Test report-15.247 BT LE

FCC ID: SQGBT800

Test Report

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FCCID_2398038

                          FCC C2PC Test Report
            FCC ID                 : SQGBT800
            Equipment              : BTv4.0 Dual Mode USB HCI Module
                                     (Please refer to section 1.1.1 for more details)
            Model No.              : BT800
                                     (Please refer to section 1.1.1 for more details)
            Brand Name             : Laird Technologies
            Applicant              : Laird Technologies
            Address                : 11160 Thompson Ave. / Lenexa, Kansas /
                                     66219 / USA
            Standard               : 47 CFR FCC Part 15.247
            Received Date          : Sep. 03, 2014
            Tested Date            : Sep. 10 ~ Sep. 11, 2014


      We, International Certification Corp., would like to declare that the tested sample has been
      evaluated and in compliance with the requirement of the above standards. The test results
      contained in this report refer exclusively to the product. It may be duplicated completely for
      legal use with the approval of the applicant. It shall not be reproduced except in full without
      the written approval of our laboratory.



      Approved & Reviewed by:




      Gary Chang / Manager                            Ty: XXX




Report No.: FR490301AE                                                                Page : 1 of 26
Report Version: Rev. 01


                                                         Table of Contents
1        GENERAL DESCRIPTION .................................................................................................................... 5

1.1      Information.............................................................................................................................................. 5
1.2      Local Support Equipment List ................................................................................................................ 7
1.3      Test Setup Chart .................................................................................................................................... 7
1.4      Test Equipment List and Calibration Data .............................................................................................. 8
1.5      Test Standards ....................................................................................................................................... 9
1.6      Measurement Uncertainty ...................................................................................................................... 9

2        TEST CONFIGURATION .....................................................................................................................10

2.1      Testing Condition .................................................................................................................................10
2.2      The Worst Test Modes and Channel Details .......................................................................................10

3        TRANSMITTER TEST RESULTS........................................................................................................11

3.1      Conducted Emissions ...........................................................................................................................11
3.2      RF Output Power ..................................................................................................................................14
3.3      Emissions in Restricted Frequency Bands ...........................................................................................16

4        TEST LABORATORY INFORMATION ...............................................................................................26




Report No.: FR490301AE                                                                                                              Page : 2 of 26
Report Version: Rev. 01


                                    Release Record
     Report No.           Version                   Description      Issued Date
    FR490301AE            Rev. 01   Initial issue                   Sep. 19, 2014




Report No.: FR490301AE                                            Page : 3 of 26
Report Version: Rev. 01


                                  Summary of Test Results

   FCC Rules                     Test Items                           Measured                       Result
                                                         [dBuV]: 0.154MHz
      15.207         AC Power Line Conducted Emissions                                                Pass
                                                         59.21 (Margin -6.57dB) - QP
    15.247(d)                                            [dBuV/m at 3m]: 2483.50MHz
                     Radiated Emissions                                                               Pass
      15.209                                             50.65 (Margin -3.35dB) - AV

   15.247(b)(3)      Fundamental Emission Output Power Power [dBm]: 7.87                              Pass
   15.247(a)(2)      6dB Bandwidth                       Note                                             Note
    15.247(e)        Power Spectral Density              Note                                             Note
      15.203         Antenna Requirement                 Meet the requirement of limit                Pass
Note: This C2PC is adding new antenna that will not impact original test result thus this item is not
re-evaluated.




Report No.: FR490301AE                                                                   Page : 4 of 26
Report Version: Rev. 01


C            Infernational
             Certification
             Corp.




1            General Description
1.1          Information
This report is prepared for FCC class II change.

This report is issued as a duplicate report to original ICC report no. FR362601AE. The modification is adding
external antenna and model name for this change. In this report, conducted power, AC power line conducted
emission and radiated emission tests had been re—tested and only its data was recorded in the following
sections
1.1.1        Product Details
The following models are provided to this EUT. (Additional model was marked in boldface.)

     Model Name                      Description                                  Difference
                          BTv4.0 Dual Mode USB HCI
           BT800          Module
           BT810          BTv4.0 Dual Mode USB HCI          BT800 module mounted onto a PCB carrier board to
                          Module (BG carrier board)         change footprint — no other differences.
                                                            BT800 module mounted onto a carrier board with
           BT820          BTv4.0 Dual Mode USB Dongle       USB connector,

                          BTv4.0 Dual Mode USB HCI                                                      ;
         BT300—ST         Module — External Antenna         BTBOO module mounted onto a PCB carrier board
                          variant                           with external chip antenna.



1.1.2        Specification of the Equipment under Test (EUT)

                                                RF General Information
    Frequency Range                Bluetooth
         (MHz)                       Mode           Ch. Freq. (MHz)      Channel Number             Data Rate

         2400—2483.5                V4.0 LE           2402—2480               0—39 [40]               1 Mbps
Note 1: Bluetooth LE (Low energy) uses GFSK modulation.


1.1.3        Antenna Details

    Ant.                                                                        Antenna Gain
    No.         Brand                  Model            Type      Connector         (dBi)               Remark

                                                            .                                      For BT800, BT810
     1             ACX       AT3216—B2R7HAA_3216         chip         N/A             0.5               & BTE20

     2             ACX          AT3216—B2R7HAA           chip         UFL             0.5            For BT800—ST


1.1.4        Power Supply Type of Equipment under Test (EUT)

Power Supply Type                  5Vdc from host




Report No.: FR490301AE                                                                         Page : 5 of 26
Report Version: Rev. 01


1.1.5        Accessories
N/A


1.1.6        Channel List
                  Frequency band (MHz)                                   2400~2483.5
                 Frequency               Frequency              Frequency                       Frequency
  Channel                     Channel                Channel                    Channel
                   (MHz)                   (MHz)                  (MHz)                           (MHz)
      37             2402        9         2422        18          2442            28               2462
        0            2404       10         2424        19          2444            29               2464
        1            2406       38         2426        20          2446            30               2466
        2            2408       11         2428        21          2448            31               2468
        3            2410       12         2430        22          2450            32               2470
        4            2412       13         2432        23          2452            33               2472
        5            2414       14         2434        24          2454            34               2474
        6            2416       15         2436        25          2456            35               2476
        7            2418       16         2438        26          2458            36               2478
        8            2420       17         2440        27          2460            39               2480


1.1.7        Test Tool and Duty Cycle
Test tool                       Blue Tool V2.5
Duty cycle of test signal (%) 66.67%
Duty Factor (dB)                1.76


1.1.8        Power Setting
                                                       Test Frequency (MHz)
            Modulation Mode
                                          2402                  2440                         2480
              GFSK/1Mbps                 Default               Default                      Default




Report No.: FR490301AE                                                                 Page : 6 of 26
Report Version: Rev. 01


1.2       Local Support Equipment List
                                   Support Equipment List
 No.     Equipment        Brand   Model        S/N          FCC ID           Length (m)
   1      Notebook        DELL    E6430         ---          DoC     USB, 1.2m shielded w/o core


1.3       Test Setup Chart
                                    Test Setup Diagram




Report No.: FR490301AE                                                       Page : 7 of 26
Report Version: Rev. 01


1.4       Test Equipment List and Calibration Data
      Test Item        Conducted Emission
      Test Site        Conduction room 1 / (CO01-WS)
      Instrument           Manufacturer             Model No.            Serial No.      Calibration Date      Calibration Until
   EMC Receiver                 R&S                  ESCS 30              100169          Oct. 15, 2013          Oct. 14, 2014
        LISN              SCHWARZBECK           Schwarzbeck 8127          8127-667        Nov. 23, 2013         Nov. 22, 2014
        LISN
                          SCHWARZBECK           Schwarzbeck 8127          8127-666        Dec. 04, 2013         Dec. 03, 2014
    (Support Unit)
   RF Cable-CON               Woken                CFD200-NL           CFD200-NL-001      Apr. 23, 2014          Apr. 22, 2015
   50 ohm terminal
                                NA                      50                  04            Apr. 18, 2014          Apr. 17, 2015
    (Support Unit)
Note: Calibration Interval of instruments listed above is one year.


      Test Item        Radiated Emission
      Test Site        966 chamber1 / (03CH01-WS)
      Instrument           Manufacturer             Model No.            Serial No.      Calibration Date      Calibration Until
 Spectrum Analyzer              R&S                   FSV40               101498          Jan. 25, 2014          Jan. 24, 2015
       Receiver                 R&S                    ESR3               101658          Jan. 10, 2014          Jan. 09, 2015
    Bilog Antenna         SCHWARZBECK               VULB9168           VULB9168-522       Jan. 02, 2014          Jan. 01, 2015
    Horn Antenna
                          SCHWARZBECK             BBHA 9120 D         BBHA 9120 D 1096    Feb. 13, 2014         Feb. 12, 2015
      1G-18G
    Horn Antenna
                          SCHWARZBECK              BBHA 9170           BBHA 9170517       Dec. 27, 2013         Dec. 26, 2014
      18G-40G
     Preamplifier             Burgeon                BPA-530             SN:100219        Nov. 28, 2013         Nov. 27, 2014
     Preamplifier             Agilent                 83017A            MY39501308        Dec. 16, 2013         Dec. 15, 2014
     Preamplifier               WM                 TF-130N-R1             923365          Oct. 23, 2013          Oct. 22, 2014
      RF Cable            HUBER+SUHNER           SUCOFLEX104             MY16014/4        Dec. 16, 2013         Dec. 15, 2014
      RF Cable            HUBER+SUHNER           SUCOFLEX104             MY16019/4        Dec. 16, 2013         Dec. 15, 2014
      RF Cable            HUBER+SUHNER           SUCOFLEX104             MY16139/4        Dec. 16, 2013         Dec. 15, 2014
     LF cable 3M              Woken               CFD400NL-LW          CFD400NL-001       Dec. 16, 2013         Dec. 15, 2014
    LF cable 10M              Woken               CFD400NL-LW          CFD400NL-002       Dec. 16, 2013         Dec. 15, 2014
Note: Calibration Interval of instruments listed above is one year.


    Loop Antenna                R&S                  HFH2-Z2              100330          Nov. 15, 2012         Nov. 14, 2014
Note: Calibration Interval of instruments listed above is two year.




Report No.: FR490301AE                                                                                    Page : 8 of 26
Report Version: Rev. 01


   @
           Infernational
           Certification
           Corp.




       Test Item          RF Conducted
       Test Site          (THO1—WS)
      Instrument            Manufacturer            Model No.         Serial No.   Calibration Date      Calibration Until
 Spectrum Analyzer              R&S                   FSV40            101063       Feb. 17, 2014          Feb. 16, 2015

    Power Meter                Anritsu               ML2495A          1241002       Oct. 24, 2013          Oct. 23, 2014

    Power Sensor               Anritsu               MA2Z411B         1207366       Oct. 24, 2013          Oct. 23, 2014

Note: Calibration Interval of instruments listed above is one year.




1.5        Test Standards
According to the specification of EUT, the EUT must comply with following standards and KDB documents.
47 CFR FCC Part 15.247
ANSI C63.10—2009
FCC KDB 558074 D01 DTS Meas Guidance v03r02


1.6        Measurement Uncertainty
I1SO/IEC 17025 requires that an estimate of the measurement uncertainties associated with the emissions test
results be included in the report. The measurement uncertainties given below are based on a 95% confidence
level (based on a coverage factor (k=2)

                                                    Measurement Uncertainty
                                              Parameters                                              Uncertainty
Bandwidth                                                                                              +34.134 Hz

Conducted power                                                                                         +0.808 dB
Frequency error                                                                                        +34.134 Hz

Temperature                                                                                              +0.6 °C
Conducted emission                                                                                      +2.670 dB
AC conducted emission                                                                                   +2.92 dB
Radiated emission < 1GHz                                                                                +3.26 dB
Radiated emission > 1GHz                                                                                +4.94 dB




Report No.: FR490301AE                                                                              Page : 9 of 26
Report Version: Rev. 01


C          Infernational
           Certification
           Corp.




2          Test Configuration
2.1        Testing Condition
          Test Item                     Test Site              Ambient Condition                   Tested By
AC Conduction                          COO1—WS                      22°C / 62%                    Skys Huang
Radiated Emissions                    O3CHO1—WS                     22°C / 68%                   Anderson Hung
RF Conducted                           THO1—WS                      22°C / 63%                     Felix Sung
» FCC site registration No.:      657002
> IC site registration No.:    10807A—1



2.2         The Worst Test Modes and Channel Details
                          ;                                     Test Frequency        Data Rate              Test
                    Testitem                        Mode             (MH2z)             (Mbps)          Configuration
AC Power Line Conducted Emissions                   BT LE            2480               1Mbps

Radiated Emissions S 1GHz                           BT LE            2480               1Mbps

Radiated Emissions > 1GHz                           BT LE      2402, 2440, 2480         1Mbps

Fundamental Emission Output Power                   BT LE      2402, 2440, 2480         1Mbps

NOTE:
1.    The EUT was pretested with 3 orientations placed on the table for the radiated emission measurement — X, Y, and
      Z—plane. The Z—plane results were found as the worst case and were shown in this report.




Report No.: FR490301AE                                                                            Page : 10 of 26
Report Version: Rev. 01


3         Transmitter Test Results
3.1       Conducted Emissions
3.1.1     Limit of Conducted Emissions
                                        Conducted Emissions Limit
     Frequency Emission (MHz)                   Quasi-Peak                            Average
                0.15-0.5                          66 - 56 *                            56 - 46 *
                  0.5-5                              56                                   46
                   5-30                              60                                   50
Note 1: * Decreases with the logarithm of the frequency.


3.1.2     Test Procedures
1.    The device is placed on a test table, raised 80 cm above the reference ground plane. The vertical
      conducting plane is located 40 cm to the rear of the device.
2.    The device is connected to line impedance stabilization network (LISN) and other accessories are
      connected to other LISN. Measured levels of AC power line conducted emission are across the 50 Ω
      LISN port.
3.    AC conducted emission measurements is made over frequency range from 150 kHz to 30 MHz.
4.    This measurement was performed with AC 120V/60Hz


3.1.3     Test Setup




Report No.: FR490301AE                                                                  Page : 11 of 26
Report Version: Rev. 01


3.1.4     Test Result of Conducted Emissions
Modulation Mode           GFSK                      Test Freq. (MHz)             2480
Power Phase               Line




Note 1: Level (dBuV) = Read Level (dBuV) + LISN Factor (dB) + Cable Loss (dB).
     2: Over Limit (dB) = Level (dBuV) – Limit Line (dBuV).




Report No.: FR490301AE                                                                  Page : 12 of 26
Report Version: Rev. 01


Modulation Mode           GFSK                      Test Freq. (MHz)             2480
Power Phase               Neutral




Note 1: Level (dBuV) = Read Level (dBuV) + LISN Factor (dB) + Cable Loss (dB).
     2: Over Limit (dB) = Level (dBuV) – Limit Line (dBuV).




Report No.: FR490301AE                                                                  Page : 13 of 26
Report Version: Rev. 01


3.2       RF Output Power
3.2.1     Limit of RF Output Power
Conducted power shall not exceed 1Watt.
      Antenna gain <= 6dBi, no any corresponding reduction is in output power limit.
      Antenna gain > 6dBi
            Non Fixed, point to point operations.
            The conducted output power from the intentional radiator shall be reduced by the amount in dB
            that the directional gain of the antenna exceeds 6 dB
            Fixed, point to point operations
            Systems operating in the 2400–2483.5 MHz band that are used exclusively for fixed, point-to-point
            Operations, maximum peak output power of the intentional radiator is reduced by 1 dB for every 3
            dB that the directional gain of the antenna exceeds 6 dBi.

            Systems operating in the 5725–5850 MHz band that are used exclusively for fixed, point-to-point
            operations ,no any corresponding reduction is in transmitter peak output power


3.2.2     Test Procedures
      Maximum Peak Conducted Output Power
            Spectrum analyzer
            1.    Set RBW = 1MHz, VBW = 3MHz, Detector = Peak.
            2.    Sweep time = auto, Trace mode = max hold, Allow trace to fully stabilize.
            3.    Use the spectrum analyzer channel power measurement function with the band limits set
                  equal to the DTS bandwidth edges.
            Power meter
            1.    A broadband Peak RF power meter is used for output power measurement. The video
                  bandwidth of power meter is greater than DTS bandwidth of EUT. If duty cycle of test signal is
                  not 100 %, trigger and gating function of power meter will be enabled to capture transmission
                  burst for measuring output power.
      Maximum Conducted Average Output Power ( For reference only)
            Power meter
            1.    A broadband Average RF power meter is used for output power measurement. The video
                  bandwidth of power meter is greater than DTS bandwidth of EUT. If duty cycle of test signal is
                  not 100 %, trigger and gating function of power meter will be enabled to capture transmission
                  burst for measuring output power.


3.2.3     Test Setup




Report No.: FR490301AE                                                                        Page : 14 of 26
Report Version: Rev. 01


3.2.4     Test Result of Maximum Output Power
              Freq. (MHz)             Peak Conducted Power (dBm)    Limit (dBm)
                  2402                           6.21                   30
                  2440                           7.46                   30
                  2480                           7.87                   30


              Freq. (MHz)           Average Conducted Power (dBm)   Limit (dBm)
                  2402                           5.95                   30
                  2440                           7.22                   30
                  2480                           7.58                   30
Note: Average power is for reference only.




Report No.: FR490301AE                                                Page : 15 of 26
Report Version: Rev. 01


C          Infernational
           Certification
           Corp.




3.3        Emissions in Restricted Frequency Bands
3.3.1      Limit of Emissions in Restricted Frequency Bands

                                          Restricted Band Emissions Limit
Frequency Range (MHz)|           Field Strength (uV/m)         |Field Strength (dBuV/m)|        Measure Distance (m)
         0.009~0.490                   2400/F(kHz)                     48.5 — 13.8                         300
         0.490~1.705                  24000/F(kHz)                       33.8 — 23                          30
          1.705~30.0                         30                             29                              30
             30~88                          100                             40                              3
            88~216                          150                            43.5                             3
           216~960                          200                             46                              3
          Above 960                         500                             54                              3
Note 1:
Qusai—Peak value is measured for frequency below 1GHz except for 9—90 kHz, 110—490 kHz frequency band. Peak and
average value are measured for frequency above 1GHz. The limit on average radio frequency emission is as above
table. The limit on peak radio frequency emissions is 20 dB above the maximum permitted average emission limit
Note 2:
Measurements may be performed at a distance other than what is specified provided. When performing measurements
at a distance other than that specified, the results shall be extrapolated to the specified distance using an extrapolation
factor as below, Frequency at or above 30 MHz: 20 dB/decade Frequency below 30 MHz: 40 dB/decade.



3.3.2      Test Procedures
1.    Measurement is made at a semi—anechoic chamber that incorporates a turntable allowing a EUT
      rotation of 360°. A continuously—rotating, remotely—controlled turntable is installed at the test site to
      support the EUT and facilitate determination of the direction of maximum radiation for each EUT
      emission frequency. The EUT is placed at a height of 0.8 m test table above the ground plane.
2.       Measurement is made with the antenna positioned in both the horizontal and vertical planes of
      polarization. The measurement antenna is varied in height (1m ~4m) above the reference ground plane
      to obtain the maximum signal strength. Distance between EUT and antenna is 3 m.
3.    This investigation is performed with the EUT rotated 360°, the antenna height scanned between 1 m
      and 4 m, and the antenna rotated to repeat the measurements for both the horizontal and vertical
      antenna polarizations.
Note:
1.      120kHz measurement bandwidth of test receiver and Quasi—peak detector is for radiated emission below 1GHz.

2.      RBW=1MHz, VBW=3MHz and Peak detector is for peak measured value of radiated emission above 1GHz.
3.      RBW=1MHz, VBW=1/T and Peak detector is for average measured value of radiated emission above 1GHz.




Report No.: FR490301AE                                                                               Page : 16 of 26
Report Version: Rev. 01


3.3.3     Test Setup
Radiated Emissions below 1 GHz




Radiated Emissions above 1 GHz




Report No.: FR490301AE           Page : 17 of 26
Report Version: Rev. 01


3.3.4     Transmitter Radiated Unwanted Emissions (Below 1GHz)
Modulation                GFSK                       Test Freq. (MHz)             2480
Polarization              Horizontal




Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB)
      *Factor includes antenna factor , cable loss and amplifier gain
Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m).
Note 3: All spurious emissions below 30MHz are more than 20 dB below the limit.



Report No.: FR490301AE                                                                   Page : 18 of 26
Report Version: Rev. 01


Modulation                GFSK                       Test Freq. (MHz)             2480
Polarization              Vertical




Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB)
      *Factor includes antenna factor , cable loss and amplifier gain
Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m).
Note 3: All spurious emissions below 30MHz are more than 20 dB below the limit.




Report No.: FR490301AE                                                                   Page : 19 of 26
Report Version: Rev. 01


3.3.5     Transmitter Radiated Unwanted Emissions (Above 1GHz) for GFSK
Modulation                GFSK                      Test Freq. (MHz)    2402
Polarization              Horizontal




Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB)
      *Factor includes antenna factor , cable loss and amplifier gain
Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m).




Report No.: FR490301AE                                                         Page : 20 of 26
Report Version: Rev. 01


Modulation                GFSK                      Test Freq. (MHz)    2402
Polarization              Vertical




Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB)
      *Factor includes antenna factor , cable loss and amplifier gain
Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m).




Report No.: FR490301AE                                                         Page : 21 of 26
Report Version: Rev. 01


Modulation                GFSK                      Test Freq. (MHz)    2440
Polarization              Horizontal




Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB)
      *Factor includes antenna factor , cable loss and amplifier gain
Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m).




Report No.: FR490301AE                                                         Page : 22 of 26
Report Version: Rev. 01


Modulation                GFSK                      Test Freq. (MHz)    2440
Polarization              Vertical




Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB)
      *Factor includes antenna factor , cable loss and amplifier gain
Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m).




Report No.: FR490301AE                                                         Page : 23 of 26
Report Version: Rev. 01


Modulation                GFSK                      Test Freq. (MHz)    2480
Polarization              Horizontal




Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB)
      *Factor includes antenna factor , cable loss and amplifier gain
Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m).




Report No.: FR490301AE                                                         Page : 24 of 26
Report Version: Rev. 01


Modulation                GFSK                      Test Freq. (MHz)    2480
Polarization              Vertical




Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB)
      *Factor includes antenna factor , cable loss and amplifier gain
Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m).




Report No.: FR490301AE                                                         Page : 25 of 26
Report Version: Rev. 01


    @
G Infernational
           Certification
           Corp.




4            Test laboratory information
Established in 2012, ICC provides foremost EMC & RF Testing and advisory consultation services by our
skilled engineers and technicians. Our services employ a wide variety of advanced edge test equipment and
one of the widest certification extents in the business.


International Certification Corp, it is our definitive objective is to institute long term, trust—based associations
with our clients. The expectation we set up with our clients is based on outstanding service, practical expertise
and devotion to a certified value structure. Our passion is to grant our clients with best EMC / RF services by
oriented knowledgeable and accommodating staff.


Our Test sites are located at Linkou District and Kwei Shan Hsiang. Location map can be found on our
website http://www.icertifi.com.tw.


Linkou                                     Kwei Shan                             Kwei Shan Site II
Tel: 886—2—2601—1640                       Tel: 886—3—271—8666                   Tel: 886—3—271—8640
No. 30—2, Ding Fwu Tsuen, Lin Kou          No. 3—1, Lane 6, Wen San 3rd          No. 14—1, Lane 19, Wen San 3rd
District, New Taipei City, Taiwan,         St., Kwei Shan Hsiang, Tao Yuan       St., Kwei Shan Hsiang, Tao Yuan
R.0.C.                                     Hsien 333, Taiwan, R.0.C.             Hsien 333, Taiwan, R.0.C.


If you have any suggestion, please feel free to contact us as below information

Tel: 886—3—271—8666
Fax: 886—3—318—0155
Email: ICC_Service@icertifi.com.tw




==END=




Report No.: FR490301AE                                                                        Page : 26 of 26
Report Version: Rev. 01



Document Created: 2019-09-23 21:48:09
Document Modified: 2019-09-23 21:48:09

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