Tesla_SiPModule_Integrator Instructions

FCC ID: 2AEIM-QCA6234

Users Manual

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FCCID_2894128

Ts § L m QCA6234 Modular Certification OEM Integrator Instructions December 16, 2015 This technical data may be subject to U.S. and international export, re—export, or transfer ("export") laws. Diversion contrary to U.S. and international law is strictly prohibited. Tesla Motors, Inc. 3500 Deer Creek Road Palo Alto, CA 94087 U.S.A. © 2015 Tesla Motors, Inc. TESLA MOTORS, INC

Revision history Revision Date Description Ver. 1.0 December, 2015 Initial release Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

Contents 1 Introduction...................................................................................................... 4 2 Applicable Module ........................................................................................... 5 3 Available Global Modular Approvals ............................................................. 6 4 Deviation from Specifications for Host Layout, BOM, and Schematics ..... 7 5 Validation of SiP Radio Conformance as Implemented in Host .................. 8 6 Additional Regulatory Conformance Testing and/or Submissions Required by the Integrator .......................................................................... 9 7 Compliant/Allowable Tx Power Settings Programmed into EEPROM ...... 10 8 Allowable Antennas to Use with the SiP Module ........................................ 11 9 RF Safety of Each Host System Design....................................................... 13 10 Required Labeling on the Outside of the Host Device ............................. 15 10.1 FCC ........................................................................................................................... 15 10.2 Taiwan NCC ............................................................................................................. 15 10.3 European Community R&TTE ................................................................................. 16 11 Required Labeling on the Module .............................................................. 17 11.1 FCC labeling on the Module ..................................................................................... 17 11.2 Rest of world labeling on the Module ....................................................................... 17 11.3 Instructions to download the sample global label artwork with certification IDs ..... 17 12 Required Regulatory Wording for User Guide/Installation Manual ......... 19 12.1 FCC compliance information .................................................................................... 19 12.2 Industry Canada notice ............................................................................................. 20 12.3 European Community (R&TTE) user manual wording and declaration .................. 22 12.4 European Community (R&TTE) Declaration of Conformity for System................. 23 12.5 Taiwan user manual wording .................................................................................... 24 12.6 Korea user manual wording ...................................................................................... 24 13 OEM Integrator Required Action Items ...................................................... 25 Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

1 Introduction This document describes the steps that the OEM integrator must follow when designing and manufacturing a system utilizing a certified SiP (System-in-Package) radio module (the “Module”). Failure to follow the instructions in this document may invalidate the radio certifications and authorization to market the host product. The Tesla Motors, Inc. modular certifications described in this document apply only to radio conformance for the Module. The OEM integrator is responsible for all system-level EMI/EMC, Product Safety and RF Safety testing and certification that apply to the host system in countries where the system will be marketed or sold. This document must be read in conjunction with the document “QCA6234 SiP Module Certified Antennas and Layout” which describes the allowable antenna options, PCB layout, and schematic which must be implemented in the host design in order to use the SiP modular certifications. To obtain the above referenced document and other design documents, please contact your Tesla Motors, Inc. account representative. Throughout this document, the term Certified Module and Certified SiP have the same meaning. Tesla Motors, Inc. offers modular certification for the SiP component. In this case, the SiP is considered “the Module”. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

2 Applicable Module This document applies specifically and solely to the following component:  Part Number: QCA6234  FCCID: 2AEIM-QCA6234  IC ID: 20098- QCA6234 Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

3 Available Global Modular Approvals Module certification is limited to those countries for which Tesla Motors, Inc. has obtained radio modular approvals. Integrators can access the current list of certified countries in one of two ways: 1. Log on to the Tesla Motors, Inc. secure customer support site. Follow the links to regulatory certifications. Search for the folder QCA6234 on the support site. Or, if you do not have access to the customer support site, then: 2. Contact your Tesla Motors, Inc. account representative to request access to the country list and modular certificates. OEM integrators must obtain their own radio certification for any country in which the system will be sold if a modular certification for that country is not available from Tesla Motors, Inc.. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

4 Deviation from Specifications for Host Layout, BOM, and Schematics The FCC requires that host systems using SiP modular approvals copy exactly the antenna trace design, matching component and layout used for the originally certified Tesla Motors, Inc. design. The certified design is specified in the document “QCA6234 SiP Module Certified Antennas and Layout”. An OEM integrator may wish to deviate from that specification and still utilize the available SiP modular approvals offered by Tesla Motors, Inc.. For example a host design may require modified antenna trace length and layout, alternate PCB antenna design or use of other filter types not specified in “QCA6234 SiP Module Certified Antennas and Layout” document. Some deviations would not be allowed and would instead require a full/new certification for FCC and other countries. For example addition of any active components in the RF path on the host PCB would require full/new radio certifications for the host device. Generally, alternate PCB layout, stackup, alternate matching component values and passive filters or diplexers may be authorized using the FCC permissive change process. However, the required steps and responsibilities of the host integrator for the permissive change process, is not detailed in this document. An evaluation must be done on a case-by-case basis and agreed with Tesla Motors, Inc.. Please take the steps below: Request for Review of Deviation from Tesla Motors, Inc. Design Specification: 1. Email host product details, description of deviations, proposed schematic of RF section on host PCB (if available) to: rbaxley@teslamotors.com Sample Text for Subject Line of email: Request for review of deviation from SiP PCB design, Company ABCD, Host Model 12345 2. The Tesla Motors, Inc. Regulatory team will respond within 14 days requesting further details, informing whether the requested deviation will be allowed with a proposed plan for the OEM Integrator to follow if agreed. NOTE: Ifa permissive change test and submission to FCC is proposed by Tesla Motors, Inc., the OEM Integrator will be responsible for managing the project and resulting test and filing costs. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

5 Validation of SiP Radio Conformance as Implemented in Host When a host systems copies exactly the antenna trace design, matching component and layout specified in “QCA6234 SiP Module Certified Antennas and Layout”, there is still a need to validate that the final product design maintains compliance with radio conformance rules. Minor electrical variations in PCB trace design, stackup and possible coupling with nearby circuits in the end system may result in different emissions characteristics compared to the original SiP design used for standalone modular certification testing performed by Tesla Motors, Inc.. Therefore radiated spurious emissions testing must be performed on each unique host device that uses a certified SiP. The host integrator must follow these steps:  Request a quote from any competent third party test lab for Radiated Spurious emissions testing including restricted bands per FCC 15.247(d) for 2.4 GHz and 15.407(b) for 5 GHz. This type of testing may be referred to as “permissive change” testing. However, it is not normally required to submit the report to the regulator. A Class 2 Permissive Change filing is Not required and should not be quoted by the test lab. Testing and a report is sufficient.  Testing may be performed conveniently at the same test lab and at the same time as the FCC Part 15B, digital emissions testing which is mandatory for every host design. However, the spurious emission testing normally requires radio test software on the host device.  It is acceptable and desirable to perform the 15.247 / 15.407 radiated spurious testing early in the design process - as soon as a final PCB design and functional system is available. This validation testing need not be done using the final production version, as long as PCB and RF design is not modified.  The third party lab report showing 15.247 / 15.407 compliance must be submitted toTesla Motors, Inc.s using the email address: rbaxley@teslamotors.com. Please contact your Tesla Motors, Inc. Account Representative or email any questions to above email address for assistance preparing for the Radiated Spurious emissions testing. Tesla Motors, Inc. can provide further instructions if the OEM Integrator is not familiar with the Tesla Motors, Inc. test software used to support radio testing. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

6 Additional Regulatory Conformance Testing and/or Submissions Required by the Integrator  The modular certifications provided by Tesla Motors, Inc. apply to radio conformance for the Module only. The OEM integrator is responsible for additional system-level EMI/EMC, Product Safety and RF Exposure testing and certification that applies in the U.S. and other countries. This includes, but is not limited to, Federal Communications Commission (“FCC”) Part 15 Class B Digital Emissions, China CCC, Taiwan BSMI, Korea KC, ETSI EN 301 489-17 and others. System-level EMC tests are to be done with the Module installed and included in the scope of the submission.  Some of the countries for which modular certifications are provided require additional submissions, authorizations or import permission by the system-vendor or importer. Tesla Motors, Inc. is not responsible for these additional actions. A few examples: The OEM integrator must take additional action for radio certification in these countries: Malaysia Each importer/distributor needs to file for import permission Singapore Recommend use of importer’s own local radio dealer number Israel Additional approval certificate required for importer Indonesia Modular approval not accepted. Requires system level radio certification done by OEM Integrator. China Modular approval not accepted. Requires system level radio certification done by OEM Integrator. Brazil Modular approval not accepted. Requires system level radio certification done by OEM Integrator. Also SAR test on host required in Brazil test lab.  Modular radio certification is not possible in some countries. For such countries, OEM integrators must ensure radio certification for the end system is obtained, before placing the product on the market. A current list of applicable countries can be provided by Tesla Motors, Inc. Please contact your Tesla Motors, Inc. account representative with any questions on the scope of Tesla Motors, Inc. radio modular approvals and the system integrator’s responsibilities for system-level regulatory conformance. Or email questions to: rbaxley@teslamotors.com Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

7 Compliant/Allowable Tx Power Settings Programmed into EEPROM This file contains the allowable transmit power settings that are to be programmed into the Module during original manufacturing: CTL File Name: TO BE PROVIDED BY Tesla Motors, Inc. NOTE: Programming in higher values than provided for in this file will invalidate all radio certifications for this module. OEM integrators can access the file by contacting rbaxley@teslamotors.com OR, if you do not have access to the customer support site, then contact your Tesla Motors, Inc. account representative to request the CTL file. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

8 Allowable Antennas to Use with the SiP Module The module is certified for use only with certain antennas as described in the separate document “QCA6234 SiP Module Certified Antennas and Layout”. Specifically, PCB Trace antenna and Connectorized PIFA antenna options are available. Connectorized PIFA Antenna Option The document “QCA6234 SiP Module Certified Antennas and Layout” specifies a connectorized antenna design. See the section in that document titled: Antenna via U.FL connector. Using this design, an externally connected PIFA antenna with any desired cable length may be chosen by the OEM integrator with the following limitation: The antenna specification sheet must indicate peak gains (including cable losses) do not exceed the values below. Table 8-1 Connectorized PIFA Antenna: Allowed Maximum Gain (dBi), Including Antenna Cable Loss for mobile operation. 2.4 GHz 2 NOTE: Antenna Type: PIFA with omnidirectional pattern formed from stamped metal or film. Table 8-2 Connectorized PIFA Antenna: Allowed Maximum Gain (dBi), Including Antenna Cable Loss for portable operation. 2.4 GHz 0.62 PCB Trace Antenna Option The document “QCA6234 SiP Module Certified Antennas and Layout” specifies a Trace Antenna design and reference a required Gerber file. See the section in that document titled: Trace (PCB) Antenna. Using this design, the exact PCB trace antenna layout must be implemented on the host device. WARNING: Use of other connectorized antenna types not specified above or use of PIFA antennas with higher gain than above, or use of a Trace Antenna design different than specified in the document is not allowed without additional conformance testing and agreement from Tesla Motors, Inc.. If an alternate antenna is desired by the integrator, please contact Tesla Motors, Inc. with details on the product and requested deviation from the allowed antenna specifications referenced above. You may contact your Tesla Motors, Inc. account representative or email: rbaxley@teslamotors.com. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

QCA6234 Modular Certification OEM Integrator Instructions Allowable Antennas to Use with the SiP Module Notification of All Antenna Models to be used with the Module: In addition, regulatory agencies in Japan, Korea, and Taiwan require submission of antenna specification sheets for all antenna models used with a Tesla Motors, Inc. module (or SiP). This notification process must be followed by the integrator before original product launch and whenever new host systems (with new antenna models) are launched. This notification applies when launching new host systems using the certified SiP with alternate models of a connectorized PIFA antenna. This notification does not apply for PCB Trace antennas since only the one trace antenna design specified by Tesla Motors, Inc. is allowed. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

9 RF Safety of Each Host System Design The FCC and other countries’ regulatory bodies impose strict conditions and limitations on the RF exposure levels of end products. Compliance with RF Safety requirements depend on the Module transmit power, location of the transmitting antenna(s) inside the host system, separation of the transmitting antennas to the end user and intended use/category of the host. Additionally, host devices that collocate the Tesla Motors, Inc. module with other radio transmitters may be subject to additional evaluation (i.e., Collocated SAR Evaluation). OEM integrators must take great care to ensure each host system complies with the applicable RF exposure requirements. The OEM integrator is responsible to ensure RF Safety compliance of each host product design. Determining the applicable RF Exposure evaluation for the host device depends on many factors related to the host device, the Tesla Motors, Inc. module and prior RF Exposure evaluation performed by Tesla Motors, Inc. for the same module as well as evolving guidance from FCC regarding application of the various KDBs for RF Safety. Therefore Tesla Motors, Inc. offers a service to OEM Integrators for detailed review of the host device and a resulting test plan and quotation, if required. This Host Review will be performed by a third party test lab, UL Verification Service. The procedure is detailed here: Portable Installation Instructions Use in such portable conditions is limited to devices manufactured by Tesla Motors Inc. The device shall be installed such that the antenna is located at least 18mm from users. Installation instructions and user information must clearly reflect this and the instructions must indicate that this separation distance is required to ensure compliance with RF exposure requirements. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

10 Requi R ired Labelin ng on the O Outside e of th he Host Device NOTE: Explanatory E teext in red fontt must not be included in thhe final label.. 10.1 FCC F  The FCC requires r a label on the outsside of the ho st system visiible to the endd user. Example wording w is: Contains: FCC ID: XXX--XXXXXXX IC: XXXXX-XX XXXXX (Replace X’s with w actual ID Ds found in seection 2).  The FCC requires r a log go signifying emissions e com mpliance on tthe outside off the host system. Additional A opttions are availlable for placeement of the FCC label onn the host. Pleease refer to thhe FCC Knowled dge Database KDB784748 K found at httpss://apps.fcc.gov/oetcf/kdb//index.cfm. NOTE: The T Integratorr is responsiblle to perform FCC Part 15 Class B digittal emissions testing on thee end sy ystem with th he radio Modu ule installed. The FCC loggo below shouuld not be afffixed unless thhe OEM O integrato or has obtaineed the necessaary Part 15 appproval, e.g., self-declaratiion of conform mity. Iff the host sys em is approvved to FCC Cllass B digital emissions lim mits under a ggrant of ceertification issued by a TC CB, the FCC ID I number shhown on the ggrant should bbe used on thee label in nstead of the FCC F logo bellow. 10.2 Taiwan T NCC Taiwan T NCC requires r a labeel on the outsside of the hosst system visiible to the endd user. The T required wording w is: 本產品內含射頻 頻模組: XX XXXXXXXXX (R Replace X’s with w actual ID Ds found in seection 1 ). Rev. MAY CONTAIN C U.S. AND A INTERNATIONAL EXPORT T CONTROLLED D INFORMATION 1.0

QCA6234 Modular Certification OEM Integrator Instructions Required Labeling on the Outside of the Host Device 10.3 European Community R&TTE  The European Community R&TTE Directive requires the CE Marking shown below on the outside of the host AND on the outside of the shipping container/packaging:  The European Community R&TTE Directive also requires the following note to consumers on the outside of the shipping container/packaging: Important Notice: This product is a Radio LAN device operating in 2.4 & 5 GHz bands for Home and Office use in the E.E.A. States with restrictive use are highlighted in grey. Refer to user documentation for details. AT BE CH CY CZ DE DK ES FI FR GB GR EE HU IT IE IS LI LT LU LV MT NL NO PL PT SE SI SK NOTE: Theintegrator is expected to translate the text in this section into the appropriate local languages for the European countries in which the product will be marketed. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

11 Required Labeling on the Module 11.1 FCC labeling on the Module/SiP Due to extreme size constraint, the FCC has granted an exemption for this SiP module. Specifically, the FCCID is not to be affixed to the SiP (and not affixed inside the host product). However, the other sections of this document are still required (ie affix the FCC ID in the product user manual and on the outside of host product). The FCC & IC label will be placed in the User’s Manual and on the outside of the host product as shown below: MODULE LABEL TESLA MOTORS, INC. FCC ID: 2AEIM-QCA6234 IC: 20098-QCA6234 Model: QCA6234 Operation is subject to the following conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. HOST LABEL Contains FCC ID: 2AEIM-QCA6234 Contains IC: 20098-QCA6234 NOTE: Please email questions regarding labeling rules to: rbaxley@teslamotors.com. 11.2 Rest of world labeling on the Module Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

Other regions rules allow radio certification labeling to appear in the user manual and on the outside of the host product. The Integrator must ensure the host product and user manual includes all required regulatory labeling (including radio certification numbers and logos for all target countries). The system integrator is responsible to confirm the final regulatory label contains all required certification IDs for all countries in which the system will be marketed or sold. Tesla Motors, Inc. provides sample artwork with the applicable certification numbers available for the Module. The provided .PDF document can be opened using Adobe Illustrator so the sample artwork can be copied and modified as needed. Therefore the final label produced by the Module manufacturer will vary from this sample. However, the logos and certification numbers must be those shown in the sample global label. NOTE: Theseinstructions refer to regulatory labeling to be affixed to the outside of the host product – not on the SiP itself. The FCC requires the FCCID on the outside of the host product. 11.3 Instructions to download the sample global label artwork with certification IDs 1. Send request to rbaxley@teslamotors.com Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

12 Required Regulatory Wording for User Guide/Installation Manual The integrator must include the text below or equivalent in the user documentation. NOTE: Text in red font must be replaced. 12.1 FCC compliance information This device contains a certified radio module: FCCID: 2AEIM-QCA6234 IC ID: 20098-QCA6234 This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. This product does not contain any user serviceable components. Any unauthorized product changes or modifications will invalidate warranty and all applicable regulatory certifications and approvals, including authority to operate this device. FCC Part 15 Digital Emissions Compliance We [System Integrator Company Name, Address, Telephone], declare under our sole responsibility that the product [System Name] complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. WARNING: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates and radiates radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:  Reorient or relocate the receiving antenna. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

QCA6234 Modular Certification OEM Integrator Instructions Required Regulatory Wording for User Guide/Installation Manual  Increase the separation between the equipment and receiver.  Connect the equipment into an outlet on a circuit different from the one the receiver is connected to.  Consult the dealer or an experienced radio/TV technician for help. The user may find the following booklet prepared by the Federal Communications Commission helpful: The Interference Handbook This booklet is available from the U.S. Government Printing Office, Washington, D.C. 20402. Stock No.004-000-00345-4. Operations in the 5.15-5.25GHz band are restricted to indoor usage only. (RF exposure statement) Radiation Exposure Statement: The product complies with the FCC RF exposure limit set forth for an uncontrolled environment and is safe for intended operation as described in this manual. Further RF exposure reduction can be achieved if the product is kept as far as possible from the user body. Antenna Placement inside the Host System and RF Safety for mobile operation The FCC and other countries’ regulatory bodies impose strict conditions and limitations on the RF exposure levels of end products. Acceptable RF exposure levels for this Module depend on transmit power, the location of the transmitting antenna(s) inside the host system and the expected separation of the transmitting antennas to the end user. OEM integrators must take great care to ensure each host system complies with the applicable RF exposure requirements. Note: The antenna-to-user (bystander) separation distance must be greater than 20 cm. Antenna Placement inside the Host System and RF Safety for portable operation Use in such portable conditions is limited to devices manufactured by Tesla Motors Inc. The device shall be installed such that the antenna is located at least 18mm from users. Installation instructions and user information must clearly reflect this and the instructions must indicate that this separation distance is required to ensure compliance with RF exposure requirements. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

12.2 Industry Canada notice This device complies with Canadian RSS-247. This device complies with Industry Canada license-exempt RSS standard(s). Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of the device. Ce dispositif est conforme à la norme CNR-247 d'Industrie Canada applicable aux appareils radio exempts de licence. Son fonctionnement est sujet aux deux conditions suivantes: (1) le dispositif ne doit pas produire de brouillage préjudiciable, et (2) ce dispositif doit accepter tout brouillage reçu, y compris un brouillage susceptible de provoquer un fonctionnement indésirable. Caution: (i) The device for operation in the band 5150-5250 MHz is only for indoor use to reduce the potential for harmful interference to co-channel mobile satellite systems; (ii) The maximum antenna gain permitted for devices in the bands 5250-5350 MHz and 5470-5725 MHz shall comply with the e.i.r.p. limit; and (iii) The maximum antenna gain permitted for devices in the band 5725-5825 MHz shall comply with the e.i.r.p. limits specified for point-to-point and non-point-to-point operation as appropriate. (iv) Users should also be advised that high-power radars are allocated as primary users (i.e. priority users) of the bands 5250-5350 MHz and 5650-5850 MHz and that these radars could cause interference and/or damage to LE-LAN devices. Avertissement: Le guide d’utilisation des dispositifs pour réseaux locaux doit inclure des instructions précises sur les restrictions susmentionnées, notamment : (i) les dispositifs fonctionnant dans la bande 5 150-5 250 MHz sont réservés uniquement pour une utilisation à l’intérieur afin de réduire les risques de brouillage préjudiciable aux systèmes de satellites mobiles utilisant les mêmes canaux; (ii) le gain maximal d’antenne permis pour les dispositifs utilisant les bandes 5 250-5 350 MHz et 5 470-5 725 MHz doit se conformer à la limite de p.i.r.e.; (iii) le gain maximal d’antenne permis (pour les dispositifs utilisant la bande 5 725-5 825 MHz) doit se conformer à la limite de p.i.r.e. spécifiée pour l’exploitation point à point et non point à point, selon le cas. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

(iv) De plus, les utilisateurs devraient aussi être avisés que les utilisateurs de radars de haute puissance sont désignés utilisateurs principaux (c.-à-d., qu’ils ont la priorité) pour les bandes 5 250-5 350 MHz et 5 650-5 850 MHz et que ces radars pourraient causer du brouillage et/ou des dommages aux dispositifs LAN-EL. QCA6234 Modular Certification OEM Integrator Instructions Required Regulatory Wording for User Guide/Installation Manual (RF exposure statement) Radiation Exposure Statement: The product complies with the Canada portable RF exposure limit set forth for an uncontrolled environment and is safe for intended operation as described in this manual. Further RF exposure reduction can be achieved if the product is kept as far as possible from the user body. Note sur l’exposition aux radiations : Le produit est conforme aux limites d’exposition des radio‐fréquences portables Canadiennes établies dans un environnement incontrollé et ne présente aucun risque lié á l’usage décrit dans ce manuel. L’exposition aux radio‐fréquences est également atténuée si le produit est conservé loin du corps de l’utilisateur. Antenna Placement inside the Host System and RF Safety for mobile operation The FCC and other countries’ regulatory bodies impose strict conditions and limitations on the RF exposure levels of end products. Acceptable RF exposure levels for this Module depend on transmit power, the location of the transmitting antenna(s) inside the host system and the expected separation of the transmitting antennas to the end user. OEM integrators must take great care to ensure each host system complies with the applicable RF exposure requirements. Note: The antenna-to-user (bystander) separation distance must be greater than 20 cm. Antenna Placement inside the Host System and RF Safety for portable operation Use in such portable conditions is limited to devices manufactured by Tesla Motors Inc. The device shall be installed such that the antenna is located at least 18mm from users. Installation instructions and user information must clearly reflect this and the instructions must indicate that this separation distance is required to ensure compliance with RF exposure requirements. Placement de l’antenne à l’intérieur du système hôte et sécurité lié aux radio-fréquences La FCC et organismes de plusieurs autres pays imposent des conditions et limites strictes concernant l’exposition aux radio-fréquences sur les produits commerciaux. Le niveau acceptable d’expositions aux radio-fréquences sur ce module dépend de la puissance transmise, l’endroit où se trouve l’antenne de transmission dans le système hôte et la distance anticipée avec l’utilisateur. Les OEM (fabricants) doivent prendre soin de s’assurer que chaque système hôte est conforme avec les contraintes applicables à l’exposition aux radio-fréquences. Note: La distance entre l’antenne et l’utilisateur doit être supérieure à 20cm. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

Placement d'antenne à l'intérieur du système hôte et sécurité RF pour portable utilization. Utilisation dans de telles conditions portables est limitée aux dispositifs fabriqués par Tesla Motors Inc. L'appareil doit être installé tel que l'antenne se trouve au moins 18mm d'utilisateurs. Instructions d'installation et les informations utilisateur doivent refléter clairement que cela et les instructions doivent indiquer que cette distance de séparation est nécessaire pour assurer la conformité aux exigences d'exposition aux RF. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

QCA6234 Modular Certification OEM Integrator Instructions Required Regulatory Wording for User Guide/Installation Manu l 12.3 Europe n Community (R&TTE) user manual wording and declaration NOTE: Text in red font must be replaced with name of company responsible for placing the system on the European Community Market. Europe – EU Declaration of Conformity Marking by the above symbol indicates compliance with the Essential Requirements of the R&TTE Directive of the European Union (1999/5/EC). This equipment meets the following conformance standards: EN300 328, EN 301 893, EN 301 489-17, EN60950, EN 62311 Česky [Czech] [COMPANY NAME] tímto prohlašuje, že tento Radiolan je ve shodě se základními požadavky dalšími příslušnými ustanoveními směrnice 1999/5/ES. Dansk [Danish] Undertegnede [COMPANY NAME] erklærer herved, at følgende udstyr Radiolan overholder de væsentlige krav og øvrige relevante krav i direktiv 1999/5/EF. Deutsch [German] Hiermit erkl rt [COMPANY NAME] dass sich das Gerät Radiolan in Übereinstimmung mit den grundlegenden Anforderungen und den übrigen einschlägigen Bestimmungen der Richtlinie 1999/5/EG befindet. Eesti [Estonian] Käesolevaga kinnitab [COMPANY NAME] seadme Radiolan vastavust direktiivi 1999/5/EÜ põhinõuetele ja nimetatud direktiivist tulenevatele teistele asjakohastele sätetele. English Hereby, [COMPANY NAME], declares that this Radiolan is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC. Español [Spanish] Por medio de la presente [COMPANY NAME] declara que el Radiolan cumple con los requisitos esenciales y cualesquiera otras disposiciones aplicables o exigibles de la Directiva 1999/5/CE. Ελληνική [Greek] ΜΕ ΤΗΝ ΠΑΡΟΥΣΑ [COMPANY NAME] ∆ΗΛΩΝΕΙ ΟΤΙ Radiolan ΣΥΜΜΟΡΦΩΝΕΤΑΙ ΠΡΟΣ ΤΙΣ ΟΥΣΙΩ∆ΕΙΣ ΑΠΑΙΤΗΣΕΙΣ ΚΑΙ ΤΙΣ ΛΟΙΠΕΣ ΣΧΕΤΙΚΕΣ ∆ΙΑΤΑΞΕΙΣ ΤΗΣ Ο∆ΗΓΙΑΣ 1999/5/ΕΚ. Français [French] Par la présente [COMPANY NAME] déclare que l'appareil Radiolan est conforme aux exigences essentielles et aux autres dispositions pertinentes de la directive 1999/5/CE. Íslenska [Icelandic] Hér með lýsir [COMPANY NAME] yfir því að Radiolan er í samræmi við grunnkröfur og aðrar kröfur, sem gerðar eru í tilskipun 1999/5/EC. Italiano [Italian] Con la presente [COMPANY NAME] dichiara che questo Radiolan è conforme ai requisiti essenziali ed alle altre disposizioni pertinenti stabilite dalla direttiva 1999/5/CE. Latviski [Latvian] Ar šo [COMPANY NAME] deklarē, ka Radiolan atbilst Direktīvas 1999/5/EK būtiskajām prasībām un citiem ar to saistītajiem noteikumiem. Lietuvių Šiuo [COMPANY NAME] deklaruoja, kad šis Radiolan atitinka esminius reikalavimus ir [Lithuanian] kitas 1999/5/EB Direktyvos nuostatas. Malti [Maltese] Hawnhekk, [COMPANY NAME], jiddikjara li dan Radiolan jikkonforma mal-ħtiġijiet essenzjali u ma provvedimenti oħrajn relevanti li hemm fid-Dirrettiva 1999/5/EC. Magyar Alulírott, [COMPANY NAME] nyilatkozom, hogy a Radiolan megfelel a vonatkozó [Hungarian] alapvetõ követelményeknek és az 1999/5/EC irányelv egyéb elõírásainak. Nederlands Hierbij verklaart [COMPANY NAME] dat het toestel Radiolan in overeenstemming is met [Dutch] de essentiële eisen en de andere relevante bepalingen van richtlijn 1999/5/EG. 80-xxxxx Rev. 1.4 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

QCA6234 Modular Certification OEM Integrator Instructions Required Regulatory Wording for User Guide/Installation Manu l Norsk [Norwegian] [COMPANY NAME] erklærer herved at utstyret Radiolan er i samsvar med de grunnleggende krav og øvrige relevante krav i direktiv 1999/5/EF. Polski [Polish] Niniejszym [COMPANY NAME] oświadcza, że Radiolan jest zgodny z zasadniczymi wymogami raz pozostałymi stosownymi postanowieniami Dyrektywy 1999/5/EC. Português [COMPANY NAME] declara que este Radiolan está conforme com os requisitos [Portuguese] essenciais e outras disposições da Directiva 1999/5/CE. Slovensko [COMPANY NAME] izjavlja, da je ta Radiolan v skladu z bistvenimi zahtevami in [Slovenian] ostalimi relevantnimi določili direktive 1999/5/ES. Slovensky [Slovak] [COMPANY NAME] týmto vyhlasuje, že Radiolan spĺňa základné požiadavky a všetky príslušné ustanovenia Smernice 1999/5/ES. Suomi [Finnish] [COMPANY NAME] vakuuttaa täten että Radiolan tyyppinen laite on direktiivin 1999/5/EY oleellisten vaatimusten ja sitä koskevien direktiivin muiden ehtojen mukainen. Svenska [Swedish] Härmed intygar [COMPANY NAME] att denna Radiolan står I överensstämmelse med de väsentliga egenskapskrav och övriga relevanta bestämmelser som framgår av direktiv 1999/5/EG. Restrictions for use of 2.4 GHz frequencies in European Community countries; the restriction described follows ERC/REC 70-03 (Edition of September 2011). It is recommended to check latest edition for updated restrictions. France: The outdoor use is limited to 10 mW e.i.r.p. within the band 2454-2483.5 MHz. Italia: For private use, a general authorisation is required if WAS/RLAN’s are used outside own premises. For public use, a general authorisation is required. 12.4 Europe n Community (R&TTE) Declaration of Conformity for System In addition to ncluding the radio conformity wording described in the previous section in the user manual, the end integrator must create and sign a European Declaration of Conformity (DoC) for all European Directives applicable to the end product. At a minimum, this will be a DoC per the R&TTE Directive covering Radio, EMC, product Safety and RF Exposure essential requirements and Hazardous material/REACH directive. The DoC must reference harmonized standards used for all radios present in the system. The European conformance test reports identifying the EN versions used by Qualcomm Atheros during original modular certification testing and which can be found on the Qualcomm Atheros customer support site in the QCA6234 folder. 80-xxxxx Rev. 1.4 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

QCA6234 Modular Certification OEM Integrator Instructions Required Regulatory Wording for User Guide/Installation Manual 12.5 Taiwan user manual wording 台灣: 國家通訊傳播委員會 低功 率電波輻射性電機管理辦法 第十二條經型式認證合格之低功率射頻電機，非經許可，公司、商號或使 用者均不得擅自變更頻率、加大功率或變更原設計之特性及功能。 第十四條低功率射頻電機之使用不得影響飛航安全及干擾合法通信；經發 現有干擾現象時 ，應立即停用，並改善至無干擾時方得繼續使用。前項合法通信，指依電信 法規定作業之 無線電通信。低功率射頻電機須忍受合法通信或工業、科學及醫療用電波輻射 性電機設備 之干擾。 在5.25-5.35秭赫(GHz)頻帶內操作之無線資訊傳輸設備，限於室內使用。(For 5GHz only) 12.6 Korea user manual wording Korea KCC 해당 무선설비는 전파혼신 가능성이 있으므로 인명안전과 관련된 서비스는 할 수 없음 Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

13 OEM Integrator Required Action Items A summary of key action items for the OEM Integrator is presented here. However, the responsible party must read, understand, and adhere to all requirements in this document. The OEM integrator will notify Tesla Motors, Inc. as early as possible in the design cycle where deviation from the BOM, Schematic, or Layout released by Tesla Motors, Inc. for the host PCB RF design is desired per the process: Request for Review of Deviation from Tesla Motors, Inc. Design Specification. The OEM integrator will obtain Radiated Spurious Emissions testing per Part 15.247(d) and 15.407(b) for each unique host system design and submit test reports to Tesla Motors, Inc. before host product(s) are launched. The OEM integrator will submit to the Host Review for RF Safety and Colocation process, for each unique host design, as early as possible in the design cycle. The OEM integrator will submit antenna specification sheets for each host design per the process: Notification for Japan/Taiwan/Korea of Antenna Models to be used with the Module The OEM integrator will ensure the Module/SiP is programmed in the factory with compliant transmit power not exceeding the levels specified in this document. The OEM integrator will carefully review global compliance requirements applicable to the host device for all target markets. OEM Integrator understands additional regulatory testing and authorizations may apply to the host device, beyond the modular approvals offered by Tesla Motors, Inc. per these instructions. Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION

QCA6234 Modular Certification OEM Integrator Instructions OEM Integrator Required Action Items By signing below, the OEM Integrator, responsible party acknowledges receipt of this document. Please sign, scan, and email to: rbaxley@teslamotors.com Company Signature Name Company Name Address Title Email Phone Date Rev. 1.0 MAY CONTAIN U.S. AND INTERNATIONAL EXPORT CONTROLLED INFORMATION


Document Created: 2019-09-24 04:09:00
Document Modified: 2019-09-24 04:09:00
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