· Web view1. Indicate details of the product under application for certification in ”Fill in...

<Preparing Attached Certificates>1. Indicate details of the product under application for certification in ”Fill in this Column.”

Shaded areas in “Fill in this Column” do not require entry.2. Prepare yourself or have other interests prepare the certificates specified

in “Documents to be Submitted.” Submit these certificates with this document when applying for Eco Mark Product certification or use.

3. Prepare certificates referring to the examples provided.4. The issuer(s) in the ”Issued by” column must prepare “Documents to be

Submitted.

Item Documents to be Submitted Issued byPlanned Display of Eco Mark < > Yes

< > Product < > Packaging < > Catalogue/leaflet < > User manual< > Other ( )

< > No (If an Eco Mark is displayed, design drawing

must be submitted)(Select where appropriate)

ApplicantArticle 3 of Usage Regulations Display of intended location of Eco Mark, display of environmental information below mark

Design drawing to be provided (Format free, text)

Article 7 of Usage Regulations Display of Eco Mark user name and address, display of certification number

Item Fill in this ColumnDocuments to be

SubmittedIssued by

Manufacturer of product

< > Other companies < > Own company

If developed by other companies,

Applicant

Certificate 1

Eco Mark Product Category“Copier

Version2.2” 070505

Brand name: Date:(Company name)Company seal

(Select where appropriate)attach Application Consent Form (Example 1).

If a product with Eco Mark certification under the category is submitted for approval as another brand

< > Not applicable < > ApplicableAre there any changes in addition to brand name? < > Yes < > No(Select where appropriate)(If only the brand name has been changed, the following items do not have to be proved.)

A copy of notice of Eco Mark certification Documents certifying changes, if any, meets applicable criteria

Certificate 2

About application product

Copier type

Monochrome / color copier (other than large copiers) Monochrome / color copier (large copiers)

Monochrome / color multi-function printer (other than large format multifunction printers) Monochrome / color multi-function printer (large multifunction printers)

Type (Machine)Fill in following blanks for each type (machine) under application.

1.Type< > Black and white< > Color

2.Serial numbers of toner

Toner name (toner number): ( )< >Toner container changing system < >Toner cartridge changing system

Eco Mark certification number ( ) Model number of cartridge receiving

certification ( ) 3.Secondary batteries

Used /Not used




Eco Mark certification number ( ) Model number of cartridge receiving certification ( )

3.Secondary batteries

Used /Not used

Certificate 3




Eco Mark certification number ( )

Model number of cartridge receiving certification ( )


Used /Not used




Eco Mark certification number ( )

Model number of cartridge receiving certification ( )


Used /Not used




Eco Mark certification number ( ) Model number of cartridge receiving certification ( )

Certificate 4


Used /Not used




Eco Mark certification number ( ) Model number of cartridge receiving

certification ( )3.Secondary batteries

Used /Not used

*For product with toner cartridges that have Eco Mark certification, there is no need for attached certificates for 4-1.(13), (14), (16) - (24), (26), (27).

Certificate 5

Analysis and testing bodies

General rule

Analysis and testing bodies shall be run in accordance with ISO/IEC 17025(corresponding JIS Q17025: 2000). Applicants shall bear the expenses for preparing documents and for the analyses.

Special requirements, if performed at the laboratories of manufacturers

If competent authorities are monitoring the sampling and analysis process, if the analyses and tests are authorized, if the manufacturer has developed a quality system for sampling and analysis and has received the ISO 9001 (corresponding JIS Q9001: 2000) certification, or if there are internal standards conforming to ISO9001 for quality systems including sampling and analysis, and measurements are taken in accordance with these standards, the laboratory of the manufacturer is authorized to perform analysis and tests.

Tests Fill in following blanks for each testing institution.

Powder dust, ozone, volatile organic compound (VOC)

1.Name of testing body2.Address of testing body

3. Laboratory

< >Maintaining ISO/IEC17025 certification < >Operating in accordance with ISO/IEC17025 < >Maintaining RAL certification

3. If manufacturer is laboratory

< >A supervisory agency monitors sampling and analysis processes < >Has received authorization to perform analysis and testing < >Has established a quality system including sampling and analysis and is maintaining ISO9001. < >Performs measurements in accordance with a quality control system conforming to ISO9001.

Energy consumption 1.Name of testing body2.Address of testing body

Certificate 6

3.Laboratory < >Maintaining ISO/IEC17025 certification < >Operating in accordance with ISO/IEC17025 < >Maintaining RAL certification

3.If manufacturer is laboratory

< >A supervisory agency monitors sampling and analysis processes < >Has received authorization to perform analysis and testing < >Has established a quality system including sampling and analysis and is maintaining ISO9001.< >Performs measurements in accordance with a quality control system conforming to ISO9001.

Noise

1.Name of testing body2.Address of testing body

3.Laboratory < >Maintaining ISO/IEC17025 certification < >Operating in accordance with ISO/IEC17025 < >Maintaining RAL certification

3.If manufacturer is laboratory

< >A supervisory agency monitors sampling and analysis processes < >Has received authorization to perform analysis and testing < >Has established a quality system including sampling and analysis and is maintaining ISO9001. < >Performs measurements in accordance with a quality control system conforming to ISO9001.

Certificate 7

Item Outline of requirementFill in this column

Documents to be Submitted

Issued by

4-1-1(1)

Equipment shall conform to Attachment 1 “3R Design of Equipment”.

< >Yes< >No

“3R Design of Equipment”

Applicant (in charge of) or product manufacturer (in charge of)

4-1-1(2)

Plastic casing parts over 25g shall be made of one homopolymer or copolymer. Polymer blends (polymer alloy) are permitted.

< >Yes< >No

List of plastics(Form A)


4-1-1(3)

Plastic casing parts over 25g shall be made of four or fewer types of mutually separable polymers or polymer blends.

< >Yes< >No



If labels, markings, stickers, etc. are difficult to separate, they must be made of the same material as the sections to which they are pasted or made of materials that do not impede recycling

< >Yes< >No

4-1-2(4)

Plastic case components and printed circuit boards do not have polybrominated biphenyl (PBB), polybrominated diphenyl ether (PBDE) or chlorinated paraffins (in chain form with carbon number of 10 - 13 and at least 50% chlorine concentration) added as prescription constituents

< >Yes< >No

4-1-2(5)

No plastic additives or pigments containing lead, cadmium or mercury have been added as prescription constituents

< >Yes< >No

4-1-2(6)

Any one of parts weighing more than 25 g shall be reused plastic parts at the least.

< >Yes< >No

Certificate 8

One component weighing at least 25g uses recycled plastic.

Component name ( ) Component weight ( ) g Percentage of recycled plastic in the

component ( ) %

< >Yes< >No

Respond to hearing on types, etc. of recycled plastic at the request of the Eco Mark office

< >Yes< >No

4-1-2(7)

Polymer containing halogen shall not be used for frame plastic parts weighing over 25g. In addition, organohalogen compounds containing flame retardants shall not be added as prescription constituents.

< >Yes< >No



Exclusion clause b is applicable (meeting Attachment 1).

< >Yes< >No

All certificates and documentation required by Attachment 1

Applicant (in charge of)

4-1-2(8)

For flame retardants used as prescription components in casing plastic parts weighing above 25g, report the name and CAS No. of the component, or report of “ISO1043-4: 1998(corresponding JIS standard JIS6899-4: 2000)” code number

< >Yes< >No



Certificate 9

4-1-2(9)

Casing plastic parts weighing over 25g shall not contain, as prescription constituents, substances classified as hazardous in the EU,*Carcinogenic; Category 1-3*Mutagenic; Category 1-3*Toxic to reproduction; Category 1-3 in accordance to Attachment 1 of the EC Directive 67/548/EEC,and substances classified as carcinogenic, mutagenic and toxic to reproduction in TRGS905

< >Yes< > neither

use Sb2O3

< >Yes< >use Sb2O3

< >No



Exclusion clause is applicable to antimony trioxide, or meeting Attachment 1.

< >Yes< >No

All certificates and documentation required by Attachment 1


4-1-2(10)

Plastic parts shall be marked according to ISO11469 (corresponding JIS K 6999: 2004) and in compliance with ISO1043/Parts 1 to 4. (corresponding JIS K6899-1-4). (This need not apply to the parts with weight less than 25 g or flat area less than 200 mm2, or using reused plastics.)

< >Yes< >No

The list of marked plastic parts shall be submitted upon request of the Eco Mark Office.

< >Yes< >No

Marked parts list(Example 1)


4-1-3(11)

Using batteries. < >Yes< >No

Certificate 10

Containing cadmium, cadmium compounds?Containing lead, lead compounds?Containing mercury, mercury

compounds?

< >Yes/< >No

< >Yes/< >No

< >Yes/< >No

4-1-3(12)

When batteries installed in the device are out of life or repairs are being made, the battery can be changed or removed without changing the entire printed circuit board it comes with

< >Yes< >No

< >No battery

4-1-4(13)

With regard to heavy metal contained in the toner, cadmium, lead, mercury, chromium (VI) and their compounds shall not be used.

< >Yes< >No

List of applicable additives (Example 2)

Toner supplier (in charge of)

4-1-4(14)

With regard to azo colorants in the toner, those (dye or pigment) which may produce amines listed in Attachment 1 due to the reduction of one or more azo groups shall not be used.

< >Yes< >No



4-1-4(15)

Toners shall not contain the following (“a.” to “d.”) substances as prescription constituents

< >Yes< >No



Certificate 11

a: The following substances which need to be labelled as “R” in accordance with Attachment I of the EC Commission Directive 67/548/EEC,・ R40 (Limited evidence of a

carcinogenic effect)・ R45 (May cause cancer)・ R46 (May cause heritable damage)・ R49 (May cause cancer by

inhalation)・ R60 (May impair fertility)・ R61 (May cause harm to the unborn

child)・ R62 (Possible risk of impaired

fertility)・ R63 (Possible risk of unborn child)・ R68 (Possible risk of irreversible

effects) b: Substances that are classified as having carcinogenicity, mutagenicity or reproductive toxicity in TRGS905 c: Substances required to be marked by a specified hazard symbol as a whole product pursuant to Annex II in EC Directive 67/548/EEC and1999/45/EC. d: Substances required to be marked by R43 (May cause sensitization by skin contact) as a whole product pursuant to Annex III, in Directive 67/548/EEC.

4-1-4(16)

Toner shall give a negative result in the Ames test.

< >Yes< >No

Test report Testing bodies

4-1-4(17)

Products shall be equipped with the toner MSDS (Material Safety Data Sheet).

< >Yes< >No

Toner MSDSToner supplier (in charge of)

Certificate 12

4-1-5(18)

Toner cartridges and toner containers shall comply with “3R Design of Consumables.”

< >Yes< >No

“3R Design of Consumables”


4-1-5(19)

Toner cartridges and toner container plastic components do not have polybrominated biphenyl (PBB), polybrominated diphenyl ether (PBDE) or chlorinated paraffins (in chain form with carbon number of 10 - 13 and at least 50% chlorine concentration) added as prescription constituents

< >Yes< >No

4-1-5(20)

No plastic additives or pigments containing lead, cadmium or mercury have been added as prescription constituents to toner cartridge or toner container plastic components

< >Yes< >No

4-1-5(21)

Systems shall be available to collect toner cartridges and toner containers.

< >Yes< >No

Certificate indicating explanation of the collecting system of toner cartridges or toner containers


Certificate 13

4-1-5(22)

Systems shall be available to collect and material-recycle toner cartridges. Reuse/material recycling rate of collected toner cartridge parts shall be more than 50% (of the overall product weight excluding toner).

< >Yes< >No

A certificate indicating the toner cartridge material recycling system and a certificate showing the toner cartridge's total mass (exclusive of toner), component reuse / material recycling rate and reuse / material recycling applications


< > Toner cartridges not used

4-1-5(23)

The recovery rate of collected toner cartridges or toner containers shall be more than 95% (of the overall product weight excluding toner). Parts which cannot be recovered shall be processed or disposed by eco-friendly methods.

< >Yes< >No

Explanation data (processing ability, details of processing, etc.)


4-1-5(24)

The toner cartridge shall be labeled in accordance with the Guideline for Labeling Office Machines for Securing Safety.

< >Yes< >No

< > Toner cartridges not used

Certificate 14

4-1-5(25)

The product documentation shall indicate the following information on the use of toner cartridges or toner containers (“a.” to “e.”) clearly:a. Proper useb. The toner modules should not be

forced to openc. If toner dust leak out as a result of

inappropriate handling, inhalation and skin contact of dust should be avoided

d. Measures in case the toner adhere to clothing or hand, or enter eyes or mouth accidentally

e. The toner modules must be kept out of the reach of children. Measures in case children swallow the toner accidentally and treatment in this situation

< >Yes< >No

Appropriate portions of attachments to the product

4-1-5(26)

Plastic parts of toner cartridges and toner containers must be made of one monomer or copolymer.

< >Yes< >No

List of plastics (Example 3)


Difficult to remove labels, markings, and stickers shall be made of the same material as the location on which they are attached, or of a material that does not impede recycling.

< >Yes< >No

4-1-5(27)

Toner cartridges and toner containers shall be sealed to prevent leakage of toner during storage and use.

< >Yes< >No

4-1-6(28)

The emission rate of dusts during copying phase shall not exceed the prescribed value.

< >Yes< >No

Measuring method, actual result of the measurement(Example 4--1 or Example 4-2)

Applicant (in charge of) or product manufacturer (in charge of)Measuring procedure

< >RAL-UZ-122:2006, Annex 2

Certificate 15

< >RAL-UZ-62:2002, Annex 3 < >JBMS-66 (Joint-use expiration date: May 31, 2008) It is a color device, so submitting measurements from color copying as reference value

< >Yes< >No

4-1-6(29)

The emission rate of ozone during copying phase shall not exceed the prescribed value.

< >Yes< >No

Measuring method, actual result of the measurement(Example 4-1or Example 4-2)


Measuring procedure < >RAL-UZ-122:2006, Annex 2 < >RAL-UZ-62:2002, Annex 4 < >JBMS-66(Joint-use expiration date: May 31, 2008)Is a color device, so submitting measurements from color copying as reference value

< >Yes< >No

4-1-6(30)

The device's total volatile organic chemical substances (TVOC) / styrene* / benzene emission rate during copying phase and standby TVOC emission rate before the device starts copying shall not exceed the prescribed value

< >Yes< >No

Measuring method, actual result of the measurement(Example 4-1 of Example 4-2)


Measuring procedure < >RAL-UZ-122:2006, Annex 2

< >RAL-UZ-62:2002, Annex 5 < >JBMS-66(Joint-use expiration date: May 31, 2008) *Styrene measurement only

Certificate 16

Is a color device, so submitting measurements of TVOC during copying phase from color copying as reference value

< >Yes< >No

4-1-6(31)

Attached product documents shall indicate that products satisfy substance emission related criteria 4-1-5(28) to (30), with testing method and above conditions.

< >Yes< >No


4-1-6(32)

Caution to the emission of substances and information encouraging users to provide proper ventilation shall be indicated.

< >Yes< >No


4-1-7(33)

One or more recycled paper with 100% recycled pulp shall be available.

Maker ( )Brand ( )

Eco Mark certification No.( )

< >Yes< >No

Material certificate

* Not required if the paper is an Eco Mark certified product.

Paper manufacturer

4-1-8(34)

Repair subcontract systems shall be available, and repairs shall be carried out as requested by the machine users.

< >Yes< >No

The established system shall provide following information: - Repair services are available- Scope of repair (details of services), repair time, costs, how services are provided to users or contact for obtaining necessary information

< >Yes< >No


4-1-8(35)

Maintenance of equipment shall be operated only by persons who have undergone training and persons with the required technical expertise.

< >Yes< >No

4-1-8(36)

Supply of the spare parts shall be continued for five years after production of the copier stops.

< >Yes< >No

Appropriate portions of attachments to

Certificate 17

the product

4-1-9(37)

Systems for collecting used products, reusing parts, and recycling materials shall be available. Parts which cannot be recycled shall be processed/disposed by eco-friendly methods.

< >Yes< >No

Documents to describe collection system, details of reuse/recycling/recovery, capacity, details of processing


4-1-10(38)

Cadmium, lead, mercury, selenium and their compounds shall not be used as prescription constituents for photoconductor drums.

< >Yes< >No

Containing cadmium, cadmium compounds?

Containing lead, lead compounds?Containing mercury, mercury

compounds?Containing selenium, selenium

compounds?

< > Yes/< > No< > Yes/< > No< > Yes/< > No< > Yes/< > No

4-1-10(39)

Systems for collecting photoreceptors and recycling materials shall be available. Parts which cannot be recycled shall be processed/disposed by eco-friendly methods.

< >Yes< >No

Documents to describe collection system, details of reuse/recycling/recovery, capacity, details of processing


4-1-11(40)

Plastic materials used for packaging products shall not use the specific CFCs (five types), other CFCs, carbon tetrachloride, trichloroethane, and HCFC.

< >Yes< >No

Certificate 18

4-1-11(41)

Plastic materials used for packaging of products shall not be added with resins composed of halogens containing polymers and organic halogenides as prescription constituents.

< >Yes< >No

4-1-11(42)

The packaging of products shall give consideration to ease of resource conservation, reuse, and recycling.

< >Yes< >No

Documents and drawings including packaged state, packaging materials, raw material name used for packaging, and considerations


4-1-12(43)

The energy consumption of each product shall comply with the following a through c.a. Monochrome copier (other than

large copiers) ->Satisfy attachment table 5

< >Yes< >No

Copy of Energy Star report, or certificate (Example 5)


Color copier (other than large copiers)

->Satisfy attachment table 5

< >Yes< >No

b. Monochrome multi-function printer ->Satisfy attachment table 6

< >Yes< >No

Color multi-function printer ->Satisfy attachment table 7

< >Yes< >No

c. Large copier ->Satisfy attachment table 8

< >Yes< >No

Large multifunction printers ->Satisfy attachment table 8

< >Yes< >No

4-1-13

The equipment whose CPM ≤70 < >Yes< >No

Certificate 19

(44) The noise emission shall be measured in accordance with the method specified in ISO 7779 (corresponding JIS X 7779: 2001), and the declared A-weighted sound power level “Lwad” shall be determined in accordance with ISO 9296 (corresponding JIS X 7778: 2001).The declared A-weighted sound power level “Lwad” shall not exceed the determined limit value in accordance with the formula and additionally, shall remain below 7.5(B).*1: Equipments using larger paper sizes (A2 or larger), the number of sheets copied may be counted on an A4 basis.

< >Yes< >No

Declared noise emission(Example 4-1 or Example 4-2)


The equipment whose CPM ≥ 70< >Yes< >No

The noise emission shall be measured in accordance with the method specified in ISO 7779 (corresponding JIS X 7779: 2001), and the declared A-weighted sound power level “Lwad” shall be determined in accordance with ISO 9296 (corresponding JIS X 7778: 2001).The declared A-weighted sound power level “Lwad” shall be submitted.

*1 is applicable.

< >Yes< >No



The product is a BA certified item and the applicant wants to submit the results of tests required by BA.

< >Yes< >No

Certificate 20

The noise emission shall be measured in accordance with the method described in 3.5 of RAL-UZ122:2006 or 3.2.2 of RAL-UZ-62:2003, and the declared A-weighted sound power level “Lwad” shall be determined in accordance with ISO 9296 (corresponding JIS X 7778: 2001).The declared A-weighted sound power level “Lwad” shall not exceed the determined limit value in accordance with the formula and additionally, shall remain below 7.5(B).*1 is applicable.

< >Yes< >No



4-1-14(45)

< > Is a monochrome device Automatic double-side copying (so-called duplex) is offered as standard, depending on copy speed, or can be arranged as an option; 0<CPM/IPM≤24 Does not apply 25≤CPM/IPM≤44 Standard / option 45≤CPM/IPM Standard

< >Yes< >No

Energy Star report copy or Example 5


< > Is a color device Automatic double-side copying (so-called duplex) is offered as standard, depending on copy speed, or can be arranged as an option; 0 <CPM/IPM ≤ 19 Does not apply 20 ≤ CPM/IPM ≤ 39 Standard / option 40 ≤ CPM/IPM Standard

< >Yes< >No

< >Is large-format device

4-1-15(46)

Place where user's manual is produced

< > Domestic < > Overseas

Certificate 21

a. Binding method used should not impede the recycling of used paper. (However, use of hot melt adhesives, wires, etc. are permitted.)

< >Yes< >No

b. No chlorine gas is used in the pulp bleaching process of the paper used.

< >Yes< >No

c. The paper used is made of at least 70% recycled pulp

< >Yes< >No

d. The paper used is made of at least 30% recycled pulp

< >Yes< >No

< > The user's manual is not provided in paper form

4-1-15(47)

Users’ information is provided the documentation attached to the product.-Installation conditions for machinery-Recycling information of used

products-Places accepting used products-Information on collection, reuse, material recycling, resource recovery or disposal of used OPC kit/photoconductor drums, toner containers (including toner cartridges), etc.

-Information on collection, reuse, material recycling, resource recovery or disposal as the waste of secondary batteries after use.

-Information that at least one recycled paper with 100% recycled pulp can be used.

-Machines are equipped with double-side copying or are available to be upgraded later.

< >Yes< >No


Certificate 22

-Detailed product information other than product documentation (electronic media, etc.) is available.

4-1-16(48)

Specific chlorofluorocarbons (5 CFCs), other CFCs, carbon tetrachloride, trichloroethane, and HCFCs listed in the attachment 5 shall not be used in the final manufacturing stage, final supply stage of products and circuit boards, and during cleaning of parts for reuse.

< >Yes< >No

4-1-16(49)

Relevant environmental regulations and agreements for the prevention of pollutions shall not be violated for the past five years in manufacturing.

< >Yes< >No

Certificate (Example 6)

Factory manager of product assembling plant

Certificate 23

Date:Company name:Person in charge:

Seal

Marking list for plastic components of at least 25g weight and 200mm 2 in flat surface area

Brand name of the product under application:

Component designation

Plastic manufacturer*1

Product name of plastic*2 Plastic marking

Example: Sorter parts

Example: Eco Mark

Corporation

Example: ECO-123 Example: > PS FR17<

May omit spaces *1 and *2.

Certificate 24

Example 1

As in the above list, marking is done that complies with ISO11469 (unified standard JIS K6999:2004), based on consideration of ISO1043 Parts 1-4 (unified standard JIS K6899, 1-4).

Certificate 25

Example 2Date:Company name:Person in charge:

SealHazardous Substances in Toner

Brand name of the product under application:Certify hazardous substances in toner under the following table.

Category

SubstancesContaining?

Heavy metals

Cadmium, cadmium compoundsLead, lead compoundsMercury, mercury compoundschromium (VI), chromium (VI) compoundsNickel and nickel compounds (excluding complex compounds with high molecular weight and used as colorants)

Yes/No

Azo color- ant

Amines that should not be produced during the decomposition of azo group

4-aminobiphenylBenzedrine4-chloro-o-toluidine2-naphthylamineo-aminoazotoluene2-amino-4-nitrotoluenep-chloroaniline2,4-diaminoanisole4,4’-diaminodiphenylmethane3,3’-dichlorbenzidine3,3’-dimethoxybenzidine

3,3’-dimethylbenzidine4,4’-diamino-3,3’ -dimethyldiphenylmethanep-cresidine4,4’-Methylene-bis - (2-Chloroaniline)4,4’-oxydianiline4,4’-4-Aminophenyl Sulfide Bis o-toluidine2,4-diaminotoluene2,4,5-trimethylanilineo-anisidine4-amino- azo- benzen

Yes/No

Certificate 26

Other

Chemicals that are subject to marking with the following risk phrases according to Annex I of Directive 67/548/EEC: R40 (Possible risk of cancer) R45 (May cause cancer)R46 (May cause heritable generic damage) R49 (May cause cancer by inhalation)R60 (May impair fertility) R61(May cause harm to the unborn child)R62 (Possible risk of impaired fertility)R63 (Possible risk of harm to the unborn child)R68 (Possible risk of irreversible effects)

Yes/No

• Substances that are classified as having carcinogenicity, mutagenicity or reproductive toxicity in TRGS905

Yes/No

Substances required to be marked by a specified hazard symbol as an entire product, in EC Council Directive 67/548/EEC Annex II and 1999/45/EC, regulations and administrative provisions.

Yes/No

Substances required to be marked by R43 (May cause sensitization by skin contact) as an entire product pursuant to Annex III, in Directive 67/548/EEC on the approximation of the laws, regulations and administrative provisions.

Yes/No

Certificate 27

Example 3Date:Company name:Person in charge:Seal

List of Plastics (Toner Cartridges/Toner Containers)

Name of product under application:

Plastic parts of toner cartridges and toner containers used in products under application are made of a monomer or copolymer.

Parts name

Plastic manufacturer Product name of plastic

Quality of the material

(Example) Frame

(Example) Eco Mark Corporation

(Example) ECO-ABS E1000

If some label, marking or sticker is attached, fill in the following table.

No. CategoryName of material

Ease of separation

If “No” entered on left.

Source material that does not hinder recycling.

Attached component No. (in above list)

Example Label ABS ■Yes □No □Yes □No

Certificate 28

Example Sticker PPE □Yes ■No ■Yes □No

□Yes □No □Yes □No□Yes □No □Yes □No□Yes □No □Yes □No□Yes □No □Yes □No

Example 4-1Date:Company name:Person in charge:Seal

Compliance Certificate (Emission of Hazardous Substances, Noise)

Model name:

This is to verify that the above model complies with the certification standards for emission of hazardous substances from product (as based on Blue Angel (RAL-UZ-122:2006) Annex 2) and for noise.

1.Emission of hazardous materials

Standard Measured valueCompliant

?

Particles 4.0 mg/h (while copying, in black and white) mg/h

4.0 mg/h (while copying, color) mg/h *3

Ozone 1.5 mg/h (while copying, in black and white) mg/h


Styrene 1.0 mg/h (while copying, in black and white) mg/h


Benzene 0.05 mg/h (while copying, in black and white) mg/h


Certificate 29

TVOC

10 mg/h (while copying, in black and white) mg/h

18 mg/h (while copying, color) mg/h *3

1.0 mg/h (in standby, black and white)*1: Desktop device mg/h 2.0 mg/h (in standby, black and white)*2: Self-standing device mg/h

Certificate 30

2. Noise

Measuring procedure □ISO7779 □RAL-UZ62/85/114:2003□RAL-UZ122:2006

Sbw ScoMaximum for each

Sbw/Sco

LWAD

Test results (B)

Compliant?

Black and white copy (Sbw 70)

0.035Sbw+5.9 and <7.5

Color copy (parallel) (Sbw 70)

0.03Sco+6.1 *3

Color copy (serial) (Sco < 0.5*Sbw)

Black and white copy (Sbw > 70)

*3: Will be used as a reference value in only applications until May 31, 2008

Certificate 31

Example 4-2Date:Company name:Person in charge:Seal

Compliance Certificate (Emission of Hazardous Substances, Noise)

Model name:

This is to verify that the above model complies with the certification standards for emission of hazardous substances from product and for noise.

1. Emission of hazardous materials

Standard

Measured value Com- pliant

?

Color copy measured value

(reference value)

Particles 0.075 mg/m3 mg/m3 mg/m3

Ozone 0.02 mg/m3 mg/m3 mg/m3

Styrene 0.07 mg/m3 mg/m3 mg/m3

2. NoiseMeasuring procedure □ISO7779 □RAL-UZ62/85/114:2003 □RAL-UZ122:200

Sbw ScoMaximum for each

Sbw/ScoLWAD

test results (B)Compliant

?

Black and white copy (Sbw 70)

≦ 0.035Sbw+5.9 and <7.5

Color copy (parallel) (Sco

70)≦ 0.03Sco+6.1

Color copy (serial) (Sco < 0.5＊Sbw)

Certificate 32

Black and white copy (Sbw > 70)

Note: This certificate is treated as effective only for applications through May 31, 2008.

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Filled-in example 5 Date:Name of business:SealName of person in charge:

Compliance Certificate (Energy Consumption)

This certifies that the model complies with certification standards for energy consumption as follows.

1. DestinationCircle the country or region. If "Other" is chosen, add country/region name and testing voltage and frequency. Japan • North America • Taiwan • Europe • Australia • New Zealand

Other ( / V, Hz)

2. Product name, etc. ●For product form and color function, circle where applicable

Product model Product form Color functionCopier

Multifunction printer

StandardLarge

ColorMonochrome

●Enter the following basic informationBrand name Model (number or name)Series name No. of

compliant models

Product speed (imp) Note) Series certification: For series certification, enter the model in the series

with the greatest energy consumption (volume) as the series is composed at the time of shipping, and in the above series space enter the "Series name" and "No. of compliant models." Additionally, in 4. enter all models (number or name) in the series being certified.

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Note) Product speed: Enter integers (i.e. round off)●Put a mark by products sold together with copiers and multi-function printers and circle the applicable content

□ External power source device

Complies • Conforms

□ External digital front end Complies • Conforms□ Cordless phone Complies • Conforms

Note) Complies: Means that the product has satisfied Energy Star standards (external power source devices, computer standards, telephone product standards) and has been reported

Conforms: Means that the product has not been reported, but when measured with the procedures prescribed by Energy Star, it satisfies Energy Star standards.

Note) Digital front end only applies to those devices that satisfy the characteristics described in 4. Definitions of Terms in Attached Table 1-6 of the Energy Star standard for multi-function printers.

●For standard-form copiers and for standard-form multi-function printers measured by standard energy consumption (TEC) procedures, circle the applicable number for the automatic double-sided printing function. 1) Standard equipment at time of purchase2) Standard equipment or optional accessory at time of purchase 3) None

●For multi-function printers that are network-ready as composed at time of shipment, enter the networking form used for connection at time of measurement (e.g. Ethernet, 802.11, Bluetooth).

Networking form

3. Energy consumption (volume), etc.Based on the measuring procedure used, choose either (1) or (2) below and enter the measurement results.

(1) Standard energy consumption (TEC) procedure In the Standard space, enter the TEC standard for the destination that is circled in 1. Even if the first unit's measurement results satisfy the compliance standard, if that value falls within 10% of the standard, measure another unit and enter the measurement results for each.

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Destination Standard (kWh)

Data 1 (kWh) Data 2 (kWh)

JapanNorth America • TaiwanEurope • Australia • New ZealandOther ( )

Note) In the case of multi-function printers, enter the number found by subtracting the digital front end energy consumption which depends on electric power for the multi-function printer from the measurement value based on the TEC procedure.

(2) Operating mode (OM) procedureSleep mode requirementsIn the Standard space, enter the standard for the printing engine, the total tolerance for additional functions, and the sleep mode standard, which is the total of these numbers. Even if the first unit's measurement results satisfy the compliance standard, if that value falls within 15% of the standard, measure another two units and enter the measurement results for each.

Destination Standard (W) Data 1(W)

Data 2(W)

Data 3(W)

Japan Sleep mode standard: W(Printing engine: W) (Total tolerance: W)

North AmericaEurope • Australia • NZOther ( ) Note) In the case of multi-function printers, enter the number found by subtracting

the digital front end energy consumption which depends on electric power for the multi-function printer from the measurement value based on the OM procedure.

Note) If there are multiple sleep modes, add an appropriate space to the above table and enter measurement values for each sleep stage

Note) If the product satisfies the sleep mode requirements while in ready mode, state this in 4.

●Breakdown of tolerances for additional functionsFollowing the definition of No. 1 additional functions and No. 2 additional

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functions and procedures for applying them as described in Attached Table 1-6 of the Energy Star standard for multi-function printers and Attached Table 1-4, part 2.(2)① of the Energy Star standard for copiers, enter the number of applications of tolerance provided to the applicable additional function. For 12) and 13), however, enter the numbers calculated following the above Attached Table 6 respectively.

Class of additional function No. 1 No. 2Tolerance No. of

applicationsToleranc

eNo. of

applications

1) Wired interface < 20 MHz 0.3W × 0.2W × 2) Wired interface 20 MHz and < 500 MHz 0.5W × 0.2W × 3) Wired interface 500 MHZ 1.5W × 0.5W × 4) Wireless interface 3.0W × 0.7W × 5) Wired card/camera/memory device interface

0.5W × 0.1W ×

6) Infrared interface 0.2W × 0.2W × 7) Memory device (storage) ― 0.2W × 8) Scanner with CCFL lamp ― 2.0W × 9) Scanner with other than CCFL lamp ― 0.5W × 10) PC-based system ― -0.5W × 11) Cordless telephone ― 0.8W × 12) Memory ― W13) Power supply output rating ― W

Total tolerance WNote) Up to three No. 1 additional functions may be applied in total. Any No. 1

additional functions after the first three are recognized as No. 2 additional functions.

●Initial setting transition timeEnter the maximum initial setting transition time that can be set for the model being certified and the transition time initially set for that model.

Maximum initial setting transition time (minutes)

Initial setting transition time (minutes)

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Standby requirementsIn the case of multi-function printers, in the Standard space, enter the standby energy consumption standard (if no standards apply, enter "None").Even if the first unit's measurement results satisfy the compliance standard, if that value falls within 15% of the standard, measure another two units and enter the measurement results for each. Destination Standard

(W)Data 1 (W)

Data 2 (W)

Data 3 (W)

JapanNorth America • TaiwanEurope • Australia • New ZealandOther ( ) Note) If the product satisfies the standby requirements while in ready mode or sleep mode, state this in 4.

4. Other (specifications and precision of the measuring device, names of all models subject to series certification, etc.)

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Example 6Date:Company name: SealIssuer name:Managerial position of issuer:(Must be factory manager)

Compliance Certificate

Brand name of the product under application:

This is to certify that the vendor/manufacturer observes the following requirements in the manufacturing of the product under application for Eco Mark certification.

1. The production process has been conforming to relevant environmental laws and regulations and agreements on pollution control for preventing air pollution, water contamination, noise, vibration, odor, and emission of hazardous materials in the past X years (*) since application.

Example of relevant regulations:Air Pollution Control lawWater Pollution Control lawNoise Regulation LawVibration Regulation LawOffensive Odor Control LawXX Prefecture XX Environment Protection OrdinanceXX City Agreement on Pollution Control

(*) Otherwise, provide a statement indicating no laws and agreements have been violated since the establishment of the company.

If the issuer is other than the plant manager, indicate the issuer is a person who also holds the post of plant manager or who is in an executive position equivalent to plant manager.

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The plant shall specify the applicable laws and agreements.

Ordinances or agreements shall be specified if any is effective in the localcommunity in which the plant is located.

*Taking effect on the date of issuance within three months of Eco Mark application.

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Date post:	08-Dec-2020
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