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INTERNATIONAL ACCORD COMPLIANCE COMMISSION
Bureau of Technological Compliance
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RETAIL EQUIPMENT COMPLIANCE DECLARATION
Form EC-R1 (Annual Renewal) Fiscal Year: 1996
Doc. No.: 0018743
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SECTION A: ESTABLISHMENT INFORMATION
Business Name: SPINNERS DISCOS
Proprietor: GUTIERREZ, FELIPE ERNESTO
IECC Registration: AR-BA-QUI-003472
Address: Rivadavia 482, B1878
Municipality: Quilmes
Province: Buenos Aires
Country: Argentine Republic
Business Category (mark one):
[X] Retail -- Audio/Visual Media
[ ] Retail -- Consumer Electronics
[ ] Service -- Repair/Maintenance
[ ] Manufacturing/Assembly
[ ] Other: __________________
Total employees: 1
Revenue band (USD): [X] Band A (< $50,000)
SECTION B: EQUIPMENT INVENTORY
Declare ALL technology equipment present on premises.
Equipment predating 01-JAN-1970 is exempt.
No. Description Mfr Model Date Status
--- ------------------- ---------- -------- ---- ---------
1 CD Player (floor) Pioneer PD-F605 1995 COMPLIANT
2 CD Player (counter) Sony CDP-XE300 1997 COMPLIANT
3 Cassette Deck Teac W-790R 1993 COMPLIANT
4 Receipt Printer Epson LX-300 1995 COMPLIANT
5 Telephone (corded) Siemens Euroset805 1992 COMPLIANT
Total items declared: 5
Compliant: 5 Non-compliant: 0 Pending review: 0
Note: Attach Form EC-S1 for any equipment acquired since last
renewal. Replacement parts must conform to manufacturer's
original pre-Accord specification.
SECTION C: DECLARATION
I, the undersigned, declare that all technology equipment
listed above is in compliance with IECC Annex I and has not
been modified, upgraded, or enhanced beyond the manufacturer's
original Accord-baseline specification.
I understand that failure to declare equipment, or declaration
of false compliance status, is subject to penalty under the
Framework for Temporal Systems Harmonization, Art. 14(b),
as administered through applicable trade agreements.
Signature: Felipe E. Gutierrez
Date: 15-MAR-1996
SECTION D: INSPECTOR USE ONLY
Inspected by: ______________ Badge No.: ______________
Inspection date: ____________
Result: [ ] Verified [ ] Discrepancy (attach EC-D1)
Notes: ________________________________________________
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EC-R1 Rev. 4 (1993) Page 1 of 1
IECC Geneva · Penalties: Art. 14(b)
COPY 1 OF 2 -- RETAIN ON PREMISES
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