Test Report

FCC ID: GU6-SDMAN

Test Report

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FCCID_2395788

RF TEST REPORT Report No.: FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Supersede Report No.: FCC_RF_SL13092401-AVE-031_WLAN Applicant Avery Dennison Product Name SDIO Wireless Module Model No. SX-SDMAN 47CFR15.247, RSS-210 Issue8: 2010 Test Standard ANCI C63.4:2009 Test Method 47CFR15.247, RSS-210 Issue8: 2010 FCC ID GU6-SDMAN IC ID 1502A-SDMAN Date of test 12/09/2013 - 12/31/2013 Issue Date 7/18/2014 Test Resut Pass Fail Equipment complied with the specification [x] Equipment did not comply with the specification [ ] David Zhang Nima Molaei Test Engineer Engineer Reviewer This test report may be reproduced in full only Test result presented in this test report is applicable to the tested sample only Issued By: SIEMIC Laboratories 775 Montague Expressway, Milpitas, 95035 CA 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 2 of 26 Laboratory Introduction SIEMIC, headquartered in the heart of Silicon Valley, with superior facilities in US and Asia, is one of the leading independent test ing and certification facilities providing customers with one-stop shop services for Compliance Testing and Global Certifications. In addition to testing and certification, SIEMIC provides initial design reviews and compliance management throughout a project. Our extensive experience with China, Asia Pacific, North America, European, and International compliance requirements, assures the fastest, most cost effective way to attain regulatory compliance for the global markets. Accreditations for Conformity Assessment Country/Region Accreditation Body Scope USA FCC, A2LA EMC , RF/Wireless , Telecom Canada IC, A2LA, NIST EMC, RF/Wireless , Telecom Taiwan BSMI , NCC , NIST EMC, RF, Telecom , Safety Hong Kong OFTA , NIST RF/Wireless ,Telecom Australia NATA, NIST EMC, RF, Telecom , Safety Korea KCC/RRA, NIST EMI, EMS, RF , Telecom, Safety Japan VCCI, JATE, TELEC, RFT EMI, RF/Wireless, Telecom Mexico NOM, COFETEL, Caniety Safety, EMC , RF/Wireless, Telecom Europe A2LA, NIST EMC, RF, Telecom , Safety Accreditations for Product Certifications Country Accreditation Body Scope USA FCC TCB, NIST EMC , RF , Telecom Canada IC FCB , NIST EMC , RF , Telecom Singapore iDA, NIST EMC , RF , Telecom EU NB EMC & R&TTE Directive Japan MIC (RCB 208) RF , Telecom HongKong OFTA (US002) RF , Telecom 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 3 of 26 CONTENTS 1 REPORT REVISION HISTORY ......................................................................................................................................... 4 2 EXECUTIVE SUMMARY ................................................................................................................................................... 5 3 CUSTOMER INFORMATION ............................................................................................................................................ 5 4 TEST SITE INFORMATION .............................................................................................................................................. 5 5 MODIFICATION ............................................................................................................................................................... 5 6 EUT INFORMATION......................................................................................................................................................... 6 6.1 EUT Description .......................................................................................................................................................... 6 6.2 Radio Description ........................................................................................................................................................ 7 6.3 EUT test modes/configuration Description ..................................................................................................................... 8 6.4 EUT Photos - External ................................................................................................................................................. 9 6.5 EUT Photos - Internal ................................................................................................................................................ 10 6.6 Host Photos - External ............................................................................................................................................... 11 6.7 EUT Test Setup Photos ............................................................................................................................................. 12 7 SUPPORTING EQUIPMENT/SOFTWARE AND CABLING DESCRIPTION ........................................................................ 13 7.1 Supporting Equipment ............................................................................................................................................... 13 7.2 Test Software Description .......................................................................................................................................... 13 8 TEST SUMMARY ........................................................................................................................................................... 14 9 MEASUREMENT UNCERTAINTY ................................................................................................................................... 15 10 MEASUREMENTS, EXAMINATION AND DERIVED RESULTS ................................................................................... 16 10.1 Conducted Emissions ............................................................................................................................................ 16 10.2 Radiated Emissions below 1GHz............................................................................................................................ 19 10.3 Radiated Spurious Emissions above 1GHz ............................................................................................................. 21 ANNEX A. TEST INSTRUMENT ............................................................................................................................................. 23 ANNEX B. USER MANUAL, BLOCK & CIRCUIT DIAGRAM .................................................................................................... 24 ANNEX C. SIEMIC ACCREDITATION ..................................................................................................................................... 25 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 4 of 26 1 Report Revision History Report No. Report Version Description Issue Date FCC_RF_SL13092401-AVE-031_WLAN None Original 1/6/2014 FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Rev1.0 Update EUT model 7/18/2014 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 5 of 26 2 Executive Summary The purpose of this test program was to demonstrate compliance of following product Company: Avery Dennison Product: SDIO Wireless Module Model: SX-SDMAN , which is FCC certified radio module (FCC ID: GU6-SDMAN, IC ID: 1502A-SDMAN), to be installed into a printer host (Printer Model: ADTP1, ADTP1CT, ADTP1CR) and simultaneously transmission with FCC certified RFID radio module (FCC ID: GU6-RS500GX, IC ID: 1502A-RS500GX), against the current Stipulated Standards. The specified model product stated above has demonstrated compliance with the Stipulated Standard listed on 1st page. 3 Customer information Applicant Name Avery Dennison Applicant Address 170 Monarch Lane,Miamisburg, OH, 45342 Manufacturer Name Avery Dennison Manufacturer Address 170 Monarch Lane,Miamisburg, OH, 45342 4 Test site information Lab performing tests SIEMIC Laboratories Lab Address 775 Montague Expressway, Milpitas, CA 95035 FCC Test Site No. 881796 IC Test Site No. 4842D-2 VCCI Test Site No. A0133 5 Modification Index Item Description Note - - - - 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 6 of 26 6 EUT Information 6.1 EUT Description Product Name SDIO Wireless Module Model No. SX-SDMAN Trade Name Monarch / Avery Dennison Serial No. N/A Input Power 3.3 VDC Power Adapter Manu/Model N/A Power Adapter SN - Hardware version N/A Software version N/A Date of EUT received 11/18/2013 Equipment Class/ Category DTS, UNII Clock Frequencies 2.4GHz, 5GHz band Port/Connectors SDIO ADTP1 - Basic model with 140W power supply ADTP1CT - Extended model with 300W power supply that allows cutter to be added. ADTP1CR - DC version (Cart Ready) The testing was performed on ADTP1 as the worst case Remark representative. 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 7 of 26 6.2 Radio Description Spec for Radio - Radio Type 802.11b 802.11g 802.11a 802.11n-20M 802.11n-40M 2412-2462MHz 5180-5320MHz 5190-5310MHz 5180-5320MHz Operating Frequency 2412-2462MHz 2412-2462MHz 5470-5725MHz 5510-5670MHz 5470-5725MHz 5725-5825MHz 5755-5795MHz 5725-5825MHz OFDM-CCK OFDM (BPSK, OFDM (BPSK, OFDM (BPSK, DSSS (BPSK, QPSK, QPSK, QPSK, QPSK, Modulation (CCK, DQPSK, 16QAM, 16QAM, 16QAM, 16QAM, DBPSK) 64QAM) 64QAM) 64QAM) 64QAM) 5MHz(2.4GHz), Channel Spacing 5MHz 5MHz 20MHz 40MHz 20MHz (5GHz) 11(2.4GH) 7 (2.4GH) Number of Channels 11 11 21 21 (5GHz) 9 (5GHz) Antenna Type Sleeve antenna: Sansei Antenna Gain Sleeve antenna: 1.0 dBi (2.4GHz), 1.1 dBi (5GHz) Antenna Connector Type U.FL connector 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 8 of 26 6.3 EUT test modes/configuration Description Test mode Final Test Mode Note Final_test_mode_1 Below 1GHz-Mode1:UHF RFID hopping + WLAN @ 802.11b-2437MHz - Final_test_mode_2 Above 1GHz-Mode1: UHF RFID hopping + WLAN @ 802.11b-2437MHz - Final_test_mode_3 - Final_test_mode_4 - Final_test_mode_5 - Final_test_mode_6 - - Final_test_mode_7 - - Final_test_mode_8 - - Final_test_mode_9 - - Remark: 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 9 of 26 6.4 EUT Photos - External EUT – Top View EUT – Bottom View Antenna – Top View Antenna – Port View 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 10 of 26 6.5 EUT Photos - Internal Radio module – Top Radio module – Bottom 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 11 of 26 6.6 Host Photos - External Top Side View Bottom Side View Front Side View Side Rear View Side Left Side View Right Side View 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 12 of 26 6.7 EUT Test Setup Photos Radiated Emissions (<1GHz) – Front View Radiated Emissions (<1GHz) – Rear View Radiated Emissions (>1GHz) – Front View Radiated Emissions (>1GHz) – Rear View 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 13 of 26 7 Supporting Equipment/Software and cabling Description 7.1 Supporting Equipment Supporting Equipment Item Model Serial Number Manufacturer Note Description 1 D600 Laptop PC 9444352681 Dell AC Power 2 PA-1650-05D2 F7970 Dell Adapter 7.2 Test Software Description Test Item Software Description - - - 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 14 of 26 8 Test Summary Spurious Emissions Test Item Test standard Test Method/Procedure Pass / Fail 15.207(a) ANSI C63.4 – 2009 ☒ Pass ☐ Fail AC Conducted Emissions Voltage RSS Gen (7.2.2) RSS-Gen Issue 3: 2010 ☒ Pass ☐ Fail ANSI C63.4: 2009 FCC-15.247 ☒ Pass ☐ Fail Radiated Spurious Emissions<1GHz 558074 D01 DTS Meas Guidance v03r01 IC-RSS 210 RSS-Gen Issue 3: 2010 ☒ Pass ☐ Fail ANSI C63.4: 2009 FCC-15.247 ☒ Pass ☐ Fail Radiated Spurious Emissions>1GHz 558074 D01 DTS Meas Guidance v03r01 IC-RSS 210 RSS-Gen Issue 3: 2010 ☒ Pass ☐ Fail 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 15 of 26 9 Measurement Uncertainty Emissions Uncertain Test Item Frequency Range Description ty Confidence level of approximately 95% (in the case where Conducted Emissions 150KHz – 30MHz ±3.5dB distributions are normal), with a coverage factor of 2 Confidence level of approximately 95% (in the case where +5.6dB/- Radiated Spurious Emissions 30MHz – 1GHz distributions are normal), with a coverage factor of 2 (for EUTs 4.5dB < 0.5m X 0.5m X 0.5m) Confidence level of approximately 95% (in the case where +4.3dB/- Radiated Spurious Emissions 1GHz – 40GHz distributions are normal), with a coverage factor of 2 (for EUTs 4.1dB < 0.5m X 0.5m X 0.5m) 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 16 of 26 10 Measurements, Examination and Derived Results 10.1 Conducted Emissions Conducted Emission Limit Frequency ranges Limit (dBuV) (MHz) QP Average 0.15 ~ 0.5 66 – 56 56 – 46 0.5 ~ 5 56 46 5 ~ 30 60 50 Spec Item Requirement Applicable a) For Low-power radio-frequency devices that is designed to be connected to the ☒ public utility (AC) power line, the radio frequency voltage that is conducted back onto 47CFR§15.207, the AC power line on any frequency or frequencies, within the band 150 kHz to 30 RSS210(A8.1) MHz, shall not exceed the limits in the following table, as measured using a 50 [mu]H/50 ohms line impedance stabilization network (LISN). The lower limit applies at the boundary between the frequency ranges. Test Setup - The EUT and supporting equipment were set up in accordance with the requirements of the standard on top of a 1.5m x 1m x 0.8m high, non-metallic table, as shown in Annex B. Procedure - The power supply for the EUT was fed through a 50/50H EUT LISN, connected to filtered mains. - The RF OUT of the EUT LISN was connected to the EMI test receiver via a low-loss coaxial cable. - All other supporting equipment were powered separately from another main supply. Remark NONE Result ☒ Pass ☐ Fail Test Data ☒ Yes ☐ N/A Test Plot ☒ Yes (See below) ☐ N/A 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 17 of 26 Conducted Emission Test Results (AC Line Test Result) Temp (°C): 21 Environmental Conditions: Humidity (%) 44 Atmospheric (mPa): Result Mains Power: 120 VAC/ 60Hz/ Live Line Tested by: David Zhang Test Date: 31-Dec-13 Remarks: With host ADTP1 Frequency Raw Cable Factors Level Measurement Limit Margin Pass Line MHz dBuV Loss dB dBuV Type dBuV dB /Fail 3.190 37.64 10.03 1 48.67 Quasi Peak Live 56 -7.33 Pass 3.259 37.57 10.03 1.01 48.61 Quasi Peak Live 56 -7.39 Pass 3.122 34.81 10.03 0.99 45.83 Quasi Peak Live 56 -10.17 Pass 3.398 32.23 10.03 1.02 43.28 Quasi Peak Live 56 -12.72 Pass 3.329 35.09 10.03 1.01 46.13 Quasi Peak Live 56 -9.87 Pass 3.051 30.83 10.03 0.98 41.84 Quasi Peak Live 56 -14.16 Pass 3.190 34.54 10.03 1 45.57 Average Live 46 -0.43 Pass 3.259 33.56 10.03 1.01 44.59 Average Live 46 -1.41 Pass 3.122 32.12 10.03 0.99 43.14 Average Live 46 -2.86 Pass 3.398 29.47 10.03 1.02 40.52 Average Live 46 -5.48 Pass 3.329 31.84 10.03 1.01 42.88 Average Live 46 -3.12 Pass 3.051 30.61 10.03 0.98 41.62 Average Live 46 -4.38 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 18 of 26 Temp (°C): 21 Environmental Conditions: Humidity (%) 44 Atmospheric (mPa): Result Mains Power: 120 VAC/ 60Hz/ Neutral Line Tested by: David Zhang Test Date: 31-Dec-13 Remarks: With host ADTP1 Frequency Raw Cable Factors Level Measurement Limit Margin Pass Line MHz dBuV Loss dB dBuV Type dBuV dB /Fail 3.192 31.39 10.03 1 42.41 Quasi Peak Neutral 56 -13.59 Pass 3.122 28.79 10.03 0.99 39.81 Quasi Peak Neutral 56 -16.19 Pass 3.259 31.39 10.03 1.01 42.42 Quasi Peak Neutral 56 -13.58 Pass 3.398 27.14 10.03 1.02 38.19 Quasi Peak Neutral 56 -17.81 Pass 3.331 28.43 10.03 1.01 39.47 Quasi Peak Neutral 56 -16.53 Pass 3.061 27.95 10.03 0.99 38.96 Quasi Peak Neutral 56 -17.04 Pass 3.192 27.77 10.03 1 38.8 Average Neutral 46 -7.2 Pass 3.122 24.91 10.03 0.99 35.93 Average Neutral 46 -10.07 Pass 3.259 27.2 10.03 1.01 38.23 Average Neutral 46 -7.77 Pass 3.398 23.75 10.03 1.02 34.8 Average Neutral 46 -11.2 Pass 3.331 26.16 10.03 1.01 37.2 Average Neutral 46 -8.8 Pass 3.061 24.91 10.03 0.99 35.92 Average Neutral 46 -10.08 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 19 of 26 10.2 Radiated Emissions below 1GHz Requirement(s): Spec Item Requirement Applicable a) Except higher limit as specified elsewhere in other section, the emissions from the ☒ low-power radio-frequency devices shall not exceed the field strength levels specified in the following table and the level of any unwanted emissions shall not exceed the level of the fundamental emission. The tighter limit applies at the band 47CFR§15.247(d), edges RSS210(A8.5) Frequency range (MHz) Field Strength (uV/m) 30 – 88 100 88 – 216 150 216 960 200 Above 960 500 Test Setup 1. The EUT was switched on and allowed to warm up to its normal operating condition. 2. The test was carried out at the selected frequency points obtained from the EUT characterisation. Maximization of the emissions, was carried out by rotating the EUT, changing the antenna polarization, and adjusting the antenna height in the following manner: a. Vertical or horizontal polarisation (whichever gave the higher emission level over a full Procedure rotation of the EUT) was chosen. b. The EUT was then rotated to the direction that gave the maximum emission. c. Finally, the antenna height was adjusted to the height that gave the maximum emission. 3. A Quasi-peak measurement was then made for that frequency point. 4. Steps 2 and 3 were repeated for the next frequency point, until all selected frequency points were measured. Remark NONE Result ☒ Pass ☐ Fail Test Data ☒ Yes (See below) ☐ N/A Test Plot ☒ Yes (See below) ☐ N/A 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 20 of 26 Radiated Emission Test Results (Below 1GHz) Test specification below 1GHz Temp (°C): 18.9 Environmental Conditions: Humidity (%) 22 Atmospheric (mPa): Mains Power: 110VAC, 60Hz Result PASS Tested by: Teody Manansala Test Date: 9-Dec-13 Avery ADTP1, RFID + WLAN TX Remarks: simultaneously Frequency Raw Cable Level Measurement Hgt Azt Limit Margin Pass AF dB Pol MHz dBuV Loss dBuV/m Type cm Deg dBuV/m dB /Fail 78.541 42.23 1.36 -18.43 25.17 Quasi Max V 113 189 40 -14.83 Pass 700.01 34.05 4.67 -6.77 31.95 Quasi Max V 100 3 46 -14.05 Pass 77.813 34.23 1.35 -18.35 17.23 Quasi Max H 196 189 40 -22.77 Pass 106.18 36.33 1.73 -14.62 23.44 Quasi Max V 197 213 43.5 -20.06 Pass 384.05 39.31 3.36 -12.27 30.41 Quasi Max V 100 231 46 -15.59 Pass 120.75 38.47 1.88 -12.53 27.82 Quasi Max H 184 105 43.5 -15.68 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 21 of 26 10.3 Radiated Spurious Emissions above 1GHz Requirement(s): Spec Item Requirement Applicable ☒ For non-restricted band, In any 100 kHz bandwidth outside the frequency band in which the spread spectrum or digitally modulated intentional radiator is operating, the radio frequency power that is produced by the intentional radiator shall be at least 20 dB or 30dB below that in the 100 kHz bandwidth a) within the band that contains the highest level of the desired power, 47CFR§15.247(d), determined by the measurement method on output power to be used. RSS210(A8.5) Attenuation below the general limits specified in § 15.209(a) is not required ☒ 20 dB down ☐ 30 dB down ☒ or restricted band, emission must also comply with the radiated emission b) limits specified in 2.8 Test Setup 1. The EUT was switched on and allowed to warm up to its normal operating condition. 2. The test was carried out at the selected frequency points obtained from the EUT characterisation. Maximization of the emissions, was carried out by rotating the EUT, changing the antenna polarization, and adjusting the antenna height in the following manner: a. Vertical or horizontal polarisation (whichever gave the higher emission level over a full Procedure rotation of the EUT) was chosen. b. The EUT was then rotated to the direction that gave the maximum emission. c. Finally, the antenna height was adjusted to the height that gave the maximum emission. 3. An average measurement was then made for that frequency point. 4. Steps 2 and 3 were repeated for the next frequency point, until all selected frequency points were measured. Remark None Result ☒ Pass ☐ Fail Test Data ☒ Yes (See below) ☐ N/A Test Plot ☐ Yes (See below) ☒ N/A 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 22 of 26 Radiated Emission Test Results (Above 1GHz) Above 1GHz-25GHz- Mode1: RFI UHF RFID hopping + Silex WLAN module @ 802.11b-2437MHz simultaneously Cabl Level Frequency Raw Measuremen Hgt Azt Limit Margin Pass e AF dB dBuV/ Pol MHz dBuV t Type cm Deg dBuV/m dB /Fail Loss m 4513.711 64.25 2.46 -0.27 66.44 Peak Max V 122 156 74 -7.56 Pass 9300.653 45.33 3.39 6.23 54.95 Peak Max H 182 202 74 -19.05 Pass 1535.595 62.68 1.17 -6.14 57.71 Peak Max V 129 325 74 -16.29 Pass 1327.026 48.48 1.02 -6.55 42.95 Peak Max H 188 77 74 -31.05 Pass 4513.711 50.24 2.46 -0.27 52.43 Average Max V 122 156 54 -1.57 Pass 9300.653 32.99 3.39 6.23 42.61 Average Max H 182 202 54 -11.39 Pass 1535.5952 58.43 1.17 -6.14 53.46 Average Max V 129 325 54 -0.54 Pass 1327.026 31.75 1.02 -6.55 26.21 Average Max H 188 77 54 -27.79 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 23 of 26 Annex A. TEST INSTRUMENT Instrument Model Serial # Cal Date Cal Cycle Cal Due In use Conducted Emissions R & S Receiver ESIB 40 100179 04/20/2013 1 Year 04/20/2014 R&S LISN ESH2-Z5 861741/013 05/18/2013 1 Year 05/18/2014 CHASE LISN MN2050B 1018 07/24/2013 1 Year 07/24/2014 Sekonic Hygro Hermograph ST-50 HE01-000092 05/25/2013 1 Year 05/25/2014 Radiated Emissions R & S Receiver ESL6 100178 03/01/2013 1 Year 03/01/2014 R & S Receiver ESIB 40 100179 04/20/2013 1 Year 04/20/2014 ETS-Lingren Loop Antenna 6512 00049120 05/13/2013 1 Year 05/13/2014 Bi-Log antenna (30MHz~2GHz) JB1 A030702 02/09/2013 1 Year 02/09/2014 Horn Antenna (1-26.5GHz) 3115 10SL0059 04/26/2013 1 Year 04/26/2014 Horn Antenna (18-40 GHz) AH-840 101013 04/23/2013 1 Year 04/23/2014 Pre-Amplifier (1-26.5GHz) 8449B 3008A00715 05/30/2013 1 Year 05/30/2014 Microwave Preamplifier (18-40 PA-840 181251 05/30/2013 1 Year 05/30/2014 GHz) 3 Meters SAC 3M N/A 10/13/2013 1 Year 10/13/2014 10 Meters SAC 10M N/A 06/05/2013 1 Year 06/05/2014 Sekonic Hygro Hermograph ST-50 HE01-000092 05/25/2013 1 Year 05/25/2014 RF Conducted Measurement Spectrum Analyzer N9010A MY50210206 05/30/2013 1 Year 05/30/2014 Spectrum Analyzer E4407B US88441016 05/31/2013 1 Year 05/31/2014 R & S Receiver ESIB 40 100179 04/20/2013 1 Year 04/20/2014 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 24 of 26 Annex B. USER MANUAL, BLOCK & CIRCUIT DIAGRAM Please see attachment 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 25 of 26 Annex C. SIEMIC Accreditation Accreditations Document Scope / Remark ISO 17025 (A2LA) Please see the documents for the detailed scope ISO Guide 65 (A2LA) Please see the documents for the detailed scope TCB Designation A1, A2, A3, A4, B1, B2, B3, B4, C FCC DoC Accreditation FCC Declaration of Conformity Accreditation FCC Site Registration 3 meter site FCC Site Registration 10 meter site IC Site Registration 3 meter site IC Site Registration 10 meter site Radio & Telecommunications Terminal Equipment: EN45001 – EN ISO/IEC 17025 EU NB Electromagnetic Compatibility: EN45001 – EN ISO/IEC 17025 Singapore iDA Phase I, Phase II CB(Certification Body) Vietnam MIC Please see the document for the detailed scope CAB Accreditation (Phase II) OFCA Foreign Certification Body for Radio and Telecom HongKong OFCA (Phase I) Conformity Assessment Body for Radio and Telecom Radio: Scope A – All Radio Standard Specification in Category I Industry Canada CAB Telecom: CS-03 Part I, II, V, VI, VII, VIII 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. FCC_RF_SL13092401-AVE-031_WLAN Rev1.0 Page 26 of 26 Radio : A1. Terminal equipment for purpose of calling Japan Recognized Certification Telecom : B1. Specified radio equipment specified in Article 38-2, Paragraph 1, Item Body Designation 1 of the Radio Law EMI: KCC Notice 2008-39, RRL Notice 2008-3: CA Procedures for EMI KN22: Test Method for EMIEMS: KCC Notice 2008-38, RRL Notice 2008-4: CA Procedures for EMS KN24, KN61000-4-2, -4-3, -4-4, -4-5, -4-6, -4-8, -4-11: Test Method for EMS Korea CAB Accreditation Radio: RRL Notice 2008-26, RRL Notice 2008-2, RRL Notice 2008-10, RRL Notice 2007-49, RRL Notice 2007-20, RRL Notice 2007-21, RRL Notice 2007- 80, RRL Notice 2004-68 Telecom: President Notice 20664, RRL Notice 2007-30, RRL Notice 2008-7 with attachments 1, 3, 5, 6; President Notice 20664, RRL Notice 2008-7 with attachment 4 LP0002, PSTN01, ADSL01, ID0002, IS6100, CNS14336, PLMN07, PLMN01, Taiwan NCC CAB Recognition PLMN08 Taiwan BSMI CAB Recognition CNS 13438 R-3083: Radiation 3 meter site Japan VCCI C-3421: Main Ports Conducted Interference Measurement T-1597: Telecommunication Ports Conducted Interference Measuremet EMC: AS/NZS CISPR 11, AS/NZS CISPR 14.1, AS/NZS CISPR22, AS/NZS 61000.6.3, AS/NZS 61000.6.4 Radiocommunications: AS/NZS 4281, AS/NZS 4268, AS/NZS 4280.1, AS/NZS 4280.2, AS/NZS 4295, AS/NZS 4582, AS/NZS 4583, AS/NZS 4769.1, Australia CAB Regocnition AS/NZS 4769.2, AS/NZS 4770, AS/NZS 4771 Telecommunications: AS/ACIF S002:05, AS/ACIF S003:06, AS/ACIF S004:06 AS/ACIF S006:01, AS/ACIF S016:01, AS/ACIF S031:01, AS/ACIF S038:01, AS/ACIF S040:01, AS/ACIF S041:05, AS/ACIF S043.2:06, AS/ACIF S60950.1 AS/ACIF S002, AS/ACIF S003, AS/ACIF S004, AS/ACIF S006, AS/ACIF Australia NATA Recognition S016,AS/ACIF S031, AS/ACIF S038, AS/ACIF S040, AS/ACIF S041, AS/ACIF S043.2 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:


Document Created: 2014-07-18 16:26:56
Document Modified: 2014-07-18 16:26:56
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