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
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).
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.(31)
Noise
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).
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.
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
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