ANNEX IIAdministrative documents for EC type-approval of windscreen washer systems as separate technical units

PART 2EC type-approval certificate

MODEL

Format: A4 (210 × 297 mm)

EC TYPE-APPROVAL CERTIFICATE

Stamp of type-approval authority

Communication concerning:

  • EC type-approval17

  • extension of EC type-approval17

  • refusal of EC type-approval17

  • withdrawal of EC type-approval17

of a type of windscreen washer system as a separate technical unit

with regard to Regulation (EU) No 1008/2010, as last amended by Regulation (EU) No …/…17

EC type-approval number: …

Reason for extension: …

Delete where not applicable.

SECTION I

0.1.

Make (trade name of manufacturer): …

0.2.

Type: …

0.3.

Means of identification of type, if marked on the separate technical unit18: …

0.3.1.

Location of that marking: …

0.5.

Name and address of manufacturer: …

0.7.

Location and method of affixing of the EC approval mark: …

0.8.

Name(s) and address(es) of assembly plant(s): …

0.9.

Name and address of the manufacturer's representative (if any): …

SECTION II

1.

Additional information: see Addendum.

2.

Technical service responsible for carrying out the tests: …

3.

Date of test report: …

4.

Number of test report: …

5.

Remarks (if any): see Addendum.

6.

Place: …

7.

Date: …

8.

Signature: …

Attachments

Information package

Test report

Addendumto EC type-approval certificate No …

1.Additional information:

  1. 1.1.

    Brief description of the type of separate technical unit: …

  2. 1.2.

    Detailed description of the washer system:

    1. 1.2.1.

      Number of nozzles: …

    2. 1.2.2.

      Number of outlet ports per nozzle: …

    3. 1.2.3.

      Description of washer line hoses and its mounting to pump and nozzles: …

    4. 1.2.4.

      Description of washer pump: …

    5. 1.2.5.

      Fluid storage capacity (litre): …

2.

Suitable for hand of drive: left/right20

3.

Any part of the system may be situated in the engine compartment: yes/no20

4.

Separate technical unit: universal/vehicle specific20

5.

Remarks: …

6.

List of vehicle types for which the separate technical unit has been approved (if applicable): …