1、Application Form for LED LampsVersion 1.6 (2013-01-22） 1 of 1 QB-EE-006Applicant(申请人): Contract No.(合同号): Project Type(项目类别): ENERGY STAR1. EUT Description And Application Type(产品描述)Model Number(产品型号): Model Name(产品名称): Brand Name(品牌): SKU#: Rated Voltage(额定电压) (V): Rated Power(额定功率 ) (W): Nominal C
2、CT (宣称色温)(K): Rated Life(宣称 L70寿命) (hr): Lamp Base(ANSI 灯头类型): Major Markets(销售地区): Restricted Position (使用方向限制): Family Model(系列型号): Lamp Type(灯的类型): Non-Standard Lamp (非标准灯); Replacement Lamp(标准替换灯泡);Replacement Type(标准灯类别): Omnidirectional Lamp(全方向性); Decorative Lamp(装饰性); Directional Lamp(方向性);T
3、arget Lamp Type(目标灯类型): Target Wattage(等效白炽灯功率): Target Beam Angle(等效发光角度): Degree Dimensions (灯体设计尺寸): length, diameterWith LM-80 Report(LM-80 报告): Yes(有报告); No(没有报告) LED Model Number(LED 型号): LED Manufacturer(LED 制造商): Current /LED(单颗驱动电流)(mA): Dimmable(调光能力): Continuous dimming(可连续调光); Step dimmi
4、ng(分级调光); No(不可调光);Dimmer Type(适用调光器类型): Non-phase cut device; Phase cut device Dimming Range (调光范围)(%): %-100%Test Standard(参照测试标准):ENERGY STAR Program Requirements for Integral LED Lamps V1.4(按照 ILL V1.4 标准进行测试); ENERGY STAR Program Requirements Product Specification for Lamps (Light Bulbs) V1.0 D
5、raft 3 (按 Lamp 标准第三版测试)Additional Report (附加报告)LM-79-08 REPORT / LIGHTING FACTS LABEL REPORT2. Applying Items(申请的测试项目)Initial PHOTOMETRIC and ELECTRICAL measurement including(初始光电参数测试包括) :CCT and Duv(色温); CRI(显色指数); Power Factor(功率因数); Light Output(光通量); Lamp Efficacy(光通量)Luminous Intensity Distribu
6、tion and Minimum center beam intensity(for PAR and MR16 lamp)(光强分布和中心光强测试)Color Spatial Uniformity (Only for Directional Lamp)(颜色分布测试，只适用于方向灯 )Transient Protection(瞬态保护)Audio Noise(噪音)Maximum lamp diameter (For Replacement Lamp)(尺寸测试，适用于标准替换灯 )LED Operating Frequency(闪烁频率测试)TMP & Drive Current (base
7、 on LM-80 Test Report)(温升和驱动电流测试，基于LM-80测试报告)Start Time, Lamp V1.0 Draft 3 option(启动时间测试, Lamp V1.0标准测试选项)Elevated Temperature Light Output Ratio(Directional Lamps Option), Lamp V1.0 Draft 3 option(方向灯高温光输出率测试, Lamp V1.0标准测试选项)Dimming Performance Test(Dimmable Lamps Option) Lamp V1.0 Draft 3 option(
8、调光测试, Lamp V1.0标准测试选项)Others: Rapid-Cycle Stress(快速开关测试):7500 Times 10000 Times 12500 Times 15000 Times TimesLumen Maintenance, 6000hrs-Color Maintenance and Life Test(流明维持率，6000小时颜色维持率和寿命测试):3000 Hs(LM-80 Option) 6000 Hs 7500 Hs 8750 Hs 10000 Hs 11250 Hs 12500 Hs Hs3.Documentation(文件需求 )LM-80 Repor
9、t (Optional) Family Declaration (if applicable)4.Signature of Applicant (申请方授权人签字 )Signature: Date: Note:1. All the items should be filled (if applicable) except other noted. You can contact us who give you this form to help you fill it.2. Some of the information may be used during test and showed i
10、n final test report.3. This form is valid only when it is signed by applicant. Authorized signatory of the applicant should ensure that all the information in this form is truthful and accurate. We (Bay Area Compliance Laboratories Corp.) assume no liability to anybody for any additional cost or loss due to incorrect information in this form.4. This signed form cant be modified by anyone unless applicant authorized. After be signed, this document should be transferred to read-only type to prevent unauthorized modification, such as a fax, scanned file.
