0003-EX-TN-2018

Filing overview

442 application form

Is applicant a foreign government or a representative of a foreign government?

NO

442 application form - Application for Compliance Testing License

Applicant (Company) Name:

CKC Laboratories, Inc.

Applicant's FCC Registration Number (FRN):

0005094081

Attention To:

Steve Behm

City:

Mariposa

E-mail Address:

qa@ckc.com

State:

California

Street Address:

5046 Sierra Pines Dr

Zip Code:

95338

442 application form - Authorized Party to Sign

Signature Date:

2018-03-23 16:02:19.263

Signature of Applicant (Authorized person filing application):

Randal Clark

Title of Person Signing Application:

Regulatory Coordinator

442 application form - Eligibility Questions

Applicant affirms that they are a testing laboratory recognized by the FCC as being competent to perform measurements of equipment for equipment authorization under the FCC rules.

YES

442 application form - Give the following information of person who can best handle inquiries pertaining to this application:

First Name:

Steve

Last Name:

Behm

Phone Number:

209-966-5240

Title:

Director of Engineering

442 application form - Initial values - Authorized Party to Sign

Signature Date:

2018-03-23 17:46:43.086

442 application form - Initial values - Location Information

City:

mariposa

Street Address:

5046 sierra pines dr

442 application form - Insert a short description of the purpose of this application, or for modifications describe what is being modified.

Narrative Comment:

This authorization is for a Compliance Testing Experimental License subject to Part 5, Subpart G of the FCC rules and must operate on a non-interference basis subject to all requirements under this subpart.

442 application form - Location Information

County:

MARIPOSA

North Latitude:

37 ° 29 ' 15 "

West Longitude:

119 ° 49 ' 30 "

Grant actions

Notes

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