FCC IC RF EXPOSURE REPORT_Final

FCC ID: 2AEIM-QCA6234

RF Exposure Info

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FCCID_2894129

FCC Part 1 Subpart I FCC Part 2 Subpart J INDUSTRY CANADA RSS-102 ISSUE 5 RF EXPOSURE REPORT FOR MODEL NUMBER: QCA6234 FCC ID: 2AEIM-QCA6234 IC: 20098-QCA6234 REPORT NUMBER: 15U21359-S1-V1 ISSUE DATE: 11/2/2015 Prepared for Tesla Motors, Inc. 3500 Deer Creek Road Palo Alto, CA 94304, U.S.A. Prepared by UL VERIFICATION SERVICES INC. 47173 BENICIA STREET FREMONT, CA 94538, U.S.A. TEL: (510) 771-1000 FAX: (510) 661-0888

REPORT NO: 15U21359-S1-V1 DATE: 11/2/2015 FCC ID: 2AEIM-QCA6234 IC: 20098-QCA6234 Revision History Issue Rev. Date Revisions Revised By V1 11/2/2015 Original Issue D. Weaver Page 2 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

REPORT NO: 15U21359-S1-V1 DATE: 11/2/2015 FCC ID: 2AEIM-QCA6234 IC: 20098-QCA6234 TABLE OF CONTENTS 1. ATTESTATION OF TEST RESULTS ................................................................................. 4 2. TEST METHODOLOGY ..................................................................................................... 5 3. REFERENCES ................................................................................................................... 5 4. FACILITIES AND ACCREDITATION ................................................................................. 5 5. DEVICE UNDER TEST ....................................................................................................... 5 6. STANDALONE SAR TEST EXCLUSION CONSIDERATIONS .......................................... 6 6.1. FCC ............................................................................................................................. 6 6.2. INDUSTRY CANADA ................................................................................................... 7 Page 3 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

REPORT NO: 15U21359-S1-V1 DATE: 11/2/2015 FCC ID: 2AEIM-QCA6234 IC: 20098-QCA6234 1. ATTESTATION OF TEST RESULTS COMPANY NAME: Tesla Motors, Inc. EUT DESCRIPTION: Wi-Fi module MODEL: QCA6234 APPLICABLE STANDARDS STANDARD TEST RESULTS FCC PART 1 SUBPART I & PART 2 SUBPART J Pass INDUSTRY CANADA RSS-102 ISSUE 5 Pass UL Verification Services Inc. calculated the RF Exposure of the above equipment in accordance with the requirements set forth in the above standards, using test results reported in the test report documents referenced below and/or documentation furnished by the applicant. All indications of Pass/Fail in this report are opinions expressed by UL Verification Services Inc. based on interpretations of these calculations. The results show that the equipment is capable of demonstrating compliance with the requirements as documented in this report. Note: The results documented in this report apply only to the tested sample, under the conditions and modes of operation as described herein. This document may not be altered or revised in any way unless done so by UL Verification Services Inc. and all revisions are duly noted in the revisions section. Any alteration of this document not carried out by UL Verification Services Inc. will constitute fraud and shall nullify the document. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, any agency of the Federal Government, or any agency of any government. Approved & Released For UL Verification Services Inc. By: Dave Weaver Program Manager UL Verification Services Inc. Page 4 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

REPORT NO: 15U21359-S1-V1 DATE: 11/2/2015 FCC ID: 2AEIM-QCA6234 IC: 20098-QCA6234 2. TEST METHODOLOGY All calculations were made in accordance with FCC KDB 447498 and IC RSS-102 issue 5. 3. REFERENCES Output power, Duty cycle and Antenna gain data is excerpted from the applicable test reports or manufacturer’s declarations. 4. FACILITIES AND ACCREDITATION The test sites and measurement facilities used to collect data are located at 47173 and 47266 Benicia Street, Fremont, California, USA. UL Verification Services Inc. is accredited by NVLAP, Laboratory Code 200065-0. 5. DEVICE UNDER TEST The DUT is a Wi-Fi module intended for portable use. The minimum separation distance of the DUT’s antenna to the user is specified as 17.5mm The maximum declared conducted power of the DUT is 12mW. Page 5 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

REPORT NO: 15U21359-S1-V1 DATE: 11/2/2015 FCC ID: 2AEIM-QCA6234 IC: 20098-QCA6234 6. STANDALONE SAR TEST EXCLUSION CONSIDERATIONS 6.1. FCC SAR test exclusion in accordance with KDB 447498. The 1-g and 10-g SAR test exclusion thresholds for 100 MHz to 6 GHz at test separation distances ≤ 50 mm are determined by: [(max. power of channel, including tune-up tolerance, mW) / (min. test separation distance, mm)]·[√f(GHz)] ≤ 3.0, for 1-g SAR and ≤ 7.5 for 10-g extremity SAR, where  f(GHz) is the RF channel transmit frequency in GHz  Power and distance are rounded to the nearest mW and mm before calculation  The result is rounded to one decimal place for comparison This test exclusion is applicable only when the minimum test separation distance is ≤ 50 mm and for transmission frequencies between 100 MHz and 6 GHz. When the minimum test separation distance is < 5 mm, a distance of 5 mm is applied to determine SAR test exclusion. SAR Exclusion Calculation Table for Portable Devices (separation distance < 50mm) Frequency Avg Output power Separation Calculated Antenna Tx (MHz) dBm mW distance (mm) Threshold PIFA Wi-Fi 2440 10.8 12 18 1.0 Conclusion: The computed value is < 3; therefore, the module qualifies for Standalone SAR test exclusion. Page 6 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

REPORT NO: 15U21359-S1-V1 DATE: 11/2/2015 FCC ID: 2AEIM-QCA6234 IC: 20098-QCA6234 6.2. INDUSTRY CANADA RSS-102 issue 5 §2.5 specifies the exemption limits for routine evaluation of RF exposure. The SAR exclusion table from RSS-102 issue 5 is reproduced below: Antenna Gain 0.6 dBi Maximum Avg Power (dBm) (mW) Conducted 10.8 12.0 E.I.R.P 11.4 13.9 The minimum antenna to user distance that will be encountered in normal use is 17.5mm. This results in an exemption limit of 15mW at 2450 MHz. As the maximum output power is 12mW conducted and 13.9mW EIRP the DUT qualifies for SAR test exclusion. END OF REPORT Page 7 of 7 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.


Document Created: 2017-11-17 03:22:10
Document Modified: 2017-11-17 03:22:10
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