SAR Report

FCC ID: QOQWT41

RF Exposure Info

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FCCID_2106362

Compliance Certification Services Inc. Report No: T130917W02 ANSI/IEEE Std. C95.1-1992 in accordance with the requirements of FCC Report and Order: ET Docket 93-62 FCC TEST REPORT For Barcode scanner Trade Name: INTERMEC Model: 1016SP01B; SF61B Issued to INTERMEC SCANNER TECHNOLOGY CENTER IMMEUBLE "LES ALLEES DU LAC" 94 RUE DU LAC, BOITE POSTALE 38147 31681 LABEGE CEDEX FRANCE Issued by Compliance Certification Services Inc. No.11, Wugong 6th Rd., Wugu Dist., New Taipei City 24891, Taiwan. (R.O.C.) http://www.ccsrf.com service@ccsrf.com Issued Date: 2013/10/16 Note: This report shall not be reproduced except in full, without the written approval of Compliance Certification Services Inc. This document may be altered or revised by Compliance Certification Services Inc. personnel only, and shall be noted in the revision section of the document. Page 1 Total Page: 31 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 Revision History Rev. Issue Date Revisions Effect Page Revised By 00 2013/10/16 Initial Issue ALL Scott Hsu Page 2 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 Table Of Contents 1 Certificate of Compliance (SAR Evaluation) ............................................................... 4 2 Description of Equipment Under Test ....................................................................... 5 3 Requirements for Compliance Testing Defined .......................................................... 6 3.1 Requirements for Compliance Testing Defined by the FCC ........................................................................ 6 4 Dosimetric Assessment System ................................................................................ 7 4.1 Measurement System Diagram ....................................................................................................................... 8 4.2 System Components .......................................................................................................................................... 9 5 Evaluation Procedures ........................................................................................... 12 6 SAR Measurement Procedures ............................................................................... 14 6.1 Normal SAR Test Procedure ........................................................................................................................... 14 7 Device Under Test ................................................................................................. 16 7.1 Band Interface .................................................................................................................................................. 16 8 Summary of Test Configurations ............................................................................ 17 8.1 Body Test Exclusion Thresholds ..................................................................................................................... 17 8.2 Body Exposure Conditions for Bluetooth for Main Antenna ..................................................................... 17 9 Measurement Uncertainty..................................................................................... 18 10 Exposure Limit ...................................................................................................... 19 11 Tissue Dielectric Properties .................................................................................... 20 11.1 Test Liquid Confirmation ................................................................................................................................. 20 11.2 Typical Composition of Ingredients for Liquid Tissue Phantoms .............................................................. 21 11.3 Simulating Liquids Parameter Check Results ............................................................................................... 22 12 System Performance Check.................................................................................... 23 12.1 System Performance Check Results .............................................................................................................. 24 13 RF Output Power Measurement ............................................................................. 25 13.1 Bluetooth ........................................................................................................................................................... 25 14 SAR Measurements Results ................................................................................... 26 14.1 Summary of Highest SAR Values .................................................................................................................... 27 15 Antenna Locations & Separation Distances ............................................................. 28 16 Equipment List & Calibration Status ....................................................................... 29 17 Facilities ............................................................................................................... 30 18 Reference ............................................................................................................. 30 19 Attachments ......................................................................................................... 31 Page 3 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 1 Certificate of Compliance (SAR Evaluation) Applicant INTERMEC SCANNER TECHNOLOGY CENTER IMMEUBLE "LES ALLEES DU LAC" 94 RUE DU LAC, BOITE POSTALE 38147 31681 LABEGE CEDEX FRANCE Equipment Under Test: Barcode scanner Trade Name: INTERMEC Model Number: 1016SP01B; SF61B Transmitter Module used: WT41-A (With integrated antenna) FCC ID: QOQWT41 IC ID: 5123A-BGTWT41 Date of Test: October 14, 2013 Device Category: PORTABLE DEVICES Exposure Category: GENERAL POPULATION/UNCONTROLLED EXPOSURE Applicable Standards  IEEE 1528 2003 FCC  KDB 865664 D01 SAR Measurement 100 MHz to 6 GHz v01r01  KDB 447498 D01 General RF Exposure Guidance v05r01 Limit 1.6 W/kg Test Result Pass The test results in this report apply only to the tested sample of the stated device/equipment. Other similar device/equipment will not necessarily produce the same results due to production tolerance and measurement uncertainties. Approved by: Tested by: Alex Wu Scott Hsu Section Manager SAR Engineer Compliance Certification Services Inc. Compliance Certification Services Inc. Page 4 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 2 DESCRIPTION OF EQUIPMENT UNDER TEST Product Barcode scanner Trade Name INTERMEC Model Number 1016SP01B; SF61B Transmitter Module Model: WT41-A (with integrated antenna) FCC ID number QOQWT41 IC Certification number: 5123A-BGTWT41 Modulation Technique Bluetooth: Gaussian Frequency Shift Keying(GFSK) Brand Name: Murata Antenna Specification Bluetooth Parts Number: ANCG12G44SAA148 Type: Dipole FCC Rule Parts Band Frequency Range Highest Reported 1-g SAR 15.247 Bluetooth 2402 - 2480 MHz 1.067 W/kg (Edge1) Battery Pack Manufacturer : Zhongshan Uniross Industry Co Ltd Rechargeable Li-Ion Battery - Battery Pack Client : Intermec Technologies Corporation alternate Battery Pack Model : 1016AB01 Battery Pack Rating : 3.6 Vdc, 2600 mAh Remark: The sample selected for test was prototype that approximated to production product and was provided by manufacturer Page 5 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 3 Requirements for Compliance Testing Defined 3.1 Requirements for Compliance Testing Defined by the FCC The US Federal Communications Commission has released the report and order “Guidelines for Evaluating the Environmental Effects of RF Radiation", ET Docket No. 93-62 in August 1996 [1]. The order requires routine SAR evaluation prior to equipment authorization of portable transmitter devices, including portable telephones. For consumer products, the applicable limit is 1.6 W/kg for an uncontrolled environment and 8.0 mW/g for an occupational/controlled environment as recommended by the ANSI/IEEE standard C95.1-1992 [6]. Page 6 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 4 Dosimetric Assessment System These measurements were performed with the automated near-field scanning system DASY4/DAST5 from Schmid & Partner Engineering AG (SPEAG). The system is based on a high precision robot (working range greater than 0.9 m) which positions the probes with a positional repeatability of better than ± 0.02 mm. Special E- and H-field probes have been developed for measurements close to material discontinuity, the sensors of which are directly loaded with a Schottky diode and connected via highly resistive lines to the data acquisition unit. The SAR measurements were conducted with the dosimetric probe EX3DV4-SN: 3665 (manufactured by SPEAG), designed in the classical triangular configuration and optimized for dosimetric evaluation. The probe has been calibrated according to the procedure with accuracy of better than ±10%. The spherical isotropy was evaluated with the procedure and found to be better than ±0.25 dB. The phantom used was the SAM Twin Phantom as described in FCC supplement C, IEEE 1528 2003. Page 7 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 4.1 Measurement System Diagram The DASY4/DASY5 system for performing compliance tests consists of the following items:  A standard high precision 6-axis robot (St¨aubli RX family) with controller, teach pendant and software. An arm extension for accommodating the data acquisition electronics (DAE).  A dosimetric probe, i.e., an isotropic E-field probe optimized and calibrated for usage in tissue simulating liquid. The probe is equipped with an optical surface detector system.  A data acquisition electronics (DAE) which performs the signal amplification, signal multiplexing, AD- conversion, offset measurements, mechanical surface detection, collision detection, etc. The unit is battery powered with standard or rechargeable batteries. The signal is optically transmitted to the EOC.  The Electro-optical converter (EOC) performs the conversion between optical and electrical of the signals for the digital communication to the DAE and for the analog signal from the optical surface detection. The EOC is connected to the measurement server.  The function of the measurement server is to perform the time critical tasks such as signal filtering, control of the robot operation and fast movement interrupts.  A probe alignment unit which improves the (absolute) accuracy of the probe positioning.  A computer operating Windows 2000 or Windows XP.  DASY4/DASY5 software.  Remote control with teach pendant and additional circuitry for robot safety such as warning lamps, etc.  The SAM twin phantom enabling testing left-hand and right-hand usage.  The device holder for handheld mobile phones.  Tissue simulating liquid mixed according to the given recipes.  Validation dipole kits allowing validating the proper functioning of the system. Page 8 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 4.2 System Components DASY4/DASY5 Measurement Server The DASY4/DASY5 measurement server is based on a PC/104 CPU board with a 166MHz low-power Pentium, 32MB chip disk and 64MB RAM. The necessary circuits for communication with either the DAE3 electronic box as well as the 16-bit AD-converter system for optical detection and digital I/O interface are contained on the DASY4/DASY5 I/O-board, which is directly connected to the PC/104 bus of the CPU board. The measurement server performs all real-time data evaluation for field measurements and surface detection, controls robot movements and handles safety operation. The PC-operating system cannot interfere with these time critical processes. All connections are supervised by a watchdog, and disconnection of any of the cables to the measurement server will automatically disarm the robot and disable all program-controlled robot movements. Furthermore, the measurement server is equipped with two expansion slots which are reserved for future applications. Please note that the expansion slots do not have a standardized pinout and therefore only the expansion cards provided by SPEAG can be inserted. Expansion cards from any other supplier could seriously damage the measurement server. Calibration: No calibration required. Data Acquisition Electronics (DAE) The data acquisition electronics (DAE4) consists of a highly sensitive electrometer grade preamplifier with auto-zeroing, a channel and gain- switching multiplexer, a fast 16 bit AD converter and a command decoder and control logic unit. Transmission to the measurement server is accomplished through an optical downlink for data and status information as well as an optical uplink for commands and the clock. The mechanical probe mounting device includes two different sensor systems for frontal and sideways probe contacts. They are used for mechanical surface detection and probe collision detection. The input impedance of the DAE4 box is 200MOhm; the inputs are symmetrical and floating. Common mode rejection is above 80 dB. EX3DV4 Isotropic E-Field Probe for Dosimetric Measurements Construction: Symmetrical design with triangular core Built-in shielding against static charges PEEK enclosure material (resistant to organic solvents, e.g., DGBE) Calibration: Basic Broad Band Calibration in air: 10-3000 MHz. Conversion Factors (CF) for HSL 900 and HSL 1800 CF-Calibration for other liquids and frequencies upon request. Frequency: 10 MHz to > 6 GHz; Linearity: ± 0.2 dB (30 MHz to 3 GHz) Directivity: ± 0.3 dB in HSL (rotation around probe axis) ± 0.5 dB in HSL (rotation normal to probe axis) Dynamic Range: 10 µW/g to > 100 mW/g; Linearity: ± 0.2 dB (noise: typically < 1 µW/g) Page 9 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 Dimensions: Overall length: 330 mm (Tip: 20 mm) Tip diameter: 2.5 mm (Body: 12 mm) Distance from probe tip to dipole centers: 1 mm Application: High precision dosimetric measurements in any exposure scenario (e.g., very strong gradient fields). Only probe which enables compliance testing for frequencies up to 6 GHz with precision of better 30%. Interior of probe SAM Phantom (V4.0) Construction: The shell corresponds to the specifications of the Specific Anthropomorphic Mannequin (SAM) phantom defined in IEEE 1528-2003 and IEC 62209. It enables the dosimetric evaluation of left and right hand phone usage as well as body mounted usage at the flat phantom region. A cover prevents evaporation of the liquid. Reference markings on the phantom allow the complete setup of all predefined phantom positions and measurement grids by manually teaching three points with the robot. Shell Thickness: 2 ±0.2 mm Filling Volume: Approx. 25 liters Dimensions: Height: 810mm; Length: 1000mm; Width: 500mm SAM Phantom (ELI4) Construction: Phantom for compliance testing of handheld and body-mounted wireless devices in the frequency range of 30 MHz to 6 GHz. ELI4 is fully compatible with the latest draft of the standard IEC 62209 Part II and all known tissue simulating liquids. ELI4 has been optimized regarding its performance and can be integrated into our standard phantom tables. A cover prevents evaporation of the liquid. Reference markings on the phantom allow installation of the complete setup, including all predefined phantom positions and measurement grids, by teaching three points. The phantom is supported by software version DASY4/DASY5 and higher and is compatible with all SPEAG dosimetric probes and dipoles Shell Thickness: 2.0 ± 0.2 mm (sagging: <1%) Filling Volume: Approx. 25 liters Dimensions: Major ellipse axis: 600 mm Minor axis: 400 mm 500mm Page 10 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 Device Holder for SAM Twin Phantom Construction: In combination with the Twin SAM Phantom V4.0 or Twin SAM, the Mounting Device (made from POM) enables the rotation of the mounted transmitter in spherical coordinates, whereby the rotation point is the ear opening. The devices can be easily and accurately positioned according to IEC, IEEE, CENELEC, FCC or other specifications. The device holder can be locked at different phantom locations (left head, right head, and flat phantom). System Validation Kits for SAM Phantom (V4.0) Construction: Symmetrical dipole with l/4 balun Enables measurement of feedpoint impedance with NWA Matched for use near flat phantoms filled with brain simulating solutions Includes distance holder and tripod adaptor. Frequency: 2450 MHz Return loss: > 20 dB at specified validation position Power capability: > 100 W (f < 1GHz); > 40 W (f > 1GHz) Dimensions: D2450V2: dipole length: 51.5 mm; overall height: 290 mm System Validation Kits for ELI4 phantom Construction: Symmetrical dipole with l/4 balun Enables measurement of feedpoint impedance with NWA Matched for use near flat phantoms filled with brain simulating solutions Includes distance holder and tripod adaptor. Frequency: 2450 MHz Return loss: > 20 dB at specified validation position Power capability: > 100 W (f < 1GHz); > 40 W (f > 1GHz) Dimensions: D2450V2: dipole length: 51.5 mm; overall height: 290 mm Page 11 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 5 Evaluation Procedures Data Evaluation The DASY4/DASY5 post processing software (SEMCAD) automatically executes the following procedures to calculate the field units from the microvolt readings at the probe connector. The parameters used in the evaluation are stored in the configuration modules of the software: Probe parameters: - Sensitivity Normi, ai0, ai1, ai2 - Conversion factor ConvFi - Diode compression point dcpi Device parameters: - Frequency f - Crest factor cf Media parameters: - Conductivity  - Density  These parameters must be set correctly in the software. They can be found in the component documents or be imported into the software from the configuration files issued for the DASY components. In the direct measuring mode of the multi-meter option, the parameters of the actual system setup are used. In the scan visualization and export modes, the parameters stored in the corresponding document files are used. The first step of the evaluation is a linearization of the filtered input signal to account for the compression characteristics of the detector diode. The compensation depends on the input signal, the diode type and the DC- transmission factor from the diode to the evaluation electronics. If the exciting field is pulsed, the crest factor of the signal must be known to correctly compensate for peak power. The formula for each channel can be given as: cf V U U  2 i i i dcp i with Vi = Compensated signal of channel i (i = x, y, z) Ui = Input signal of channel i (i = x, y, z) cf = Crest factor of exciting field (DASY parameter) dcpi = Diode compression point (DASY parameter) From the compensated input signals the primary field data for each channel can be evaluated: E-field probes: V E  i i Norm  ConvF i a a f a f 2 H-field probes: i10 i11 i12 H i  Vi  f with Vi = Compensated signal of channel i (i = x, y, z) Normi = Sensor sensitivity of channel i (i = x, y, z) V/(V/m) for E0field Probes 2 ConvF = Sensitivity enhancement in solution aij = Sensor sensitivity factors for H-field probes f = Carrier frequency (GHz) Ei = Electric field strength of channel i in V/m Hi = Magnetic field strength of channel i in A/m Page 12 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 The RSS value of the field components gives the total field strength (Hermitian magnitude):  E E E 2 2 2 E tot x y z The primary field data are used to calculate the derived field units.  SAR  E  2 tot  1000 with SAR = local specific absorption rate in W/kg Etot = total field strength in V/m  = conductivity in [mho/m] or [Siemens/m]  = equivalent tissue density in g/cm 3 Note that the density is normally set to 1 (or 1.06), to account for actual brain density rather than the density of the simulation liquid. The power flow density is calculated assuming the excitation field as a free space field. 2 E or  H tot  37.7 2 P pwe  tot P pwe 377 2 with Ppwe = Equivalent power density of a plane wave in mW/cm Etot = total electric field strength in V/m Htot = total magnetic field strength in A/m Page 13 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 6 SAR Measurement Procedures 6.1 Normal SAR Test Procedure  Power Reference Measurement The reference and drift jobs are useful jobs for monitoring the power drift of the device under test in the batch process. Both jobs measure the field at a specified reference position, at a selectable distance from the phantom surface. The reference position can be either the selected section’s grid reference point or a user point in this section. The reference job projects the selected point onto the phantom surface, orients the probe perpendicularly to the surface, and approaches the surface using the selected detection method.  Area Scan The area scan is used as a fast scan in two dimensions to find the area of high field values, before doing a finer measurement around the hot spot. The sophisticated interpolation routines implemented in DASY4/DASY5 software can find the maximum locations even in relatively coarse grids. The scan area is defined by an editable grid. This grid is anchored at the grid reference point of the selected section in the phantom. When the area scan’s property sheet is brought-up, the grid resolution has to less than 15 mm by 15 mm at frequency ≤2GHz; the grid resolution has to less than 12mm by 12 mm at frequency between 2GHz to 4GHz; grid resolution has to less than 10 mm by 10 mm at frequency between 4GHz to 6GHz. According to KDB 865664 D01 SAR measurement 100 MHz to 6 GHz v01r01 ≤ 3 GHz > 3 GHz Maximum distance from closest measurement point 5 ± 1 mm ½·δ·ln(2) ± 0.5 mm (geometric center of probe sensors) to phantom surface Maximum probe abgle from probe axis to phantom 30° ± 1° 20° ± 1° surface normal at the measurement location ≤ 2 GHz: ≤ 15 mm 3 – 4 GHz: ≤ 12 mm 2 – 3 GHz: ≤ 12 mm 4 – 6 GHz: ≤ 10 mm Maximum area scan spatial resolution: ΔxZoom, ΔyZoom When the x or y dimension of the test device, in the measurement plane orientation, is smaller than the above, the measurement resolution must be ≤ the corresponding x or y dimension of the test device with at least one measurement point on the test device. Page 14 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02  Zoom Scan Zoom scans are used to assess the peak spatial SAR values within a cubic averaging volume containing 1 g and 10 g of simulated tissue. The default zoom scan measures points in accordance with the frequency can be divided into three parts. (1)The zoom scan volume was set to 5x5x7 points at frequency ≤ 2GHz. (2) The zoom scan volume was set to 7x7x7 points at frequency between 2GHz to 4GHz (3) The zoom scan volume was set to 7x7x12 points at frequency between 4GHz to 6GHz. The measures points within a cube whose base faces are centered around the maximum found in a preceding area scan job within the same procedure. If the preceding Area Scan job indicates more then one maximum, the number of Zoom Scans has to be enlarged accordingly. According to KDB 865664 D01 SAR measurement 100 MHz to 6 GHz v01r01 ≤ 3 GHz > 3 GHz Maximum zoom scan spatial resolution: ΔxZoom, ΔyZoom ≤ 2 GHz: ≤ 8 mm 3 – 4 GHz: ≤ 5 mm 2 – 3 GHz: ≤ 5 mm 4 – 6 GHz: ≤ 4 mm 3 – 4 GHz: ≤ 4 mm Uniform grid: ΔzZoom(n) ≤ 5 mm 4 – 5 GHz: ≤ 3 mm 5 – 6 GHz: ≤ 2 mm ΔzZoom(1):between 3 – 4 GHz: ≤ 3 mm 1st two points losest Maximum zoom scan ≤ 4 mm 4 – 5 GHz: ≤ 2.5 mm to phantom surface spatial resolution, normal 5 – 6 GHz: ≤ 2 mm to phantom surface graded grid ΔzZoom(n>1): between ≤ 1.5·ΔzZoom(n-1) subsequent points 3 – 4 GHz: ≥ 28 mm Maximum zoom scan x, y, z ≥ 30 mm 4 – 5 GHz: ≥ 25 mm volume 5 – 6 GHz: ≥ 22 mm  Power Drift Measurement The drift job measures the field at the same location as the most recent reference job within the same procedure, and with the same settings. The drift measurement gives the field difference in dB from the reading conducted within the last reference measurement. Several drift measurements are possible for one reference measurement. This allows a user to monitor the power drift of the device under test within a batch process. In the properties of the Drift job, the user can specify a limit for the drift and have DASY4/DASY5 software stop the measurements if this limit is exceeded.  Z-Scan The Z Scan job measures points along a vertical straight line. The line runs along the Z-axis of a one- dimensional grid. A user can anchor the grid to the current probe location. As with any other grids, the local Z- axis of the anchor location establishes the Z-axis of the grid. Page 15 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 7 Device Under Test 7.1 Band Interface Tx Frequency Bands  Bluetooth: 2400 - 2479 MHz Mode  Bluetooth 2.1 + EDR Page 16 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 8 Summary of Test Configurations 8.1 Body Test Exclusion Thresholds The following SAR test exclusion Thresholds based on KDB 447498 D01 General RF Exposure Guidance v05r01) 4.3.1) Power Power Calculate Test Exclusion Test Antenna-to- SAR Band Target Tolerance Power Power Configurations edge/surface Required (dBm) (dBm) (mW) Threshold(mW) Bluetooth Edge 1 6.1 mm 18.5 1 89.13 12 Yes 8.2 Body Exposure Conditions for Bluetooth for Main Antenna Antenna-to- SAR Test Configurations Note edge/surface Required Front 11.9 mm Yes SAR is required Rear 19.7 mm Yes SAR is required Edge 1 6.1 mm Yes SAR is required Edge 2 16.0 mm Yes SAR is required Edge 3 146.5 mm No SAR is not required Edge 4 16.9 mm Yes SAR is required Page 17 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 9 Measurement Uncertainty Measurement inty for 300 MHzto 3 GHz a ed over 1 Component Uncertainty Prob. . Std. Une.(L—8 vi orver Measurement Probe Callbration (=1 6.00 Normal 6.00 Probe is 7.60 3 3.07 Effect 0.65 0.38 4.70 2.71 Detection Limit 1.00 0.58 Readout Electronics 0.30 Normal 0.30 Res e Time 0.80 0.46 Time 2.60 1.50 RF Ambient Gondiions 3.00 1.73 RF Ambient Reflections 3.00 1.73 Probe Positionr Mechanical Tolerance 0.40 0.28 Probe with res to Phantom Shell 2.90 1.67 . and s for Max, SAR Evaluation 2.00 1.15 est Related est sample Pos 3.70 Normal 1 37 Device Holder 3.40 Normal 34 Power Variation — SAR arit measurement 5.00 R 2.89 Phantom and Tissue Parameters Phantom s and thickness tolerances 7.50 R 438 — deviation from values 414 R 1.53 — measurement 192 0.84 — deviation from values 3.92 1.36 — measurement 267 1.60 emp. Une. — 1.70 0.77 emp. Unc. — Perm 0.30 0.04 11.24 Factor — 2, > 95 % Contfidence — Factor — 2, > 95 % Contfidence = Page 18 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 10 Exposure Limit (A). Limits for Occupational/Controlled Exposure (W/kg) Whole-Body Partial-Body Hands, Wrists, Feet and Ankles 0.4 8.0 2.0 (B). Limits for General Population/Uncontrolled Exposure (W/kg) Whole-Body Partial-Body Hands, Wrists, Feet and Ankles 0.08 1.6 4.0 NOTE: Whole-Body SAR is averaged over the entire body, partial-body SAR is averaged over any 1 gram of tissue defined as a tissue volume in the shape of a cube. SAR for hands, wrists, feet and ankles is averaged over any 10 grams of tissue defined as a tissue volume in the shape of a cube. Population/Uncontrolled Environments: are defined as locations where there is the exposure of individuals who have no knowledge or control of their exposure. Occupational/Controlled Environments: are defined as locations where there is exposure that may be incurred by people who are aware of the potential for exposure, (i.e. as a result of employment or occupation). NOTE GENERAL POPULATION/UNCONTROLLED EXPOSURE PARTIAL BODY LIMIT 1.6 W/kg Page 19 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 11 Tissue Dielectric Properties 11.1 Test Liquid Confirmation Simulating Liquids Parameter Check The simulating liquids should be checked at the beginning of a series of SAR measurements to determine of the dielectric parameters are within the tolerances of the specified target values The relative permittivity and conductivity of the tissue material should be within  5% of the values given in the table below 5% may not be easily achieved at certain frequencies. The head tissue dielectric parameters recommended by the IEEE SCC-34/SC-2 in IEEE 1528 2003 have been incorporated in the following table. These head parameters are derived from planar layer models simulating the highest expected SAR for the dielectric properties and tissue thickness variations in a human head. Other head and body tissue parameters that have not been specified in IEEE 1528 2003 are derived from the tissue dielectric parameters computed from the 4-Cole-Cole equations and extrapolated according to the head parameters specified in IEEE 1528 2003 Target Frequency Head Body (MHz) er  (S/m) er  (S/m) 150 52.3 0.76 61.9 0.80 300 45.3 0.87 58.2 0.92 450 43.5 0.87 56.7 0.94 835 41.5 0.90 55.2 0.97 900 41.5 0.97 55.0 1.05 915 41.5 0.98 55.0 1.06 1450 40.5 1.20 54.0 1.30 1610 40.3 1.29 53.8 1.40 1800 – 2000 40.0 1.40 53.3 1.52 2450 39.2 1.80 52.7 1.95 3000 38.5 2.40 52.0 2.73 5000 36.2 4.45 49.3 5.07 5100 36.1 4.55 49.1 5.18 5200 36.0 4.66 49.0 5.30 5300 35.9 4.76 48.9 5.42 5400 35.8 4.86 48.7 5.53 5500 35.6 4.96 48.6 5.65 5600 35.5 5.07 48.5 5.77 5700 35.4 5.17 48.3 5.88 5800 35.3 5.27 48.2 6.00 Page 20 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 11.2 Typical Composition of Ingredients for Liquid Tissue Phantoms The following tissue formulations are provided for reference only as some of the parameters have not been thoroughly verified. The composition of ingredients may be modified accordingly to achieve the desired target tissue parameters required for routine SAR evaluation. Ingredients Frequency (MHz) (% by weight) 450 835 915 1900 2450 Tissue Type Head Body Head Body Head Body Head Body Head Body Water 38.56 51.16 41.45 52.4 41.05 56.0 54.9 40.4 62.7 73.2 Salt (NaCl) 3.95 1.49 1.45 1.4 1.35 0.76 0.18 0.5 0.5 0.04 Sugar 56.32 46.78 56.0 45.0 56.5 41.76 0.0 58.0 0.0 0.0 HEC 0.98 0.52 1.0 1.0 1.0 1.21 0.0 1.0 0.0 0.0 Bactericide 0.19 0.05 0.1 0.1 0.1 0.27 0.0 0.1 0.0 0.0 Triton X-100 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 36.8 0.0 DGBE 0.0 0.0 0.0 0.0 0.0 0.0 44.92 0.0 0.0 26.7 Dielectric Constant 43.42 58.0 42.54 56.1 42.0 56.8 39.9 54.0 39.8 52.5 Conductivity (S/m) 0.85 0.83 0.91 0.95 1.0 1.07 1.42 1.45 1.88 1.78 + + alt: 99 % Pure Sodium Chloride Sugar: 98 % Pure Sucrose + Water: De-ionized, 16 M resistivity HEC: Hydroxy thyl Cellulose + DGBE: 99 % Di(ethylene glycol) butyl ether, [2-(2-butoxyethoxy)ethanol] Triton X-100 (ultra-pure): Polyethylene glycol mono [4-(1, 1, 3, 3-tetramethylbutyl)phenyl]ether Simulating Liquids for 5 GHz, Manufactured by SPEAG Ingredients (% by weight) Water 78 Mineral oil 11 Emulsifiers 9 Additives and Salt 2 Page 21 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 11.3 Simulating Liquids Parameter Check Results Measured Standard A Limit Date Band Freq{(MHz) e‘ (er) e" o e‘ (er) o e‘ (er) o i5 2412 54.16 14.33 1.92 52.75 1.91 2.67% 0.36% +5 2437 54.07 14.46 1.96 52.72 1.94 2.50% 1.01% +5 2013/10/14 Body 2450 2442 54.06 14.47 1.96 52.71 1.94 2.56% 1.08% +5 2462 54.00 14.57 1.99 52.68 1.97 249% 1.31% +5 2472 53.97 14.62 2.01 52.67 1.98 247% 1.32% £5 Page 22 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 12 System Performance Check The system performance check is performed prior to any usage of the system in order to guarantee reproducible results. The system performance check verifies that the system operates within its specifications. The system performance check results are tabulated below. And also the corresponding SAR plot is attached as well in the SAR plots files. System Performance Check Measurement Conditions  The measurements were performed in the flat section of the SAM twin phantom filled with Body simulating liquid of the following parameters.  The DASY4/DASY5 system with an E-field probe EX3DV4 SN:3665 was used for the measurements.  The dipole was mounted on the small tripod so that the dipole feed point was positioned below the center marking of the flat phantom section and the dipole was oriented parallel to the body axis (the long side of the phantom). The standard measuring distance was 15 mm (below 1 GHz) and 10 mm (above 1 GHz) from dipole center to the simulating liquid surface.  The coarse grid with a grid spacing of 10mm was aligned with the dipole.  Special 7x7x7 fine cube was chosen for cube integration (dx=dy= 5 mm, dz= 5 mm).  Distance between probe sensors and phantom surface was set to 3.0 mm.  The dipole input power (forward power) was 100 mW3%.  The results are normalized to 1 W input power. Reference SAR Values for System Performance Check The reference SAR values can be obtained from the calibration certificate of system validation dipoles System Target SAR Values (W/kg) Serial No. Cal. Date Freq. (MHz) Dipole 1g/10g Head Body 1g 53.5 51.1 D2450V2 728 05/02/2013 2450 10g 25.0 23.9 Page 23 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 12.1 System Performance Check Results System Dipole Date Parameters Target Measured Deviation[%] Limited[%] Type Serial No. Liquid 1g SAR: 51.10 52.50 2.74 ±5 2013/10/14 D2450V2 728 Body 10g SAR: 23.90 24.60 2.93 ±5 Page 24 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 13 RF Output Power Measurement 13.1 Bluetooth The indicated bluetooth target powers in the following table are absolute maximums. Output power table Target Pwr Maximum Avg. Pwr (dBm) Tune-up (dBm) Band Data rate Freq. Tune-up Ch # Tolerance (GHz) (Mbps) (MHz) Pwr Main Aux Total (dBm) Main Aux Total (dBm) 0 2402 18.5 ±1.0 19.5 18.2 DH5 39 2441 18.5 ±1.0 19.5 19.1 79 2480 18.5 ±1.0 19.5 18.9 0 2402 17.0 ±1.0 18.0 17.4 Bluetooth 2DH5 39 2441 17.0 ±1.0 18.0 17.8 79 2480 17.0 ±1.0 18.0 17.1 0 2402 17.0 ±1.0 18.0 16.8 3DH5 39 2441 17.0 ±1.0 18.0 17.2 79 2480 17.0 ±1.0 18.0 16.5 Page 25 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 14 SAR Measurements Results Bluetooth Band: Data Power (dBm) Measured Test Freq. Dist. Reported Band rate Channel Chain Tune up 1g SAR Note Position (MHz) (mm) Measured (W/kg) SAR(W/kg) (Mbps) limit Front 39 2441 0 0 19.5 19.1 0.357 0.391 Rear 39 2441 0 0 19.5 19.1 0.246 0.270 Edge 1 39 2441 0 0 19.5 19.1 0.857 0.940 Edge 1 39 2441 0 0 19.5 19.1 0.860 0.943 1 Bluetooth DH5 Edge 2 39 2441 0 0 19.5 19.1 0.492 0.539 Edge 4 39 2441 0 0 19.5 19.1 0.159 0.174 Edge 1 0 2402 0 0 19.5 18.2 0.791 1.067 Edge 1 79 2480 0 0 19.5 18.9 0.739 0.848 Note(s): 1. Repeated measurements are required only when the measured SAR is ≥0.80 W/kg. If the measured SAR values are < 1.45 W/kg with ≤20% variation, only one repeated measurement is required to reaffirm that the results are not expected to have substantial variations, which may introduce significant compliance concerns. (Per KDB 865664 D01 SAR measurement 100 MHz to 6 GHz v01) 1.1 Original SAR = 0.857W/kg, therefore two times repeat SAR is required. 1.2 Repeat SAR = 0.860 W/kg < 1.45W/kg 1.3 SAR variation= 0.35% < 20% Page 26 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 14.1 Summary of Highest SAR Values Results for highest reported SAR values for each frequency band and mode Highest Technology/Band Test configuration Mode Reported 1g-SAR (W/kg) Bluetooth Edge 1 DH5 1.067 Page 27 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 15 Antenna Locations & Separation Distances Unit: mm Page 28 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 16 Equipment List & Calibration Status Calibration Calibration Name of Equipment Manufacturer Type/Model Serial Number Cycle(year) Due S-Parameter Network Analyzer Agilent E8358A MY46213916 1 06/03/2014 Hewlett Electronic Probe kit 85070D N/A N/A N/A Packard Power Meter Anritsu ML2495A GB41291611 1 09/14/2014 Power Sensor Anritsu MA2411B MY41091956 1 09/14/2014 Spectrum Analyzer Agilent E4446A US42510252 1 12/09/2013 Wireless Communication Test Set Agilent E5515C 8960 MY48363204 1 09/06/2014 Data Acquisition Electronics SPEAG DAE4 877 1 03/11/2014 (DAE) Dosimetric E-Field Probe SPEAG EX3DV4 3665 1 05/06/2014 2450 MHz System Validation SPEAG D2450V2 728 1 05/01/2014 Dipole Robot Staubli RX60L F02/5T69A1/A/01 N/A N/A Amplifier Mini-Circuit ZVE-8G 665500309 N/A N/A Amplifier Mini-Circuit ZHL-1724HLN D072602#2 N/A N/A Page 29 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 17 Facilities All measurement facilities used to collect the measurement data are located at No. 81-1, Lane 210, Bade Rd. 2, Luchu Hsiang, Taoyuan Hsien, Taiwan, R.O.C. No.11, Wugong 6th Rd., Wugu Dist., New Taipei City 24891, Taiwan. (R.O.C.) No. 199, Chunghsen Road, Hsintien City, Taipei Hsien, Taiwan, R.O.C. 18 Reference [1] Federal Communications Commission, \Report and order: Guidelines for evaluating the environ-mental effects of radiofrequency radiation", Tech. Rep. FCC 96-326, FCC, Washington, D.C. 20554, 1996. [2] David L. Means Kwok Chan, Robert F. Cleveland, \Evaluating compliance with FCC guidelines for human exposure to radiofrequency electromagnetic fields", Tech. Rep., Federal Communication Commision, O_ce of Engineering & Technology, Washington, DC, 1997. [3] Thomas Schmid, Oliver Egger, and Niels Kuster, \Automated E-_eld scanning system for dosimetric assessments", IEEE Transactions on Microwave Theory and Techniques, vol. 44, pp. 105{113, Jan. 1996. [4] Niels Kuster, Ralph K.astle, and Thomas Schmid, \Dosimetric evaluation of mobile communications equipment with known precision", IEICE Transactions on Communications, vol. E80-B, no. 5, pp. 645{652, May 1997. [5] CENELEC, \Considerations for evaluating of human exposure to electromagnetic fields (EMFs) from mobile telecommunication equipment (MTE) in the frequency range 30MHz - 6GHz", Tech. Rep., CENELEC, European Committee for Electrotechnical Standardization, Brussels, 1997. [6] ANSI, ANSI/IEEE C95.1-1992: IEEE Standard for Safety Levels with Respect to Human Exposure to Radio Frequency Electromagnetic Fields, 3 kHz to 300 GHz, The Institute of Electrical and Electronics Engineers, Inc., New York, NY 10017, 1992. [7] Katja Pokovic, Thomas Schmid, and Niels Kuster, \Robust setup for precise calibration of E-_eld probes in tissue simulating liquids at mobile communications frequencies", in ICECOM _ 97, Dubrovnik, October 15{17, 1997, pp. 120{124. [8] Katja Pokovic, Thomas Schmid, and Niels Kuster, \E-_eld probe with improved isotropy in brain simulating liquids", in Proceedings of the ELMAR, Zadar, Croatia, 23{25 June, 1996, pp. 172{175. [9] Volker Hombach, Klaus Meier, Michael Burkhardt, Eberhard K. uhn, and Niels Kuster, \The dependence of EM energy absorption upon human head modeling at 900 MHz", IEEE Transactions onMicrowave Theory and Techniques, vol. 44, no. 10, pp. 1865{1873, Oct. 1996. [10] Klaus Meier, Ralf Kastle, Volker Hombach, Roger Tay, and Niels Kuster, \The dependence of EM energy absorption upon human head modeling at 1800 MHz", IEEE Transactions on Microwave Theory and Techniques, Oct. 1997, in press. [11] W. Gander, Computermathematik, Birkhaeuser, Basel, 1992. [12] W. H. Press, S. A. Teukolsky,W. T. Vetterling, and B. P. Flannery, Numerical Recepies in C, The Art of Scientific Computing, Second Edition, Cambridge University Press, 1992..Dosimetric Evaluation of Sample device, month 1998 9 [13] NIS81 NAMAS, \The treatment of uncertainity in EMC measurement", Tech. Rep., NAMAS Executive, National Physical Laboratory, Teddington, Middlesex, England, 1994. [14] Barry N. Taylor and Christ E. Kuyatt, \Guidelines for evaluating and expressing the uncertainty of NIST measurement results", Tech. Rep., National Institute of Standards and Technology, 1994. Dosimetric Evaluation of Sample device, month 1998 10 Page 30 Rev. 00

Compliance Certification Services Inc. Report No: T130917W02 19 Attachments Exhibit Content 1 System Performance Check Plots 2 SAR test plots for Bluetooth Band 3 SAR_Probe_EX3DV4_sn3665 4 SAR_DAE4_sn877 5 SAR_Dipole_D2450v2_sn728 6 T130917W02-SF PHOTOs END OF REPORT Page 31 Rev. 00


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