size

Standard format (A3 size accommodatenot accommodate) / Large format /

Small format

Marking Technologies(not required for scanners)

Electoro-Photographic / InkJet / High performanceIJ / Direct Thermal /

Dye Sublimination / Impact / Solid Ink / Thermal Transfer

Monochrome / colour

Colour / Monochrome

Module for Colourant, Container (no entry required when these are not used)

Toner cartridge / Toner container / Ink cartridge / Ink ribbon cartridges

Product number of cartridge/module

Eco Mark cerfication number (if certified)

Name on Form 7

Name onSDS

Name on the result of Ames test (if no result of Ames test on SDS)

Main purpose of use

Office use / Household use / Other [ ]

*Duplicate the above table and fill out the form if 3 or more types/models are used at one application.

Testing Bodies

Fill in this column

*Check or Fill in the applicable items..

Plan to utilize MRA with foreign ecolablling programs / No

4-1-2.(15)

Energy Efficiency

Name of testing body

Address of testing body

Requirements of testing body

Certified by ISO/IEC 17025(corresponding JIS Q17025). (ENERGY STAR Accreditted laboratory (LAB)(

Certified / registered number[ ]

Program name [ ]

Operating in accordance with ISO/IEC17025 ISO/IEC17025 (corresponding JIS Q17025).

Satisfying the requirements defined by Appendix A: Requirements for the operation of a Witnessed Manufacturers Testing Laboratory (WMTL) or Supervised Manufacturers Testing Laboratory (SMTL) program in the Conditions and Criteria for Recognition of Laboratories for the ENERGY STAR Program

monitors sampling and analysis processes

received accreditation to perform analysis and testing by the supervisory agency

Has established a quality system including sampling and analysis and is maintaining ISO9001 (corresponding JIS Q9001).

Performs measurements in accordance with a quality control system including sampling and analysis conforming to ISO9001.

4-1-3.(19)-(21)

Emission of Hazardous Substances






Program name [ ]






4-1-3.(31)

Noise






Program name [ ]






Item

Applicable Criteria and

Fill in this Column

Compliant/ noncompliant

Documents to be

Submitted

issuer(s) of the certificate to be submitted

4-1-1.

(1)

Equipment shall conform to Product Design Checklist.

(Yes

(No

Form 1

person responsible for design

4-1-1.

(2)

Modules for Colourants or containers for colorants used for the equipment shall conform to Product Design Checklist

(Yes

(No

No Modules for Colourants or containers for colorants used

4-1-1.

(3)

Each individual plastic casing part of more than 25g shall be made of one single polymer or polymer blends.

(Yes

(No

Form 2

person responsible for design

In addition, all plastic parts of more than 25g used for casing parts shall be made of four or fewer types of mutually separable polymers or polymer blends.

(Yes

(No

4-1-1.

(4)

For equipment that falls under the Designated Resources Reutilizing Industry of the Act on the Promotion of Effective Utilization of Resources, any one of parts weighing more than 25g shall be a recycled plastic part or reused plastic part at a minimum.

(Yes

(No

Equipment not applicable

Form 3

person responsible for design or in charge

For any equipment that does not fall under the Designated Resources Reutilizing Industry (equipment covered by the Act on Promotion of Recycling of Small Waste Electrical and Electronic Equipment and scanners), it may also be acceptable if any one of parts is a recycled plastic part or reused plastic part at a minimum.

(Yes

(No

Equipment not applicable

4-1-1.

(5)

Collection systems shall be available for toner cartridges, toner containers or ink cartridges.

(Yes

(No

No toner/ ink cartridges, toner cartridges used.

Explanatory documents for the collection systems of toner containers or