12371499-S2V1 Appendix F

FCC ID: PY7-54264J

Test Report

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FCCID_3958743

Calibration Laboratory of
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Schmid & Partner                                                 say</>
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                                                                                                                    Schweizerischer Kalibrierdienst
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   Engineering AG                                               a_                                                  Servizio svizzero di taratura
Zeughausstrasse 43, 8004 Zurich, Switzerland                     %4,///§>§                                  S       Swiss Calibration Service
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Accredited by the Swiss Accreditation Service (SAS)                                                         Accreditation No.: SCS 0108
The Swiss Accreditation Service is one of the signatories to the EA
Multilateral Agreement for the recognition of calibration certificates

Client        UL CCS USA                                                                        Certificate No: CD2600V3—1014_Aug17

|CALIBRATIO?\§ CERTIFICATE                                                                                                                             I
 Object                                CD26O0V3 — SN: 1014


 Calibration procedure(s)              QA CAL—20.v6
                                       Calibration procedure for dipoles in air



 Calibration date:                     August 18, 2017

 This calibration certificate documents the traceability to national standards, which realize the physical units of measurements (S1).
 The measurements and the uncertainties with confidence probability are given on the following pages and are part of the certificate.


 All calibrations have been conducted in the closed laboratory facility: environment temperature (22 + 3)°C and humidity < 70%.

 Calibration Equipment used (M&TE critical for calibration)
  Primary Standards                      ID #                      Cal Date (Certificate No.)                            Scheduled Calibration
  Power meter NRP                        SN: 104778                04—Apr—17 (No. 217—02521/02522)                       Apr—18
  Power sensor NRP—291                   SN: 103244                04—Apr—17 (No. 217—02521)                             Apr—18
  Power sensor NRP—Z291                  SN: 103245                04—Apr—17 (No. 217—02522)                             Apr—18
  Reference 20 dB Attenuator             SN: 5058 (20k)            07—Apr—17 (No. 217—02528)                             Apr—18
 Type—N mismatch combination             SN: 5047.2 / 06327        07—Apr—17 (No. 217—02529)                             Apr—18
  Probe EF3DV3                           SN: 4013                  14—Jun—17 (No. EF3—4013_Jun17)                        Jun—18
  DAE4                                   SN: 781                   13—Jul—17 (No. DAE4—781_Jul17)                         Jul—18


  Secondary Standards                    ID #                      Check Date (in house)                                  Scheduled Check
  Power meter Agilent 4419B              SN:    GB42420191         09—Oct—09 (in house check Sep—14)                      In   house check:   Oct—17
  Power sensor HP E4412A                 SN:    US38485102         O5—Jan—10 (in house check Sep—14)                      In   house check:   Oct—17
  Power sensor HP 8482A                  SN:    US37295597         09—Oct—09 (in house check Sep—14)                      In   house check:   Oct—17
  RF generator R&S SMT—O6                SN:    832283/011         27—Aug—12 (in house check Oct—15)                      In   house check:   Oct—17
  Network Analyzer HP 8753E              SN:    US37390585         18—Oct—01 (in house check Oct—16)                      In   house check:   Oct—17

                                         Name                                    Function                                 Signature

                                                                                                                          ?fif ow
  Calibrated by:                         Johannes Kurikka                        Laboratory Technician



  Approved by:                           Katja Pokovic                           Technical Manager

                                                                                                                     Cle
                                                                                                                         Issued: August 18, 2017
  This calibration certificate shall not be reproduced except in full without written approval of the laboratory.




 Certificate No: CD2600V3—1014_Aug17                          Page 1 of 5


Calibraiion Laboratory of                                     \\\\\\\@%                    S   Schweizerischer Kalibrierdienst
Schmid & Partner                                             in>                           G   Service suisse d‘étalonnagee]
      Engineering AG                                        iac—vrA
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Zeughausstrasse 43, 8004 Zurich, Switzerland                 ‘//, /Q\\F                    S   Swiss Calibration Service
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Accredited by the Swiss Accreditation Service (SAS)                                        Accreditation No.: SCS 0108
The Swiss Accreditation Service is one of the signatories to the EA
Multilateral Agreement for the recognition of calibration certificates


References
(1]       ANSI—C63.19—2011
          American National Standard, Methods of Measurement of Compatibility between Wireless Communications
          Devices and Hearing Aids.
Methods Applied and Interpretation of Parameters:
          Coordinate System: y—axis is in the direction of the dipole arms. z—axis is from the basis of the antenna
          {mounted on the table) towards its feed point between the two dipole arms. x—axis is normal to the other axes.
          In coincidence with the standards [1], the measurement planes (probe sensor center) are selected to be at a
          distance of 15 mm above the top metal edge of the dipolte arms.
          Measurement Conditions: Further details are available from the hardcopies at the end of the certificate. All
          figures stated in the certificate are valid at the frequency indicated. The forward power to the dipole connector
          is set with a calibrated power meter connected and monitored with an auxiliary power meter connected to a
          directional coupler. While the dipole under test is connected, the forward power is adjusted to the same level.
          Antenna Positioning: The dipole is mounted on a HAC Test Arch phantom using the matching dipole
          positioner with the arms horizontal and the feeding cable coming from the floor. The measurements are
          performed in a shielded room with absorbers around the setup to reduce the reflections.
          It is verified before the mounting of the dipole under the Test Arch phantom, that its arms are perfectly in a
          line. It is installed on the HAC dipole positioner with its arms paralle! below the dielectric reference wire and
          able to move elastically in vertical direction without changing its relative position to the top center of the Test
          Arch phantom. The vertical distance to the probe is adjusted after dipole mounting with a DASYS Surface
          Check job. Before the measurement, the distance between phantom surface and probe tip is verified. The
          proper measurement distance is selected by choosing the matching section of the HAC Test Arch phantom
          with the proper device reference point (upper surface of the dipole) and the matching grid reference point (tip
          of the probe) considering the probe sensor offset. The vertical distance to the probe is essential for the
          accuracy.
          Feed Point Impedance and Return Loss: These parameters are measured using a HP 8753E Vector Network
          Analyzer. The impedance is specified at the SMA connector of the dipole. The influence of reflections was
          eliminating by applying the averaging function while moving the dipole in the air, at least 70cm away from any
          obstacles.
          E—field distribution: E field is measured in the x—y—plane with an isotropic ER3D—field probe with 100 mW
          forward power to the antenna feed point. In accordance with [1], the scan area is 20mm wide, its length
          exceeds the dipole arm length (180 or $O0mm). The sensor center is 15 mm (in z) above the metal top of the
          dipole arms. Two 3D maxima are available near the end of the dipole arms. Assuming the dipole arms are
          perfectly in one line, the average of these two maxima (in subgrid 2 and subgrid 8) is determined to
          compensate for any non—parallelity to the measurement plane as well as the sensor displacement. The E—field
          value stated as calibration value represents the maximum of the interpolated 3D—E—field, in the plane above
          the dipole surface.




 The reported uncertainty of measurement is stated as the standard uncertainty of measurement multiplied by the
 coverage factor k=2, which for a normal distribution corresponds to a coverage probability of approximately 95%.




Certificate No: CD2600V3—1014_Aug17                     Page 2 of 5


Measurement Conditions
   DASY system configuration, as far as not given on page 1.
     DASY Version                                               DASYS5                       V52.10.0
     Phantom                                             HAC Test Arch
     Distance Dipole Top — Probe Center                         15 mm
     Scan resolution                                         dx, dy = 5 mm
     Frequency                                         2600 MHz + 1 MHz
     Input power drift                                         <0.05 dB


Maximum Field values at 2600 MHz

     E—field 15 mm above dipole surface                            condition          Interpolated maximum
     Maximum measured above high end                          100 mW input power      87.7 V/m = 38.86 dBV/m
     Maximum measured above low end                            100 mW input power     86.9 V/m = 38.78 dBV/m
     Averaged maximum above arm                                100 mW input power     87.3 V/m + 12.8 % (k=2)



Appendix (Additional assessments outside the scope of SCS 0108)

Antenna Parameters

     Frequency                                                    Return Loss               Impedance
     2450 MHz                                                        21.6 dB               44.8 0 — 5.9 jQ
     2550 MHz                                                        38.6 dB                49 Q + 0.5 jQ
     2600 MHz                                                        39.3 dB               50.9 9 — 0.5 jQ
     2650 MHz                                                        34.1 dB               49.8 Q — 2.0 jQ
     2750 MHz                                                        22.2 dB               48.4 O — 7.5 jQ



3.2 Antenna Design and Handling

The calibration dipole has a symmetric geometry with a built—in two stub matching network, which leads to the
enhanced bandwidth.
The dipole is built of standard semirigid coaxial cable. The internal matching line is open ended. The antenna is
therefore open for DC signals.
Do not apply force to dipole arms, as they are liable to bend. The soldered connections near the feedpoint may be
damaged. After excessive mechanical stress or overheating, check the impedance characteristics to ensure that the
internal matching network is not affected.

After long term use with 40W radiated power, only a slight warming of the dipole near the feedpoint can be measured.




Certificate No: CD2600V3—1014_Aug17            Page 3 of 5


Impedance Measurement Plot




                                                                     18 Aug 2017        12:08:13
                §11     LO6       5 dB/REF —18 dB                   1:—39.269 dB       2 600.000 Aga@ MHz




                                                                                                            CH1 Markers

                                                                                                            2:—21,.606 dE
         Cor                                                                                                 245000 GHz
                                                                                                             :—38.611 dB
                                                                                                            2.55006 GHz

                                                                                                            4:—34.051 dB
                                                                                                             2.65000 GHz
         Av¥g
         16                                                                                                 S:—22,194 dB
                                                                                                             275000 GHz

         H1 d

         CH2    $11     1 U FS          1: 59.945 a    —548.83 mo
                                                      eo.
                                                                    1114.53 pF         2 600.000 BAG MHz
                                                                    C


                                                                                                            CH2 Markers
                                                                                                             2: 44.783 a
                                                                                                               —5.9199 &
                                                                                                            245900 GHz
                                                                                                              3:.48.961 o
                                                                                                              —5S 33.20 ma
                                                                                                            255000 GHz
         Av                                                                                                  4149.907 o
         16                                                                                                   ~A.9668 &
                                                                                                            2.65000 GHz
                                                                                                              5: 48.438 a
                                                                                                                —7.5098 &
         H1d
                                                                                                             275000 GHz

                      CENTER 2 £00.000 Ago MHz                                   SPAN 990.000 000 MHz




Certificate No: CD2600V3—1014_Aug17              Page 4 of 5


DASY5 E—field Result
                                                                                   Date: 17.08.2017
Test Laboratory: SPEAG Lab2

DUT: HAC Dipole 2600 MHz; Type: CB2600V3; Serial: CD2600V3 — SN: 1014

Communication System: UID 0 — CW ; Frequency: 2600 MHz
Medium parameters used: o = 0 S/m, & = 1; p = 1000 kg/m‘
Phantom section: RF Section
Measurement Standard: DASYS5 (IEEE/IEC/ANSI C63.19—2011)

DASY52 Configuration:
   &   Probe: EF3DV3 — SN4013; ConvF(1, 1, 1); Calibrated: 14.06.2017;
       Sensor—Surface: (Fix Surface)
       Electronics: DAE4 Sn781; Calibrated: 13.07.2017
       Phantom: HAC Test Arch with AMCC; Type: SD HAC PO1 BA; Serial: 1070
       DASY52 52.10.0(1446); SEMCAD X 14.6.10(7417)

Dipole E—Field measurement @ 2600MHz — with EF_4013/E—Scan — 2600MHz d=15mm/Hearing Aid
Compatibility Test (41x181x1): Interpolated grid: dx=0.5000 mm, dy=0.5000 mm
Device Reference Point: 0, 0, —6.3 mm
Reference Value = 67.20 V/m; Power Drift = —0.02 dB
Applied MIF = 0.00 dB
RF audio interference level = 38.86 dBV/m
Emission category: M2
                                      MIF sealed E—field
                                      Grid 1 M2    |Grid 2 M2  |Grid 3 M2
                                      38.44 dBV/m|38.78 dBV/m|38.73 dBV/m
                                      Grid 4 M2                Grid 6 M2
                                      38.02 dBV/m              38.22 dBV/m
                                      Grnid 7 M2   |Grid 8 M2  |Grid 9 M2
                                      38.61 dBV/m|38.86 dBV/m|38.79 dBV/m




       —1.40


       —2.80


       —4.20


       —5.60


       —£.00


                0 dB = §7.74 V/m = 38.86 dBV/m



Certificate No: CD2600V3—1014_Aug17           Page 5 of 5



Document Created: 2017-09-07 15:10:08
Document Modified: 2017-09-07 15:10:08

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