R12570795-E10 v3 FCC IC RF EXPOSURE REPORT

FCC ID: A94423352

RF Exposure Info

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FCCID_4286876

FCC Part 1 Subpart | FCC Part 2 Subpart J ISED RSS—102 ISSUE 5 RF EXPOSURE REPORT FOR WIRELESS HEADSET MODEL NAME: 423352 FCC ID: A94423352 IC Certification ID: 3232A—423352 REPORT NUMBER: R12570795—E10 ISSUE DATE: 2019—02—28 Prepared for BOSE CORPORATION 100 THE MOUNTAIN FRAMINGHAM, MA 01701,USA Prepared by UL LLC 12 LABORATORY DR. RESEARCH TRIANGLE PARK, NC 27709 USA TEL: (919) 549—1400 ’ i \&/Z & \/ e 3 ;— > N yj &Z: I TEST NG ?@% ,’//,I// I\\\\\\\ \\ uid NVLAP LAB CODE 200246—0

REPORT NO: R12570795-E10 DATE: 2019-02-28 FCC ID: A94423352 IC ID:3232A-423352 Revision History Issue Ver. Date Revisions Revised By 1 2019-01-31 Initial Issue Brian T. Kiewra Revised separation distance and maximum average 2 2019-02-13 Brian T. Kiewra output power in Section 6 Revised table to state maximum peak output power 3 2019-02-28 Brian T. Kiewra in Section 6. 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: R12570795-E10 DATE: 2019-02-28 FCC ID: A94423352 IC ID:3232A-423352 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. ISED CANADA .............................................................................................................7 END OF TEST REPORT ............................................................................................................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: R12570795-E10 DATE: 2019-02-28 FCC ID: A94423352 IC ID:3232A-423352 1. ATTESTATION OF TEST RESULTS COMPANY NAME: Bose Corporation 100 The Mountain Framingham, MA 01701, USA EUT DESCRIPTION: Wireless Headset MODEL: 423352 SERIAL NUMBER: 079616Z8321I005AE DATE TESTED: 2019-01-09 APPLICABLE STANDARDS STANDARD TEST RESULTS FCC PART 1 SUBPART I & PART 2 SUBPART J Compliant ISED CANADA RSS-102 ISSUE 5 Compliant UL LLC 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 LLC 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 LLC and all revisions are duly noted in the revisions section. Any alteration of this document not carried out by UL LLC 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, or any agency of the U.S. Government. Approved & Released Prepared By: For UL LLC By: Jeffrey Moser Brian T. Kiewra Operations Leader Project Engineer UL – Consumer Technology Division UL – Consumer Technology Division 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: R12570795-E10 DATE: 2019-02-28 FCC ID: A94423352 IC ID:3232A-423352 2. TEST METHODOLOGY All calculations were made in accordance with FCC Parts 2.1091, 2.1093 and KDB 447498 D01 v06 and IC Safety Code 6, RSS 102 Issue 5. 3. REFERENCES All measurements were made as documented in test report UL LLC Documents R12570795-E1 and R12570795-E2 for operation in the 2.4 GHz band. Output power, Duty cycle and Antenna gain data is excerpted from the applicable test reports. 4. FACILITIES AND ACCREDITATION The test sites and measurement facilities used to collect data are located at 12 Laboratory Dr., Research Triangle Park, NC 27709, USA and 2800 Perimeter Park Dr., Suite B, Morrisville, NC 27560, USA. UL LLC (RTP) is accredited by NVLAP, Laboratory Code 200246-0. 5. DEVICE UNDER TEST The EUT is a wireless headset with BLE and BT radios. The minimum separation distance as specified by the manufacturer is 24.88mm. 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: R12570795-E10 DATE: 2019-02-28 FCC ID: A94423352 IC ID:3232A-423352 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. 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: 1. {[Power allowed at numeric threshold for 50 mm)] + [(test separation distance – 50 mm)·(f(MHz)/150)]} mW, for 100 MHz to 1500 MHz • f(MHz) is the RF channel transmit frequency in MHz 2. {[Power allowed at numeric threshold for 50 mm)] + [(test separation distance – 50 mm)·10]} mW, for > 1500 MHz and ≤ 6 GHz SAR Exclusion Calculation Table for Portable Devices (separation distance < 50mm) Frequency Output power Separation Calculated Tx (MHz) dBm mW distances (mm) Threshold Bluetooth 2480 8.00 6.31 5 2.0 Note – Power value reported is based on PK value. Conclusion: The computed values are < 3; therefore, the device 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: R12570705—£10 DATE: 2018—02—28 FCC ID: A@4423352 10 1D:3232—423352 6.2. ISED CANADA The SAR exclusion table from RSS—102 issue 5 is reproduced below: Table : SAR evaluation — exemption limits for routine evaluation based on frequency and separation distance. Exemption Limits (mW) Frequenty t separation At separation At separation At separation At separation mz distance of distance of distance of distance of distance of <Smm 10mm 15mm 20mm 25mm s300 7: mw 101 mw 132 mw 162 mw 193 mw aso 52 mw 70 mw 88 mw 106 mw 123 mw sas 17 mw 30 mw 42 mw 55 mw 67 mw 1900 7 mw 10 mw 18 mw 35 mw 60 mw 2450 4 mw 7 mw 15 mW 30 mWw 52 mw 3500 2 mw 6 mw 16 mw 32 mw 55 mw seo0 1 mw 6 mw 15 mw 27 mw 41 mw Exemption Limits (mW) Frequenty t separation At separation At separation At separation At separation mz distance of distance of distance of distance of distance of 30mm 35mm 40omm 45mim 250mm s300 223 mw 254 mw 204 mw 315 mWw 345 mw aso 141 mw 159 mWw 177 mw 195 mw 213 mw sas so mw 92 mw 105 mw 117 mw 130 mw 1900 99 mw 153 mWw 225 mw 316 mWw 431 mw 2450 83 mw 123 mw 173 mw 235 mw 309 mw 3500 86 mw 124 mw 170 mw 225 mWw 290 mw seo0 56 mw 71 mw 85 mw 97 mw 106 mw The minimum antenna to user distance that will be encountered in normal use is 24.88mm. This results in an exemption limit of 3OmW at 2450 MHz. Antema Gan] ce Ts Freauenty eximum Power 4s Tam mhe oem Condusted 80 631 Blustockh 2480 EirP 120 1905 Note — Power value reported is based on PK value As the maximum output power is 6.31mWW conducted and 19.05mW EIRP the DUT qualifies for SAR test exclusion. END OF TEST REPORT Page 7 of 7 UL Venfeation Services Inc Doc No: 10 This report shall not be reproduced without the written approval of UL Verifieation Services Inc.


Document Created: 2019-06-02 00:22:01
Document Modified: 2019-06-02 00:22:01
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