0004-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 18:15:21.063

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 18:20:20.936

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

Narrative Comment:

Licensee must maintain current information of a responsible point of contact under rule 5.308. The point of contact responsible for all experiments conducted under the license, including ensuring compliance with all applicable FCC rules is Steve Behm and Randy Clark at (209) 966-5240 ext 2230.

442 application form - Location Information

City:

Brea

North Latitude:

33 ° 55 ' 39 "

Street Address:

Olinda Place

West Longitude:

117 ° 48 ' 13 "

Grant actions

Notes

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