13U15612-1B FCC IC 15.207 AND FCC15.209 Report _final_No Photos

FCC ID: A4R-A010

Test Report

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FCCID_2078154

   FCC 47 CFR PART 15 SUBPART C
 INDUSTRY CANADA RSS-210 ISSUE 8
 INDUSTRY CANADA RSS-GEN Issue 3

    CERTIFICATION TEST REPORT

                FOR

        WIRELESS CHARGER

       MODEL NUMBER: A010

REPORT NUMBER: 13U15612-1 Revision B

         FCC ID: A4R-A010
          IC: 10395A-A010

  ISSUE DATE: SEPTEMBER 20, 2013

            Prepared for
           GOOGLE INC.
   1600 AMPHITHEATRE PARKWAY
   MOUNTAIN VIEW CA, 94043, 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: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010

                                                   Revision History



             Issue
 Rev.        Date             Revisions                                                                  Revised By
   --        08/23/13         Initial Issue                                                              F. de Anda
   A         09/06/13         Update to include 99% BW                                                   F. de Anda
   B         09/20/13         Update on EUT switching frequency range                                    F. de Anda




                                     Page 2 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                         DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                         IC: 10395A-A010

                                             TABLE OF CONTENTS
1.     ATTESTATION OF TEST RESULTS ................................................................................. 4

2.     TEST METHODOLOGY ..................................................................................................... 5

3.     FACILITIES AND ACCREDITATION ................................................................................. 5

4.     CALIBRATION AND UNCERTAINTY ................................................................................ 5
     4.1.    MEASURING INSTRUMENT CALIBRATION .............................................................. 5
     4.2.    SAMPLE CALCULATION ............................................................................................ 5
     4.3.    MEASUREMENT UNCERTAINTY ............................................................................... 5

5.     EQUIPMENT UNDER TEST ............................................................................................... 6
     5.1.    DESCRIPTION OF EUT .............................................................................................. 6
     5.2.    DESCRIPTION OF AVAILABLE ANTENNAS .............................................................. 6
     5.3.    SOFTWARE AND FIRMWARE .................................................................................... 6
     5.4.    WORST-CASE CONFIGURATION AND MODE .......................................................... 6
     5.5.    MODIFICATIONS ........................................................................................................ 6
     5.6.    DESCRIPTION OF TEST SETUP ................................................................................ 7

6.     TEST AND MEASUREMENT EQUIPMENT ....................................................................... 9

7.     RADIATED EMISSION TEST RESULTS...........................................................................10
     7.1.    LIMITS AND PROCEDURE ........................................................................................10
     7.2.    TX SPURIOUS EMISSIONS 0.15 TO 30 MHz ............................................................11
     7.3.    TX SPURIOUS EMISSION 30 TO 1000 MHz (HORIZONTAL) ...................................12
     7.4.    TX SPURIOUS EMISSION 30 TO 1000 MHz (VERTICAL) .........................................14
     7.5.    99% BANDWIDTH ......................................................................................................16

8.     AC MAINS LINE CONDUCTED EMISSIONS ....................................................................17

9.     SETUP PHOTOS ...............................................................................................................21




                                     Page 3 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010


1. ATTESTATION OF TEST RESULTS
COMPANY NAME:                        GOOGLE INC.
                                     1600 AMPHITHEATRE PARKWAY
                                     MOUNTAIN VIEW CA, 94043, U.S.A

EUT DESCRIPTION:                     Wireless charger

MODEL:                               A010

SERIAL NUMBER:                       548

DATE TESTED:                         JULY 23 - JULY 29, 2013

                                           APPLICABLE STANDARDS
                                STANDARD                                                 TEST RESULTS
                       FCC PART 15 SUBPART C                                                    Pass
                 INDUSTRY CANADA RSS-210 Issue 8                                                Pass
                INDUSTRY CANADA RSS-GEN Issue 3                                                 Pass


UL Verification Services Inc. tested the above equipment in accordance with the requirements
set forth in the above standards. All indications of Pass/Fail in this report are opinions
expressed by UL Verification Services Inc. based on interpretations and/or observations of test
results. Measurement Uncertainties were not taken into account and are published for
informational purposes only. The test results show that the equipment tested 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:                                 Tested By:




FRANCISCO DE ANDA                                                JOE VANG
PROJECT LEAD                                                     EMC ENGINEER
UL Verification Services Inc.                                    UL Verification Services Inc




                                     Page 4 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010


2. TEST METHODOLOGY
The tests documented in this report were performed in accordance with ANSI C63.10-2009,
FCC CFR 47 Part 2, FCC CFR 47 Part 15, RSS-GEN Issue 3, and RSS-210 Issue 8.


3. FACILITIES AND ACCREDITATION
The test sites and measurement facilities used to collect data are located at 47173 Benicia
Street, Fremont, California, USA.

UL Verification Services Inc. is accredited by NVLAP, Laboratory Code 200065-0. The full
scope of accreditation can be viewed at http://www.ccsemc.com.


4. CALIBRATION AND UNCERTAINTY
    4.1.          MEASURING INSTRUMENT CALIBRATION
The measuring equipment utilized to perform the tests documented in this report has been
calibrated in accordance with the manufacturer's recommendations, and is traceable to
recognized national standards.


    4.2.          SAMPLE CALCULATION

Where relevant, the following sample calculation is provided:
      Field Strength (dBuV/m) = Measured Voltage (dBuV) + Antenna Factor (dB/m) +
      Cable Loss (dB) – Preamp Gain (dB)
      36.5 dBuV + 18.7 dB/m + 0.6 dB – 26.9 dB = 28.9 dBuV/m


    4.3.          MEASUREMENT UNCERTAINTY
Where relevant, the following measurement uncertainty levels have been estimated for tests
performed on the apparatus:

               PARAMETER                                 UNCERTAINTY
 Conducted Disturbance, 0.15 to 30 MHz                 3.52 dB
 Radiated Disturbance, 30 to 1000 MHz                  4.94 dB

Uncertainty figures are valid to a confidence level of 95%.




                                     Page 5 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010


5. EQUIPMENT UNDER TEST


    5.1.          DESCRIPTION OF EUT

The EUT is a wireless charger intended for charging mobile devices, by means of induction
technology.


GENERAL INFORMATION


 Input Power                                                            100-240 VAC, 9 W
 Output Power                                                           5 VDC, 5W
 Frequencies generated or used by the EUT.                              111-134 KHz Charger
                                                                        16 MHz USB
 Power supply - USB charger                                             Model:WOO9A050
                                                                        S/N: Proto 1




    5.2.          DESCRIPTION OF AVAILABLE ANTENNAS
The radio utilizes an internal loop antenna (Circular Coil).

    5.3.          SOFTWARE AND FIRMWARE

The firmware installed in the EUT during testing was V3.6.


    5.4.          WORST-CASE CONFIGURATION AND MODE

The EUT was tested with the maximum charging power of 5 watts.


    5.5.          MODIFICATIONS

No modifications were made during testing.




                                     Page 6 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010


    5.6.          DESCRIPTION OF TEST SETUP
SUPPORT EQUIPMENT

                                             Support Equipment List
Description                      Manufacturer       Model           Serial Number                               FCC ID
Test board (load)                Texas Instruments BQ52013AEVM-764 3368022WBG                                    N/A


I/O CABLES

                                                     I/O Cable List
Cable                  # of identical Connector              Cable
  No    Port               ports         Type   Cable Type Length (m)                                 Remarks
1     USB              1              USB       Shielded       1



TEST SETUP

The EUT is a standalone charger. A test jig was used to represent a load.




                                     Page 7 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010

SETUP DIAGRAM




                                                                                       Test Load




                                                                                      EUT



                                                               1
                                                                        USB
                                                                      Charger
                                                       AC Mains




                                     Page 8 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010

6. TEST AND MEASUREMENT EQUIPMENT

The following test and measurement equipment was utilized for the tests documented in this
report:


                                           TEST EQUIPMENT LIST
  Description                           Manufacturer Model                      Serial      Cal Due
                                                                                Number
  Antenna, Bilog, 2 GHz                  Sunol Sciences               JB1          A092308    02/13/14
  Preamplifier,1300 MHz                   Agilent / HP               8447D       2944A06550  03/23/14
  Spectrum Analyzer, 26.5 GHz               Agilent                 E4440A       MY46186329 05/07/14
  LISN, 30 MHz                                FCC                 50/250-25-2      C00626    01/14/14
  LISN, 10 kHz - 30 MHz                      Solar             8012-50-R-24-BNC    8379443   5/9/2014
  EMI Test Receiver, 30 MHz                  R&S                   ESHS 20         N02396    08/08/13
  Digital Barometer                       Cole-Palmer               9976-00       102077332  8/22/2013
  Antenna, Loop, 30 MHz                     EMCO                      6502        9202-2722  2/20/2014
  Spectrum Analyzer, 26.5 GHz               Agilent                 E4407B       US41444322  04/04/14




                                     Page 9 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010


7. RADIATED EMISSION TEST RESULTS


    7.1.          LIMITS AND PROCEDURE
LIMITS

FCC §15.209 (a)
IC RSS-210, Section 2.6
IC RSS-GEN, Section 6

 Frequency                  Field Strength                Measurement Distance
 (MHz)                      (microvolts/meter)            (m)
 0.009–0.490                2400/F(kHz)                   300
 0.490–1.705                24000/F(kHz)                  30
 1.705–30.0                 30                            30
 30–88                      100                           3
 88 to 216                  150                           3
 216 to 960                 200                           3
 Above 960 MHz              500                           3
 Note: The lower limit shall apply at the transition frequency.


TEST PROCEDURE

ANSI C63.4

The EUT is an intentional radiator that incorporates a digital device, the highest fundamental
frequency generated or used in the device is 134 KHz, while the highest frequency generated or
used in the device is 16 MHz; therefore, the frequency range was investigated from 30 MHz to
1000 MHz.



RESULTS

No non-compliance noted:




                                     Page 10 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010

    7.2.          TX SPURIOUS EMISSIONS 0.15 TO 30 MHz




                                     Page 11 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010

    7.3.          TX SPURIOUS EMISSION 30 TO 1000 MHz (HORIZONTAL)



   HORIZONTAL PLOT




                                     Page 12 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010

HORIZONTAL DATA


Trace Markers

                                              Horizontal 30 - 200MHz

Frequency      Meter      Det     AF T243    Amp/Cbl/Fl   (dBuV/m)    FCC Class B    Margin       Height      Polarity
  (MHz)       Reading             (dB/m)       tr/Pad                  QPk Limit      (dB)         (cm)
                                                (dB)

 41.815       38.84       PK       12.1        -28.7        22.24         40        -17.76        300         Horz

 101.57       48.41       PK       10.5         -28         30.91        43.5       -12.61        300         Horz

 161.41       43.36       PK        12         -27.3        28.06        43.5       -15.46        200         Horz

191.925       52.42       PK       11.3        -27.1        36.62        43.5         -6.9        200         Horz

 320.5        35.52       PK       13.8        -25.9        23.42         46        -22.58        100         Horz

 508.7        33.54       PK       17.7        -25.7        25.54         46        -20.46        200         Horz

 945.4         29.2       PK       22.7        -22.8        29.1          46         -16.9        300         Horz


PK - Peak detector




                                     Page 13 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010


    7.4.          TX SPURIOUS EMISSION 30 TO 1000 MHz (VERTICAL)



   VERTICAL PLOT




                                     Page 14 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010

VERTICAL DATA


Trace Markers

 Vertical 30 - 200MHz

Frequency   Meter        Det     AF T243     Amp/Cbl/Fl   (dBuV/m)    FCC Class B   Margin      Height      Polarity
(MHz)       Reading              (dB/m)      tr/Pad                   QPk Limit     (dB)        (cm)
                                             (dB)

 43.43        50.46       PK        11         -28.7        32.76         40          -7.24        100         Vert

  55.5        43.28       PK        6.9        -28.6        21.58         40         -18.42        100         Vert

101.613       45.06       PK       10.5         -28         27.56        43.5        -15.96        100         Vert

 161.37       40.84       PK        12         -27.3        25.54        43.5        -17.98        100         Vert

 192.65       45.62       PK       11.4        -27.1        29.92        43.5         -13.6        100         Vert

 243.4        36.28       PK       11.6        -26.5        21.38         46         -24.64        400         Vert

  993         28.77       PK       23.3        -22.4        29.67         54          -24.3        400         Vert


PK - Peak detector




                                     Page 15 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010


    7.5.          99% BANDWIDTH

LIMITS

None; for reporting purposes only.


TEST PROCEDURE

The transmitter output is connected to E-Field probe then to the spectrum analyzer. The RBW is
set to 1% to 3% of the 99 % bandwidth. The VBW is set to 3 times the RBW. The sweep time is
coupled. The spectrum analyzer internal 99% bandwidth function is utilized.


RESULTS

      Frequency              99% Bandwidth
         (MHz)                     (KHz)
        0.12089                   0.25427

99% BANDWIDTH




                                     Page 16 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010


8. AC MAINS LINE CONDUCTED EMISSIONS

LIMITS

§15.207 (a)
IC RSS-GEN, Section 7.2.2



      Frequency of emission                                   Conducted Limit (dBµV)
            (MHz)                         Quasi-peak                                     Average
         0.15 to 0.50                      66 to 56*                                     56 to 46*
           0.50 to 5                          56                                            46
            5 to 30                           60                                            50
 * Decreases with the logarithm of the frequency.


TEST PROCEDURE

ANSI C63.4


RESULTS

No non-compliance noted:




                                     Page 17 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010

LINE 1 RESULTS




                                     Page 18 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010


LINE 2 RESULTS




                                     Page 19 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.


REPORT NO: 13U15612-1B                                                                 DATE: SEPTEMBER 20, 2013
FCC ID: A4R-A010                                                                                 IC: 10395A-A010

6 WORST EMISSIONS

Line-L1 .15 - 30MHz

Trace Markers

Marker    Frequency    Meter    Det    T24 IL L1    LC Cables   Corrected    CISPR      Margin to     CISPR         Margin to
            (MHz)     Reading            (dB)      1&3 (dB)      Reading     11/22      Limit (dB)    11/22         Limit (dB)
                      (dBuV)                                    dB(uVolts)   Class B                 Class B
                                                                             Quasi-                  Average
                                                                              peak

  1        .1545       50.92     PK       .1           0         51.02        65.8       -14.78         -               -

  2        .1545       33.53     Av       .1           0         33.63          -           -          55.8         -22.17

  3        4.119       42.49     PK       .1          .1         42.69         56        -13.31         -               -

  4        4.119       29.76     Av       .1          .1         29.96          -           -           46          -16.04

  5        5.1225      42.05     PK       .1          .1         42.25         60        -17.75         -               -

  6        5.1225        25.6    Av       .1          .1          25.8          -           -           50           -24.2



Line-L2 .15 - 30MHz

Trace Markers

Marker    Frequency    Meter    Det    T24 IL L2    LC Cables   Corrected    CISPR      Margin to     CISPR         Margin to
            (MHz)     Reading            (dB)      2&3 (dB)      Reading     11/22      Limit (dB)    11/22         Limit (dB)
                      (dBuV)                                    dB(uVolts)   Class B                 Class B
                                                                             Quasi-                  Average
                                                                              peak

  7         .429       37.73     PK       .1           0         37.83        57.3       -19.47         -               -

  8         .429       23.58     Av       .1           0         23.68          -           -          47.3         -23.62

  9         .681       41.17     PK       .1           0         41.27         56        -14.73         -               -

  10        .681       30.24     Av       .1           0         30.34          -           -           46          -15.66

  11       4.8795      41.21     PK       .1          .1         41.41         56        -14.59         -               -

  12       4.8795      22.56     Av       .1          .1         22.76          -           -           46          -23.24



PK - Peak detector

Av - average detection




                                     Page 20 of 23
UL VERIFICATION SERVICES INC.                                        FORM NO: CCSUP4701I
47173 BENICIA STREET, FREMONT, CA 94538, USA     TEL: (510) 771-1000    FAX: (510) 661-0888
This report shall not be reproduced except in full, without the written approval of UL Verification Services Inc.



Document Created: 2019-06-28 08:26:16
Document Modified: 2019-06-28 08:26:16

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