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<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.Shaded items in “Documents to be Submitted” do not require entry.
3. Prepare certificates referring to the examples provided.4. The issuer(s) in the “Issued by” column must confirm “Documents to be
Submitted.”
Item Fill in this Column Issued byPlanned Display of Eco Mark Select where appropriate.
< > Yes < > Product < > Packaging
< > Catalogue/leaflet < > User manual< > Others ( )
< > No (If an Eco Mark is displayed, design drawing must be submitted.)
ApplicantArticle 3 of Usage Regulations Display of intended location of Eco Mark, display of environmental information below mark Design drawing of Eco Mark (or copy) to be
provided (Format free, text)Article 7 of Usage Regulations Display of Eco Mark user name and address, display of certification number
1
Eco Mark Product
Category No.134
Version1.0Brand name: Date:
(Company name)
Item Fill in this Column Documents to beSubmitted Issued by
Manufacturer of product
Select where appropriate< > Other companies / < > Own
company
If developed by other companies, attach Application Consent Form (Example 1).
Applicant
If a product with Eco Mark certification under the category is submitted for approval as another brand
Select where appropriateAre there any changes in addition to brand name? < > Yes/< > No
(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 review resultsProduct category match table between the existing eco product and one under applicationDocuments certifying changes, if any, meet applicable criteria
Subject
Select where appropriate< > Watch /< > Clock (Finished product)
Catalogues, etc. (or copy)
Select where appropriateEnergy source of product< > Natural energy /< > Primary battery
In case of using natural energy< > Solar light generation< > Body temperature generation< > Auto- and hand-wound generation< > Auto- and hand-wound spring
running< > Others ( )
Certificate 2
4-1. Environmental Criteria4-1-1. <Common criteria> (must fill in)
Item Fill in this Column Documents to beSubmitted Issued by
4-1-1.(1) Environmental laws and regulations
Certificate(Example 2)
Finished product plant manager
4-1-1.(1) Use of Class 1 Substances of PRTR over the amount of standard
Select where appropriate Use of Class 1 Substances in plant
< >Used / < >Not UsedUse of Class 1 Substances of law over the amount of standard< >Used / < >Not Used
Application of PRTR to plant< >Applied / < >Not Applied
If all of the above are “Used” or “Applied”, documents provided in the right column should be submitted.
Certificate (Example 3)
Finished product plant manager
4-1-1.(2) Solvent Certificate (Example 4)
Finished product plant manager
4-1-1.(3) Product, battery and capacitor
Certificate (Example 5)
Applicant or manufacturer
Certificate 3
Item Fill in this Column Documents to beSubmitted Issued by
4-1-1.(4) 25g or more plastic materials
Select where appropriate Use of 25g or more plastic materials
< >Used / < >Not used
Printing board is excluded. If the above is “Used”, documents provided in the right column should be submitted.
Certificate (Example 6)
Applicant or manufacturer
4-1-1.(5) Repair Certificate, etc. (Copies of instruction manuals, etc. can be attached)
Applicants, etc.
4-1-1.(6) Inspection and entrusted system for repair works
Certificate, etc. (Copies of instruction manuals, etc. can be attached)
Applicants, etc.
Certificate 4
4-1-2. <Criteria for energy source> (must fill in)
Item Fill in this Column Documents to beSubmitted Issued by
4-1-2.(7) Maintenance life of main parts for running system
Select where appropriateA. This product uses natural energy as energy source.
< > Yes/< > NoIf “Yes”, documents provided in the right column should be submitted.
Certificate, etc.(Example 7)
Applicant or finished product plant manager
4-1-2.(8) Battery life
Select where appropriateB. This product uses a primary battery as energy resource.
< > Yes/< > No
If “Yes”, documents provided in the right column should be submitted.
Certificate, etc.(Example 7)
Applicant or finished product plant manager
Certificate 5
4-1-3. <Criteria for packaging material>
Item Fill in this Column Documents to beSubmitted Issued by
4-1-3.(9) CFCs
Select where appropriate Use of packaging material
< > Used /< > Not used
If “Used,” documents provided in the right column should be submitted.
Certificate (Example 8)
Applicant or finished product plant manager
4-1-3.(10) Packaging material made from plastic
Select where appropriate Use of packaging material made from plastic
< > Used /< > Not used
If “Used,” fill in the below column.
Packaging material:
Condition of packaging:
Select where appropriate Addition of polymers that contain halogen and organic halogenides as prescribed constituents
< > Added /< > Not added
Certificate 6
4-2. <Quality criteria> (must fill in)
Item Fill in this Column Documents to beSubmitted Issued by
4-2.(11) Product quality
Select where appropriate < > Watch /< > Clock
If “Watch”, documents provided in the right column should be submitted.
Certificate (Example 9) Applicant, etc.
4-2. (12) Product quality
Select where appropriateUse of secondary battery
< > Used /< > Not used
If “Used,” documents provided in the right column should be submitted.
Certificate (Example 9), etc. Applicant, etc.
Use of capacitor< > Used /< > Not used
If “Used,” documents provided in the right column should be submitted.
< >Winding structure of spring running system*< > Other than aboveIn case of “*”, documents provided in the right column should be submitted.
4-2. (13) Guarantee for running system
Select where appropriate Product that uses natural energy
< > Charge system*< > Spring running system*< > Others
In case of “*”, documents provided in the right column should be submitted.
Certificates, etc. to explain the compatibility of the product to quality items (Example 10)
Applicants, etc.
4-2.(14) Product precision
Select where appropriate< > Crystal clock or watch/ < > Machine clock or watch
Certificate (Example 11) Applicant, etc.
Certificate 7
Example 1-134 Date
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
*Issuer: Applicant
Approval of Eco Mark Use Application
This is to consent to the application for Eco Mark certification and use of XXX (your company name) (Eco Mark certified) brand name XXXX (certification no. XX) by XXX (applicant) as brand name XXXX.
Certificate 8
Issuer of certificate
Date of issue of this certificate
Address to send this
Example 2-134 Date
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
* Issuer: Finished Product Plant Manager
Environmental Laws and Agreements Compliance Certificate
This is to certify that (the finished product manufacturer) has been observing the following requirements in the manufacturing of the (product under application for Eco Mark certification).
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 five 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 . The certificate is effective, if the date of issue is within about three months before/after application for Eco Mark certification .
Certificate 9
The plant shall specify the applicable laws and agreements.
Ordinances or agreements shall be specified if any is effective in the local community in which the plant is located.
Issuer of certificate
Date of issue of this certificate
Example 3-134 Date
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
* Issuer: Finished Product Plant Manager
Report on the Amount of Release and M o vement of Chemical Substances Based on PRTR Law
This is the report on the amount of release and movement of the following substances listed as Class 1 Substances specified by the “Release to the Environment of Specific Chemical Substances and Promoting Improvements in their Management (PRTR Law)”, since excess amount of standard for the following substances are used.
Table Unit: t/year
Ordinance No.
(Substance No.)
CAS No. Substance Release
into airRelease
into public water area
Release into soil
Total amount
of release
Total amount of movement
Total
Example 4-134 Date
Certificate 10
Issuer of certificate
Date of issue of this certificate
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
Issuer: Finished Product Plant Manager
Certificate for Compatibility
This is to certify that specific chlorofluocarbon (five CFCs), other CFCs, carbon tetrachloride, and trichloroethane are not used for solvent during manufacturing, also no emission of hydrochlorofluocarbon (HCFC).
Brand name of the product: XXXXBasic movement: XXXX (ex. Crystal solar movement/ Spring-running movement)
Specific chlorofluoro-
carbon(Five CFCs)
Trichlorofluoromethane Hydrochloro-fluorocarbon
(HCFC)
ChlorotrifluoroethaneDichlorodifluoromethane DichlorofluoroethaneTrichlorotrifluoroethane ChlorodifluoroethaneDichlorotetrafluoroethane ChlorofluoroethaneChloropentafluoroethane Hexachlorofluoropropane
Other CFCs Chlorotrifluoromethane PentachlorodifluoropropanePentachlorofluoroethane TetrachlorotrifluoropropaneTetrachlorodifluoroethane TrichlorotetrafluoropropaneHeptachlorofluoropropane DichloropentafluoropropaneHexachlorodifluoropropane ChlorohexafluoropropanePentachlorotrifluoropropane PentachlorofluoropropaneTetrachlorotetrafluoropropane TetrachlorodifluoropropaneTrichloropentafluoropropane TrichlorotrofluoropropaneDichlohexafluoropropane DichlorotetrafluoropropaneChloroheptafluoropropane ChloropentafluoropropaneCarbon tetrachloride Tetrachlorofluoropropane1,1,1-trichloroethane Trichlorodifluoropropane
Hydrochloro-fluorocarbon
(HCFC)
Dichlorofluoromethane DichlorotrifluoropropaneChlorodifluoromethane ChlorotetrafluoropropaneChlorofluoromethane TrichlorofluoropropaneTetrachlorofluoroethane DichlorodifluoropropaneTrichlorodifluoroethane ChlorotrifluoropropaneDichlorotrifluoroethane DichlorofluoropropaneChlorotetrafluoroethane ChlorodifluoropropaneTrichlorofluoroethane ChlorofluoropropaneDiclorodifluoroetahne
Date
Director
Certificate 11
Issuer of certificate
Date of issue of this certificate
Date of issue of this certificate
Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
*Issuer: Applicant or manufacturerCertificate of Chemical Substances
This is to certify that the product (including battery and capacitor) does not contain the following chemical substances as prescribed constituents.
Brand name of the product: XXXXBasic movement: XXXX (ex. Crystal solar movement/ Spring-running movement)
Name of chemical substance
Mercury and its compound
Cadmium and its compound
Lead and its compound
Hexavalent chromium and its compound
PBB
PBDE
Chlorinated paraffin (The number of chain carbon is 10 to 13, and the concentration of contained chlorine is 50% or more.)
* The parts conform to the following directives are exempted from this certificate: Annex of 2002/95/EC “Article 4 (1) Application of lead, mercury,cadmium and hexavalent chromium, which are exempted from the requirerements” of the “Restriction on Hazardous Substances in Electrical and Electronic Equipment (RoHS Directive)” by EU; and “Council Directive 91/157/EEC on batteries and accumulators containing
certain dangerous substances”.
Certificate 12
Issuer of certificate
Address to send this
Example 6-134 Date
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
*Issuer: Applicant or manufacturer
Plastic Material Certificate The following table shows the plastic materials which are 25g and more. This is to certify that polymers that contain halogens are not used for the plastic materials, and organic halogenides are not added to the plastic materials as prescribed constituents.
Brand name of the product: XXXXBasic movement: XXXX (ex. Crystal solar movement/ Spring-running movement)
Name of part
* Print boards are exempted.
Certificate 13
Issuer of certificate
Date of issue of this certificate
Address to send this
Example 7 Date
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
* Issuer: Applicant or finished Product Plant Manager
Energy Source Certificate □ The product which employs natural energy as energy source
This is to certify that for the following product which employs natural energy as energy source, the maintenance life of main parts of running system is ensured for 7 years in normal use.
□ The product which employs primary battery as energy source
This is to certify that the following product which employs primary battery as energy source, the battery life (< >watch / < >clock) is 7 years and longer for watch, and 5 years and longer for clock.
The evaluation of battery life is according to the JIS B 7026: “Watches
and clocks ‒Indication of battery life”.
Brand name of the product: XXXXBasic movement: XXXX (ex. Crystal solar movement/ Spring-running movement)
Certificate 14
Issuer of certificate
Date of issue of this certificate
Address to send this
Example 8-134 Date
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
*Issuer: Applicant or finished Product Plant Manager
Certificate for Compatibility
This is to certify that specific chlorofluorocarbon (five CFCs), other CFCs, carbon tetrachloride, and trichloroethane are not used for solvent during manufacturing, also no emission of hydrochlorofluorocarbon (HCFC).
Brand name of the product: XXXXBasic movement: XXXX (ex. Crystal solar movement/ Spring-running movement)
Specific chlorofluoro-
carbon(Five CFCs)
Trichlorofluoromethane Hydrochloro-fluorocarbon
(HCFC)
ChlorotrifluoroethaneDichlorodifluoromethane DichlorofluoroethaneTrichlorotrifluoroethane ChlorodifluoroethaneDichlorotetrafluoroethane ChlorofluoroethaneChloropentafluoroethane Hexachlorofluoropropane
Other CFCs Chlorotrifluoromethane PentachlorodifluoropropanePentachlorofluoroethane TetrachlorotrifluoropropaneTetrachlorodifluoroethane TrichlorotetrafluoropropaneHeptachlorofluoropropane DichloropentafluoropropaneHexachlorodifluoropropane ChlorohexafluoropropanePentachlorotrifluoropropane PentachlorofluoropropaneTetrachlorotetrafluoropropane TetrachlorodifluoropropaneTrichloropentafluoropropane TrichlorotrofluoropropaneDichlohexafluoropropane DichlorotetrafluoropropaneChloroheptafluoropropane ChloropentafluoropropaneCarbon tetrachloride Tetrachlorofluoropropane1,1,1-trichloroethane Trichlorodifluoropropane
Hydrochloro-fluorocarbon
(HCFC)
Dichlorofluoromethane DichlorotrifluoropropaneChlorodifluoromethane ChlorotetrafluoropropaneChlorofluoromethane TrichlorofluoropropaneTetrachlorofluoroethane DichlorodifluoropropaneTrichlorodifluoroethane ChlorotrifluoropropaneDichlorotrifluoroethane DichlorofluoropropaneChlorotetrafluoroethane ChlorodifluoropropaneTrichlorofluoroethane ChlorofluoropropaneDiclorodifluoroetahne
Certificate 15
Issuer of certificate
Date of issue of this certificate
Address to send this
Example 9-134 Date
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
*Issuer: Applicant or manufacturer
Quality Certificate □ Water resistibility of watch
This is to certify that this product conforms to the JIS B 7021 “Classification and water resistibility of water resistant watches for general use”.
□ The product which uses secondary battery or capacitor
This is to certify that the structure of this product which uses secondary battery or capacitor is as follows; overcharge proof function is installed, and it does not move if a primary battery is installed.
□ The product which uses spring running system
This is to certify that the structure of this product which uses spring running system is as follows; over-winding proof function is installed in the winding structure of spring running system.
Brand name of the product: XXXXBasic movement: XXXX (ex. Crystal solar movement/ Spring-running movement)
Certificate 16
Issuer of certificate
Date of issue of this certificate
Address to send this
Example 10-134 Date
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
*Issuer: Applicant or manufacturer
Certificate of Guarantees for Running
□ Product which uses charge system For the product which uses charge system, among the products which
employs natural energy as energy source, this is to certify that this product with full-charge condition will normally moves even if it leaves in the place in where the running system does not work for a week.
□ Product which uses spring running system
For the product which uses spring running system, among the products which employs natural energy as energy source, this is to certify that this product with full-winding condition will normally moves even if it leaves without operating the winding system for 36 hours.
Brand name of the product: XXXXBasic movement: XXXX (ex. Crystal solar movement/ Spring-running movement)
Certificate 17
Issuer of certificate
Date of issue of this certificate
Address to send this
Example 11-134 Date
Director Eco Mark Office Japan Environment Association
XXXXX XXXXXCompany name Seal
* Issuer: Applicant or manufacturer
Certificate for Product Precision
This is to certify that the product precision is as follows.
Brand name of the product: XXXXBasic movement: XXXX (ex. Crystal solar movement/ Spring-running movement)
Product precision Test method Indication of product precision
Crystal clock or watch □JIS B7025 Within ± xx seconds error per month
Machine clock or watch
□JIS B7001-6 Within ± xx seconds error per day
Certificate 18
Issuer of certificate
Date of issue of this certificate
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