TEST REPORT 2

FCC ID: LD7TLST

Test Report

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FCCID_603996

EMC Test Report Number EMC05006 The Document Company Xerox EMC Test Group FCC Part 15, Subpart C and Industry Canada RSS-210 Compliance Report for Xerox Corporation Short Range Radio Frequency Identification (RFID) Device Model: TLST Judgement: The Device Under Test (DUT) met the requirements specified in FCC Part 15, Subpart C, Sections 15.207, 15.209 and 15.225, and Industry Canada RSS-GEN, Sections 6 and 7.2.2. The FCC and Industry Canada specified frequency stability tests were not performed as part of this assessment. Accreditation Certificate Number: 1248-01 Electrical (EMC) Testing This laboratory is accredited by the American Association for Laboratory Accreditation (A2LA) and the results shown in this test report have been determined in accordance with the laboratory’s terms of accreditation unless stated otherwise in the report. The client is hereby notified that products, materials or other items in this report are in no way approved or endorsed by A2LA unless A2LA explicitly permits such endorsement or approval. EMC Test Group Report Form 5 Revision 5 Page 1 of 22

EMC Test Report Number EMC05006 Type of Report: Electromagnetic Emissions Compliance Test Report Product: Xerox Corporation RFID Device, Model TLST Abstract: This report documents the testing completed on an RFID Model TLST as supplied by the client. The DUT was found to conform with the Federal Communications Commission, and Industry Canada regulatory limits for an intentional radiator and low power licence-exempt radiocommunication device, respectively. FCC is an acronym for “Federal Communications Commission. The FCC acronym is used throughout the document in lieu of the CFR 47 Part 15 Subpart C terminology. The IC acronym is used throughout the document in lieu of the Industry Canada RSS-GEN and RSS-210 terminology. Laboratory: Xerox Corporation Client: Heiko Rommelmann EMC Test Group Xerox Corporation 800 Salt Road Building 843 XSBG/SDU/PCDU Mail Stop 843-16S 800 Phillips Road Building 201 Webster, NY 14580 Mail Stop 201-03S (585) 422-4120 Webster, NY 14580 (585) 422-6449 (fax) (585) 422-0632 (585) 422-9311 (fax) Notice to Client: This report shall not be reproduced, except in full, without the written approval of the EMC Test Group. The client is hereby notified that the results of this report relate only to the item(s) tested. The client is responsible for ensuring that the appropriate information relating to the configuration of the product tested is documented and retained for future reference in accordance with CFR 47 Parts 2 & 15. The client is also responsible for ensuring the product is properly labeled and the customer documentation has the appropriate statements as noted in FCC Parts 2 and 15, and sections 5.10 and 5.11 of Industry Canada RSS-GEN and RSS-210. By signing below, the client certifies that the report distribution and product configuration documented in this test report is correct and that any modifications to the product noted in Section 2.6 shall be incorporated into all production units of the equipment for which this test report has been written. Client: Heiko Rommelmann Date: 11/15/05 Heiko Rommelmann, Product Manager Prepared By: David Spencer Date: 11/15/05 David Spencer, EMC Engineer DSSG / EH&S / EMC Test Group Approved By: Date: 11/15/05 Gary E. Myers, Manager DSSG / EH&S / EMC Group Distribution: Heiko Rommelmann 0201-03S David Spencer 843-16S Gary Myers 843-16S EMC Test Group Report Form 5 Revision 5 Page 2 of 22

EMC Test Report Number EMC05006 Table of Contents 1 GENERAL INFORMATION................................................................................................................4 1.1 Product Description ...................................................................................................................................................................... 4 1.2 Related Reports / Approvals ........................................................................................................................................................ 4 1.3 Tested System Details.................................................................................................................................................................... 5 1.3.1 Host Equipment..................................................................................................................................................................... 5 1.4 Test Methodology / Reference Standards.................................................................................................................................... 5 1.5 Test Facility.................................................................................................................................................................................... 5 2 SYSTEM TEST CONFIGURATION ...................................................................................................6 2.1 Justification.................................................................................................................................................................................... 6 2.2 Run Mode(s) .................................................................................................................................................................................. 6 2.3 Video Mode Justification .............................................................................................................................................................. 6 2.4 DUT Exercise Software................................................................................................................................................................. 6 2.5 Special Accessories ........................................................................................................................................................................ 6 2.6 Equipment Modifications ............................................................................................................................................................. 6 3 CONDUCTED EMISSION DATA .......................................................................................................7 3.1 Test Procedure............................................................................................................................................................................... 7 3.2 Measured Data .............................................................................................................................................................................. 8 3.3 Test Instruments Used, Conducted Measurements .................................................................................................................... 8 3.4 Environmental Conditions............................................................................................................................................................ 8 4 RADIATED EMISSION DATA............................................................................................................9 4.1 Test Procedure............................................................................................................................................................................... 9 4.2 Measured Data ............................................................................................................................................................................ 10 4.3 Test Instruments Used, Radiated Measurements ..................................................................................................................... 11 4.4 Field Strength Calculation.......................................................................................................................................................... 12 4.5 Environmental Conditions.......................................................................................................................................................... 12 5 MEASUREMENT PHOTOGRAPH(S) / DIAGRAM(S) .................................................................13 EMC Test Group Report Form 5 Revision 5 Page 3 of 22

EMC Test Report Number EMC05006 1 GENERAL INFORMATION 1.1 Product Description The DUT is a 13.56Mhz Short Range Radio Frequency Identification (RFID) Reader/Writer Device that uses inductive loop coupling and an integral transmitter/receiver for information exchange between the host Xerox printing system and a passive tag placed on an internal Customer Replaceable Unit (CRU) such as a toner cartridge. The DUT is intended for use within a copier or printer placed in a Class A (EME) business environment. The DUT is intended to communicate within the host equipment only. Operating frequency: 13.56MHz +/-7KHz. Number of Channels: One Modulation: 10% ASK (Amplitude Shift Keying) BPSK (Binary Phase Shift Keying). Antenna: Two Loop Inductive Coil. Field Strength: 2.7uA/m (at 3m) Maximum. Power Supply: 5Vdc, +/- 500mA (min). Duty Cycle: System-Defined by the host control algorithm. ASK_ Based on 106Kbits data rate. Equipment Type: Category I. Model Number: TLST The following table reflects the PWBA’s which contain crystals, oscillators or switcher circuitry. PWB PART FREQUENCY DESCRIPTION IDENTIFIER RFID Model TLST 13.56MHz RFID for Xerox Printer 1.2 Related Reports / Approvals This report is the initial compliance report for the Xerox RFID Model TLST. The test data has been filed under Compliance Test File Number EMC05006. EMC Test Group Report Form 5 Revision 5 Page 4 of 22

EMC Test Report Number EMC05006 1.3 Tested System Details The DUT is intended for use in the following classes of electromagnetic emission environment: Class A = Limits derived for typical commercial establishments. Class B = Limits derived for typical domestic establishments for which a 10m protection distance is used. MODEL Device CLASS NAME TLST 13.56MHz RFID N/A 1.3.1 Host Equipment List any test support equipment that will be used during testing and specify its connection specification. Test support equipment is equipment, which is not part of the DUT but is required to enable representative operation of the DUT during test. NAME DEVICE MODEL SERIAL CABLE TYPE CABLE PORT NO. LENGTH NAME CRUM Read/Write I2C Adapter 703T0500 None Twisted Pair Ribbon 1.3M I 2C Circuit Interface 1 Power Supply Stacor Power STA-4850 None 2 wire DC 2.1M DC Power Supply Personal Computer Host PC E3100 000824709 Unshielded and 1.3M. 2.3M, Parallel, AC, Shielded 1.7M, 1.7M, Keyboard, and 2.1M mouse, Video 1.4 Test Methodology / Reference Standards Radiated emission testing was performed in accordance with the procedures in ANSI C63.4-2003. Testing was performed at an antenna to DUT distance of 3 meters (9Khz to 1GHz). Applicable Documents (a) Federal Communications Commission Rules and Regulations CFR 47 Part 15, Subpart C. (b) ANSI C63.4-2003, “Methods of Measurement of Radio-Noise Emissions from Low-Voltage Electrical and Electronic Equipment in the range of 9 KHz to 40 GHz”. (c) Industry Canada, RSS-210 Issue 6, Sept 2005: Low Power Licence-Exempt Radiocommunication Devices (All Frequency Bands). (d) Industry Canada, RSS-Gen Issue 1: Sept 2005: General Requirements and Information for the Certification of Radiocommunication Equipment. 1.5 Test Facility The EMC Group main offices are located at Xerox Corporation’s building 843, 800 Salt Road, Webster, NY 14580. The Semi-Anechoic chamber test site, building 199, located in Webster, NY was used to collect the data. This facility has been fully described in a report submitted to the FCC and accepted in a letter dated February 4, 2004 (Registration # 91070); additionally, submitted to Industry Canada and accepted in a letter dated February 17, 2005 (File # IC 482). EMC Test Group Report Form 5 Revision 5 Page 5 of 22

EMC Test Report Number EMC05006 2 SYSTEM TEST CONFIGURATION 2.1 Justification The system was configured for testing in a stand-alone arrangement. The RFID was connected to an I2C adaptor and energized using a DC power supply. The RF carrier was configured such that it was transmitting continuously with no modulation in accordance with ANSI C63.4-2003, Section 13.1.1.1. In the product application the RF would only be energized 3-5 times daily with 10% AM Modulation (max.). 2.2 Run Mode(s) The photograph(s) / drawing(s) in Section 4 reflect the following Configuration(s) and Run Mode(s) which produced the highest radiated and conducted emission levels: Test Run Mode Radiated RF Carrier 100%, No modulation, Continuously Transmitting Emissions 2.3 Video Mode Justification Not Applicable 2.4 DUT Exercise Software Not Applicable 2.5 Special Accessories Not Applicable 2.6 Equipment Modifications No equipment modifications were made to the DUT during testing to achieve compliance. EMC Test Group Report Form 5 Revision 5 Page 6 of 22

EMC Test Report Number EMC05006 3 CONDUCTED EMISSION DATA Test Personnel: Tester Signature David Spencer Date of Testing: 11 / 14 / 05 David Spencer, EMC Engineer EH&S EMC Test Group 3.1 Test Procedure The EUT is grounded in accordance with the user manual and is powered at it’s nominal voltage via a LISN. All remaining accessories, peripherals and host devices are powered through separate LISN(s) for proper power mains isolation. The LISN(s) used for testing are 50 ohm / 50 uH, the lines not being tested are terminated in a 50 ohm impedance. The initial step in collecting conducted data is a spectrum analyzer peak scan of the frequency range 150 KHz to 30 MHz for each of the EUT’s power cord(s) which includes the Neutral and all Hot lines. The associated EUT cabling is manipulated to ensure that the maximum emissions are recorded. The significant peaks on the Neutral Line and each Hot line are marked, quasi-peaked and averaged as necessary. Testing is performed while the EUT is in the standby mode and each available run mode. Run mode(s) are chosen in order to exercise the EUT’s available options and to maximize the emission profile. When multiple run modes exist, prescanning is performed to identify the worse case emission profile. The worse case emission profile is then used to complete the compliance evaluation. The conducted emissions photographs / drawings in Section 5 reflect the worse case configuration and cabling needed to ensure that the emissions don’t vary more than 2dB due to additional cabling being installed. EMC Test Group Report Form 5 Revision 5 Page 7 of 22

EMC Test Report Number EMC05006 3.2 Measured Data Conductor Frequency Measured Value * CFR 47 Part 15 CFR 47 Part 15 [MHz] [dB(uV)] Quasi-Peak Limit Average Limit [dB(uV)] [dB(uV)] Neutral 0.150 46.1 66.0 56.0 Neutral 6.985 33.7 60 50 Neutral 10.446 25.9 60 50 Neutral 13.5645 44.1/43.5*** 60 50 Neutral 20.34 20.1 60 50 Neutral 27.13 37.6/36.8*** 60 50 Line 1 0.150 45.3 66 56 Line 1 10.446 24.9 60 50 Line 1 10.567 24.0 60 50 Line 1 13.564 43.3/42.8*** 60 50 Line 1 20.35 22.5 60 50 Line 1 27.13 38.9/37.9*** 60 50 * All readings are peak unless stated otherwise. ** Identifies a quasi-peak reading. *** Identifies an average reading. 3.3 Test Instruments Used, Conducted Measurements Type EMC Manufacturer / Serial Number Last Cal Cal Group Model Number Date Interval Barcode (M/D/Y) EME Receiver 042783 Rohde & Schwarz / DE11158 6/28/05 1 Year ESBI LISN 36823 Fischer Custom 9703 2/10/05 1 Year Communications/ FCC-LISN-50/250- 100-4 Temperature & 101224 Omega / 412000738W1 12/22/04 1 Year Relative Humidity CT485 Sensor This equipment complies with the requirements of ANSI C63.4-2003. 3.4 Environmental Conditions Temperature (ºC) Relative Humidity (%) 21 45 EMC Test Group Report Form 5 Revision 5 Page 8 of 22

EMC Test Report Number EMC05006 4 RADIATED EMISSION DATA Test Personnel: Tester Signature David Spencer Date of Testing: 05 / 05 / 05 David Spencer, EMC Engineer DSSG / EH&S / EMC Test Group 4.1 Test Procedure The antenna to DUT distance is 3 Meters. The antenna mast and turntable are automated. The antenna mast is capable of searching from 1 to 4 Meters and the turntable can rotate a full 360 degrees. A magnetic loop antenna is used below 30MHz, a Biconical antenna is used for the 30 to 200 MHz frequency range and Log Periodic antenna is used for the 200 to 1000 MHz frequency range. A Horn antenna is used from 1GHz to 40GHz. Correction factors are entered into the automated receiver which include cable loss, attenuators, pre-amplifiers and antenna factors. While the operator is taking data, the correction factors are always present within the receiver’s non-volatile memory. The appropriate antenna is placed on the antenna mast at a height of 1 Meter in the vertical polarity. The initial step in collecting radiated data is through the use of an automated receiver scan. As applicable, the automated receiver scans are broken into the following frequency ranges: 150Khz – 30Mhz, 30-200, 200-1000 MHz and 1-40 GHz (split up for appropriate display resolution). Significant peaks are then marked and evaluated using a CISPR quasi-peak detector while the unit is rotated 360 degrees to find the maximum emission angle. While the DUT is at the maximum emission angle and orthogonal axes, the antenna height is operated from 1 to 4 meters to determine the maximum emission height. For testing with the magnetic loop antenna: loop antenna remains at 1 meter from the center of the loop and is rotated about its vertical center axis while the signal level is maximized. The associated DUT cabling is manipulated to ensure that the maximum emissions are recorded. The maximum quasi-peak signal level, angle, height and polarity are then recorded. The procedure is then repeated with the antenna placed in the horizontal polarity. The antenna is placed at a height of 4 Meters for the horizontal automated receiver scan. While the antenna is in the horizontal polarization, the emissions are maximized as described for the vertical polarity. All scans are performed with the DUT operating in the run mode. Run mode(s) are chosen in order to exercise the DUT’s available options and to maximize the emission profile. When multiple run modes exist, pre-scanning is performed to identify the worse case emission profile. The worse case emission profile is then used to complete the compliance evaluation. The radiated emissions photographs / drawings in Section 4 reflect the worse case configuration and cabling needed to ensure that the emissions don’t vary more than 2dB due to additional cabling being installed. DUTs operating above 100 MHz are evaluated against the applicable FCC limits above 1 GHz using a 1 MHz resolution bandwidth. Both peak and average detectors are used to determine compliance. When testing above 1 GHz, a boresight antenna mast is used and the operator pays particular attention to the beamwidth of the Horn antenna and the size of the DUT. The antenna mast and turntable positioning / sequencing is the same as the 30 - 1000 MHz frequency range, except for the boresight capability. The following data lists the significant emission frequencies, antenna polarity, corrected reading (includes measured reading, cable correction factor, attenuator factor, preamplifier factor and antenna correction factor) and the legal limit. Explanation of the Corrected Reading is given in paragraph 3.4. The frequency range investigated was 9KHz to 1000MHz. EMC Test Group Report Form 5 Revision 5 Page 9 of 22

EMC Test Report Number EMC05006 4.2 Measured Data Freq Antenna Antenna DUT Angle * Corrected FCC Part [MHz] Height Polarity [Degrees]/ Reading 15 3 Meter [Meters] [V/H] DUT Axis [dB(uV/m)] Limit [dB(uV/m) 13.56 1 V 0/X 73.2** 104 40.68 1 V 0/X 26.2 40 54.24 1 V 29/X 28.3 40 67.81 1 V 180/X 21.5 40 81.39 1 V 57/X 20.5 40 94.94 1 V 0/X 20.7 43.5 167.75 1 V 40/X 24.4 43.5 189.90 1 V 315/X 28.1 43.5 13.56 1 V 0/Y 76.3** 104 40.68 1 V 0/Y 25.2 40 54.24 1 V 30/Y 27.4 40 67.81 1 V 176/Y 22.1 40 81.39 1 V 56/Y 17.3 40 94.94 1 V 0/Y 21.3 43.5 162.77 1 V 43/Y 24.9 43.5 189.90 1 V 320/Y 28.1 43.5 13.56 1 V 0/Z 70.8** 104 40.68 1 V 0/Z 23.2 40 54.24 1 V 30/Z 20.1 40 67.81 1 V 180/Z 20.2 40 81.39 1 V 60/Z 17.5 40 94.94 1 V 0/Z 19.8 43.5 135.64 1 V 0/Z 27.3 43.5 162.77 1 V 0/Z 23.7 43.5 189.90 1 V 0/Z 28.5 43.5 * All readings are quasi-peak, using a 120kHz resolution bandwidth, unless stated otherwise. ** Identifies a quasi-peak reading, using a 9kHz resolution bandwidth. *** Identifies an average reading, using a 1 MHz resolution bandwidth. EMC Test Group Report Form 5 Revision 5 Page 10 of 22

EMC Test Report Number EMC05006 4.3 Test Instruments Used, Radiated Measurements Type EMC Manufacturer / Serial Last Cal Group Model Number Number Cal Date Interval Barcode (M/D/Y) EME Receiver 24086 Rohde & Schwarz / 100090 1/3/2005 1 Year ESIB 40 RF Preamplifier 30907 Hewlett Packard / 2944A08955 9/9/2004 1 Year 8447D RF 6 dB Attenuator 30828 Hewlett Packard / 37347 3/21/2005 1 Year 8491A Biconical Antenna 30862 EMCO / 9503-2891 9/5/2004 1 Year 3109 Log Periodic 30850 EMCO / 9305-3621 9/12/2004 1 Year Antenna 3146 Temperature & 101920 Omega / 509005420D 5/27/2004 1 Year Relative Humidity CT-485B Sensor Magnetic Loop 030998 Rohde & Schwarz/ 880665/005 04/05/05 1 Year Antenna HFH2-Z2 This equipment complies with the requirements of ANSI C63.4-2003. EMC Test Group Report Form 5 Revision 5 Page 11 of 22

EMC Test Report Number EMC05006 4.4 Field Strength Calculation The field strength is calculated by adding the Antenna Factor, Attenuator Factor and Cable Factor, and subtracting the Amplifier Gain (if any) from the measured reading. The basic equation with a sample calculation is as follows. FS = RA + AF + CF + ATF- AG where FS = Field Strength RA = Receiver Amplitude AF = Antenna Factor CF = Cable Attenuation Factor ATF = Attenuator Factor AG = Amplifier Gain Assume a receiver reading of 52.5 dBuV/m is obtained. The Antenna Factor of 6.4 dB, a Cable Factor of 1.1 dB and an Attenuator Factor of 1 dB is added. The Amplifier Gain of 29 dB is subtracted, giving a field strength of 32 dBuV/m. FS = 52.5 + 6.4 + 1.1 + 1 - 29 = 32 dBuV/m The 32 dBuV/m value can be mathematically converted to its corresponding level in uV/m. Level in uV/m = Common Antilogarithm [(32 dBuV/m)/20] = 39.8 uV/m 4.5 Environmental Conditions Temperature (ºC) Relative Humidity (%) 20 42 EMC Test Group Report Form 5 Revision 5 Page 12 of 22

EMC Test Report Number EMC05006 5 MEASUREMENT PHOTOGRAPH(S) / DIAGRAM(S) Figure 1 - DUT Arrangement During Final Radiated Emission Measurements, Rear View Figure 2 - DUT Arrangement During Final Radiated Emission Measurements, Front View EMC Test Group Report Form 5 Revision 5 Page 13 of 22

EMC Test Report Number EMC05006 Figure 3 DUT Arrangement During Final Conducted Emission Measurements EMC Test Group Report Form 5 Revision 5 Page 14 of 22

EMC Test Report Number EMC05006 Figure 4 PWBA Detail Marker: 13.565832 MHz 73.53 dBµV/m Delta Mk: -4.509 kHz -5.59 dB Level [dBµV/m] 80 70 60 50 40 30 20 10 0 13.53M 13.55M 13.56M 13.57M 13.58M 13.6M Frequency [Hz] Figure 5 13.56MHz Bandwidth Resolution BW: 9KHz, Video BW: 30KHz EMC Test Group Report Form 5 Revision 5 Page 15 of 22

EMC Test Report Number: EMC05006 Level [dBµV/m] 50 40 30 20 10 0 30M 60M 80M 100M 120M 140M 160M 200M Frequency [Hz] Figure 6 DUT X Axis Vertical Receive Antenna Polarization Level [dBµV/m] 50 40 30 20 10 0 30M 60M 80M 100M 120M 140M 160M 200M Frequency [Hz] Figure 7 DUT X Axis Horizontal Receive Antenna Polarization EMC Test Group Report Form 5 Revision 5 Page 16 of 22

EMC Test Report Number: EMC05006 Level [dBµV/m] 50 40 30 20 10 0 200M 400M 500M 600M 700M 800M 900M 1G Frequency [Hz] Figure 8 DUT X Axis Vertical Antenna Polarization Level [dBµV/m] 50 40 30 20 10 0 200M 400M 500M 600M 700M 800M 900M 1G Frequency [Hz] Figure 9 DUT X Axis Vertical Receive Antenna Polarization EMC Test Group Report Form 5 Revision 5 Page 17 of 22

EMC Test Report Number: EMC05006 Level [dBµV/m] 50 40 30 20 10 0 30M 60M 80M 100M 120M 140M 160M 200M Frequency [Hz] Figure 10 DUT Y Axis Vertical Receive Antenna Polarization Level [dBµV/m] 50 40 30 20 10 0 30M 60M 80M 100M 120M 140M 160M 200M Frequency [Hz] Figure 11 DUT Y Axis Horizontal Receive Antenna Polarization EMC Test Group Report Form 5 Revision 5 Page 18 of 22

EMC Test Report Number: EMC05006 Level [dBµV/m] 50 40 30 20 10 0 200M 400M 500M 600M 700M 800M 900M 1G Frequency [Hz] Figure 12 DUT Y Axis Horizontal Receive Antenna Polarization Level [dBµV/m] 50 40 30 20 10 0 200M 400M 500M 600M 700M 800M 900M 1G Frequency [Hz] Figure 13 DUT Y Axis Vertical Receive Antenna Polarization EMC Test Group Report Form 5 Revision 5 Page 19 of 22

EMC Test Report Number: EMC05006 Level [dBµV/m] 50 40 30 20 10 0 30M 60M 80M 100M 120M 140M 160M 200M Frequency [Hz] Figure14 DUT Z Axis Vertical Receive Antenna Polarization Level [dBµV/m] 50 40 30 20 10 0 30M 60M 80M 100M 120M 140M 160M 200M Frequency [Hz] Figure15 DUT Z Axis Horizontal Receive Antenna Polarization EMC Test Group Report Form 5 Revision 5 Page 20 of 22

EMC Test Report Number: EMC05006 Level [dBµV/m] 50 40 30 20 10 0 200M 400M 500M 600M 700M 800M 900M 1G Frequency [Hz] Figure16 DUT Z Axis Vertical Receive Antenna Polarization Level [dBµV/m] 50 40 30 20 10 0 200M 400M 500M 600M 700M 800M 900M 1G Frequency [Hz] Figure 17 DUT Z Axis Horizontal Receive Antenna Polarization EMC Test Group Report Form 5 Revision 5 Page 21 of 22

EMC Test Report Number: EMC05006 Level [dBµV] 80 70 60 50 40 30 20 10 0 150k 300k 500k 1M 2M 3M 5M 7M 10M 30M Frequency [Hz] Figure 18 Conducted Emission Line 1 Level [dBµV] 80 70 60 50 40 30 20 10 0 150k 300k 500k 1M 2M 3M 5M 7M 10M 30M Frequency [Hz] Figure 19 Conducted Emissions Line 2 EMC Test Group Report Form 5 Revision 5 Page 22 of 22


Document Created: 2019-09-11 21:35:58
Document Modified: 2019-09-11 21:35:58
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