· web view(if an eco mark is displayed, design drawing must be submitted) (select where...

102V2 Attached Certificate

Eco Mark Product Category No.102 “Printing Ink Version2” 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. 102 “Printing

Ink Version2”.

Date:

Brand name

Applicant(company)

(company seal)

<How to Prepare 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 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)

Applicant

Article 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)* Submit a planned Eco Mark indication (including an

indication below the mark) diagram and planned

indication part.

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* When Eco Mark indicated, in principle, both an Eco

Mark certification number and utilization contractor

name shall be indicated.

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

ItemFill in this Column

(check all items that apply)Documents to be

SubmittedIssued by

Developer of product

< > Other companies < > Own company

*If developed by other companies, attach a certificate in “Document to be

submitted”

Form 102-1Approver of application

If a product with Eco Mark certification under this product category is to be applied as another brand name.

Are 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 examination resultsDocuments certifying corresponding to the existing certified product.

Applicant

Fill in this Column

*check the appropriate choice

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Category of the applying printing ink

A. Offset lithographic ink< > Offset lithographic ink

(< >Offset rotary ink/< >sheet-fed ink)< > News ink

B. Gravure ink < > Oil-based< > Water-based

C. Resin typographic ink < > Oil-based< > Water-based

D. Other types of ink< > UV-curable ink< > Gold ink (< > Offset rotary ink/< > sheet-fed ink)< > Silver ink (< > Offset rotary ink/< > sheet-fed ink)

Use of the applying printing ink

< > For film / < > other than film(Main use: )

Required certification documents to meet “4. Certification Criteria and Certification Procedures”4-1. Environmental Common Criteria and Certification Procedures

Applicable criteria

Fill in this column*Please check the appropriate items.

Documents to be submitted

Issued by

4-1.(1)chemical substances

MSDSprinting ink

manufacturer

4-1.(2)Self-imposed Controls on Printing Ink

Form102-2A～Dprinting ink

manufacturer

4-1.(3)energy used at the manufacturing stage

Compared data Description of calculating

method or test method

printing ink manufacturerenergy used in the

manufacturing of the conventional printing ink

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energy used in the manufacturing of the applying printing ink

4-1.(4)Environmental laws and regulations

Form102-3

plant manager of

finished product

4-1.(5)Provision of information on the appropriate handling of printing ink

MSDS required

printing ink manufacturer

instruction manual

either

product label

product pamphlet

4-1.(6)Resin containing halogen elements

< > used / < > not used

4-1.(7)quality of drying

Compared data（in any unit）

Description of calculating

method or test method


the quality of drying of the conventional printing inkthe quality of drying of the applying printing ink< > The product applies to the ink which is

not dried by heating during printing out of offset lithographic ink or news ink.

* If this item is checked, items above and right are not required.

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A. Offset lithographic ink and news ink

ItemFill in this column

*Please check the appropriate items.

Product classification

< >Offset lithographic ink (< > Offset rotary ink/< > sheet-fed ink)< >News ink

4-2. Individual Environmental Criteria and Certification Procedure

Applicable criteria



Issued by

4-1.(8)aromatic components in the total volume

Form102-2Aprinting ink

manufacturer

Test result, etc. solvent

supplier, etc.

4-1.(9) Use of vegetable oil or recycled materialamount of petroleum solvent, Amount of VOC components


manufacturer

*For Sheet-fed ink and news ink, submit the certificate on the right column

Test result of VOC amount

printing ink manufacturer, a third party

testing organization,

etc.

※ if recycled material is used, submit the certificate on the right column

raw material certificate

Raw material supplier

4-1.(10)the environmental load in de-inking

< > same as the conventional printing ink / < > greater than the conventional

printing ink

Test result

the plant manufacturin

g recycled paper or by

industrial test centers

4-3. Criteria on Quality and Certification Procedures

Applicable criteria



Issued by

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4-3.(21)Quality control is adequately implemented

Form102-4


(plant manager)

Description of quality control

standard (measuring

method prescribed in JIS,

result, etc.)


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B. Gravure ink

itemFill in this column

*Please check the appropriate items.Product classification

< > Oil-based< > Water-based


Applicable criteria



Issued by

4-1.(11)amount of aromatic organic solvent

Form102-2Bprinting ink

manufacturer

MSDS or

test results, etc.


, etc.

4-1.(12) Amount of VOC components

< > The applying product is solvent-based gravure ink for film

< > Other than solvent-based gravure ink for film.

※ For other than solvent-based gravure ink for film, submit the documents on the right.


manufacturer

VOCTest result of

Amount of VOC components



etcinstruction manual,

product labels, or pamphlets

explaining VOC components

designed value at printing


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4-1.(13)Addition of toluene and xylene.

< > The applying product is solvent-based gravure ink for film

< > Other than solvent-based gravure ink for film.

※ For solvent-based gravure ink for film, submit the documents on the right.


manufacturer


Applicable criteria



Issued by


Form102-4


(plant manager)


standard (measuring

method prescribed in

JIS, result, etc.)


C. Resin typographic ink


*Please check the appropriate items.Product classification

< > Oil-based< > Water-based


Applicable criteria



Issued by

4-1.(14)amount of

Form102-2B printing ink manufacturer

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aromatic organic solvent

MSDS or

test results, etc.


, etc.

4-1.(15) Amount of VOC components

< >The applying product is resin typographic ink for film

< >Other than resin typographic ink for film

* For resin typographic ink for film, submit the documents on the right

Form102-2Cprinting ink

manufacturer

Test result of Amount of VOC

components


third party testing

organization, etc

instruction manual,

product labels, or pamphlets

explaining VOC components

designed value at printing


4-1.(16)Addition of toluene and xylene.

< > The applying product is solvent-based resin typographic ink

< > Other than solvent-based resin typographic ink

* For solvent-based resin typographic ink, the documents on the right shall be submitted.

Form102-2Cprinting ink

manufacturer

4-1.(17)the environmental load in de-inking

[target]< > The applying product is resin

typographic ink for paper< > Other than resin typographic ink for

paper

* For resin typographic ink for paper, check the below and submit the documents on the right

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< > same as the conventional printing ink / < > greater than the conventional

printing ink

Test result





Applicable criteria



Issued by


Form102-4


(plant manager)


standard 品(measuring

method prescribed in JIS,

result, etc.)


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D. Other Inks


*Please check the appropriate items.

Product classification

< >UV-curing paper printing ink < >Gold ink (< > Offset rotary ink/< > sheet-fed ink)< >Silver ink (< > Offset rotary ink/< > sheet-fed ink)


Applicable criteria



Issued by

4-1.(18)Aromatic components in the total volume Amount of VOC components

< > The applying product is UV-curing paper printing ink

< > Other than UV-curing paper printing ink

* For UV-curing paper printing ink, submit the documents on the right.

Form102-2Dprinting ink

manufacturer




etc4-1.(19)Aromatic components in the total volumeAmount of petroleum solvent, Amount of VOC component

< > The applying product is gold ink or silver ink.

< > Other than old ink or silver ink. * Other than old ink or silver ink, no

certificate is required.


manufacturer

Test result certificate

Solvent supplier, etc.

* For sheet-fed ink, submit the documents on the right.




etc4-1.(20)the environmental load in de-inking

< > same as the conventional oil printing ink < > greater than the conventional

printing ink

Test result the plant manufacturin



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< >Coated film curing/drying conditions of UV-cured paper printing ink differ from “Standard Test Method of Recycling-Adaptive “

< > The product was tested in accordance with coated film curing/drying conditions of UV-cured paper printing ink in “Standard Test Method of Recycling-Adaptive”

*If differs, submit the document on the right.

Description of Setting

condition





Applicable criteria



Issued by


Form102-4


(plant manager)


standard (measuring

method prescribed in

JIS, result, etc.)


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Form 1To: Japan Environment Association, Eco Mark Office

Approval of Eco Mark Application

Date of issue:

XXXXX XXXXXCompany name (company

seal）

*Issuer: Manufacturer of the product (Approver of application)

We hereby approve that (the applicant company) files an application for Eco Mark product certification and use under the brand name “______________” with respect to the product which has been Eco Mark certified under our brand name “____________” with certification number (only if already certified).

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To Eco Mark OfficeDate of issue:

XXXXX XXXXXCompany name （ company

seal）* Issuer : Ink manufacturer

Printing Ink Blend Certificate

Product brand name

Type of Printing Ink

A. Offset lithographic ink and news ink< > Offset lithographic ink

(< >Offset rotary ink/< >sheet-fed ink)< > News ink

D. Other types of ink< > Gold ink (< > Offset rotary ink/< > sheet-fed ink)< > Silver ink (< > Offset rotary ink/< > sheet-fed ink)

Manufacturing plant

Plant name:Plant manager:Address:Eco Mark product control manager in the above plant

Title:　　　　　　　　　 Name:　　　　　　　　　 TEL: FAX:　　　　　　　　　 E-mail address:　　　　　　　　　　　　　　　　　

Substances restricted by “Self-imposed Controls on Printing Ink (Negative List

Control)”< > Not added as prescription constituents / < > Added

aromatic components in the solvent by volume

　　　　 vol% (max) *Attach a certificate of test result, etc.

Use of vegetable oil or recycled material (waste

edible oil, etc)

< > vegetable oil used / < > recycled material usedPlease specify if used; ( )

Amount of petroleum solvent in the printing ink

　　　　 % (min.) - % (max.)* Please attach MSDS

Amount of VOC components in the printing

ink (only for sheet-fed ink and news

ink) 　 % (max.)

*Attach a certificate of test result, etc.

Control and confirmation procedure of mixing amount

in the plant

Check appropriate items and attach the required documents.< > control and confirm the mixing amount of each color with

a formulation order or work instruction, etc. Name of recorded document: ( )

e.g. formulation orderController of the documents ( ) e.g. manager of a development section

*The latest samples of the said order or a format shall be submitted.

< > control in other ways. Please attach documents showing concrete way of control.

* Please specify the concrete value.14/21

Form 102-2A A. Offset lithographic ink and news inkD. Other inks (Silver/Gold ink)


* Please check appropriate options.

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Printing Ink Blend Certificate Product brand nameType of Printing Ink B. Gravure ink

< > Oil-based / < > Water-based

Manufacturing plant


Title:　　　　　　　　　 Name:　　　　　　　　　 TEL: TEL: E-mail address:　　　　　　　　　　　　　　　　　

Substances restricted by “Self-imposed Controls

on Printing Ink (Negative List Control)”

< > Not added as prescription constituents / < > Added

amount of aromatic organic solvent in printing ink

　　 % (max.)*Attach MSDS (a list and amount of solvent used) or a

certificate of test result.

Amount of VOC components in printing ink 　　　 % (max.)

*Attach a certificate of test result, etc.

Amount of VOC components at printing process(designed value)

　 % (designed max. value)* a indicated portion of instruction manual, product label, or

pamphlet < > this item is not applied as the product is solvent-

based gravure ink for filmAddition of toluene and xylene

(check if solvent-based gravure ink is used)


Control and confirmation procedure of mixing amount in the plant






* Please specify the concrete value.* Please check appropriate options.

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Form102-2B　B. Gravure ink





Printing Ink Blend Certificate Product brand nameType of Printing Ink C. Resin typographic ink

< > Oil-based / < > Water-based

Manufacturing plant






Amount of aromatic organic solvent in printing ink

　 % (max.)*Attach MSDS (a list and amount of solvent used) or a

certificate of test result.Amount of VOC components in printing ink

% (max.)*Attach a certificate of test result, etc.

Amount of VOC components at printing process(designed value)

　　　　 % (designed max. value)* a indicated portion of instruction manual, product label, or

pamphlet< > this item is not applied as the product is Resin

typographic ink for filmAddition of toluene and xylene

(check if resin typographic ink is used).)









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Form102-2C　C. Resin typographic ink





Printing Ink Blend Certificate Product brand nameType of Printing Ink D. Other Inks

< > UV-curing paper printing ink

Manufacturing plant






Amount of aromatic organic solvent in printing ink

　 % (max.)*Attach MSDS (a list and amount of solvent used) or a

certificate of test result.Amount of VOC components in printing ink

% (max.)*Attach a certificate of test result, etc.








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Form102-2D　D. Other inks (UV-curing paper printing ink)

102V2 Attached CertificateForm 102-3　To : Japan Environment Association, Eco Mark Office

Environmental Laws and Agreements Compliance Certificate

Date of issue: ,(Company name)(Plant name)(Name of the responsible person) title Name

seal (company seal or

representative signature for overseas

companies)Plant address: TEL　　:

* Enter the manager (or the corresponding responsible person) of the plant manufacturing the finished goods in the Name of the responsible person column. * Effective issuing date of this Certificate shall be within three months from the date of application to Eco Mark.

We hereby certify that the following requirements are met:1. We hereby certify that in manufacturing the applied product, we comply with related

environmental laws and regulations and pollution control agreement (hereinafter referred to as the “Environmental Laws, etc.”) with respect to air pollution, water contamination, noise, offensive odor, and emission of hazardous substances.(Please check the relevant boxes as follows to submit the Certificate. It is also acceptable to submit an attached list.)

Name of the Environmental Laws, etc. related to the plant Remarks □ Air Pollution Control Law□ Water Pollution Control Law□ Noise Regulation Law□ Vibration Regulation Law□ Offensive Odor Control Law□ Other: * In the “Other” column, enter the name of law applied to the plant, and if there are regulations or agreements of the area where the plant is located, also enter the names of such regulations and agreements (e.g., xx Prefecture xx Environmental Conservation Regulation, xx City Pollution Prevention Agreement).

2. We hereby certify that the state of compliance with the Environmental Laws, etc. prior to the date of issue of this Certificate is as follows:(Please check the relevant boxes to submit the Certificate. V iolation refers to administrative punishment or administrative guidance.)□ We have not violated any related Environmental Laws, etc. for the past five years.□ We have not violated any related Environmental Laws, etc. since foundation of the

Company (year).□ We violated related Environmental Laws, etc. in the past five years, have already

taken proper remedies and recurrence prevention measures, and thereafter comply with the related Environmental Laws, etc. properly.*If you committed any violation subject to administrative punishment or administrative guidance, you need to submit the following documents in a and b:

a. For the fact of violation, the guidance document from the administrative agency (including a correction order and warning) and copies of written answers to those documents (including reports on the cause and result of correction)

b. For the management system for compliance with the Environmental Laws, etc., the following materials (copies of recording documents, etc) in 1)-5):

1) List of the Environmental Laws, etc. related to the area where the plant is located;2) Implementation system (organizational chart with entry of roles, etc.);3) Document stipulating retention of recording documents;4) Recurrence prevention measures (future preventive measures);5) State of implementation based on recurrence prevention measures (result of checking of the

state of compliance, including the result of onsite inspection).

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102V2 Attached Certificate　□　We violated Environmental Laws, etc. in the past, and have not yet taken corrective

measures.

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102V2 Attached CertificateForm 102-4 　　　　　　　　　　　　　　　　　　　

DirectorEco Mark OfficeJapan Environment Association

Date of issue: XXXXX XXXXXCompany name （ company

seal） *Issuer: Applicant, etc.

Quality Control Certificate

This is to certify that only (name of the brand product under application for Eco Mark certification) products that meet quality control criteria under product quality management according to items in the separate sheet(s) (document describing results of the test performed by a third party testing organization or voluntary standards) are shipped.

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