Test Report

FCC ID: W38-28010087

Test Report

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FCCID_2771169

RF TEST REPORT Report No.: RF_SL15081001-CPC-008-FCC-IC_RFID Supersede Report No.: None Applicant : ChargePoint, Inc. Product Name : RFID Reader Model No. : 28010087 FCC 15.225 2014 Test Standard : RSS-210 Issue 8: 2010 FCC 15.225 2014 Test Method : ANSI C63.10 2013 RSS Gen Issue 4 2014 FCC ID : W38-28010087 IC ID : 8854A-28010087 Dates of test : August 24th, 28th, September 18th, and 23rd of 2015 Issue Date : 9/24/2015 Test Result : ☒ Pass ☐ Fail Equipment complied with the specification [X ] Equipment did not comply with the specification [ ] This Test Report is Issued Under the Authority of: Osvaldo Casorla Chen Ge Test Engineer Engineer Reviewer This test report may be reproduced in full only Test result presented in this test report is applicable to the tested sample only Issued By: SIEMIC Laboratories 775 Montague Expressway, Milpitas, CA 95035 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 2 of 29 Laboratory Introduction SIEMIC, headquartered in the heart of Silicon Valley, with superior facilities in US and Asia, is one of the leading independent testing and certification facilities providing customers with one-stop shop services for Compliance Testing and Global Certifications. In addition to testing and certification, SIEMIC provides initial design reviews and compliance management throughout a project. Our extensive experience with China, Asia Pacific, North America, European, and International compliance requirements, assures the fastest, most cost effective way to attain regulatory compliance for the global markets. Accreditations for Conformity Assessment Country/Region Accreditation Body Scope USA FCC, A2LA EMC, RF/Wireless, Telecom Canada IC, A2LA, NIST EMC, RF/Wireless, Telecom Taiwan BSMI, NCC, NIST EMC, RF, Telecom, Safety Hong Kong OFTA, NIST RF/Wireless, Telecom Australia NATA, NIST EMC, RF, Telecom, Safety Korea KCC/RRA, NIST EMI, EMS, RF, Telecom, Safety Japan VCCI, JATE, TELEC, RFT EMI, RF/Wireless, Telecom Mexico NOM, COFETEL, Caniety EMC, RF/Wireless, Telecom, Safety Europe A2LA, NIST EMC, RF, Telecom, Safety Israel MOC, NIST EMC, RF, Telecom, Safety Accreditations for Product Certifications Country Accreditation Body Scope USA FCC TCB, NIST EMC, RF, Telecom Canada IC FCB, NIST EMC, RF, Telecom Singapore iDA, NIST EMC, RF, Telecom EU NB EMC & R&TTE Directive Japan MIC (RCB 208) RF, Telecom Hong Kong OFTA (US002) RF, Telecom 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 3 of 29 CONTENTS 1 REPORT REVISION HISTORY .......................................................................................................................................4 2 EXECUTIVE SUMMARY.................................................................................................................................................5 3 CUSTOMER INFORMATION ..........................................................................................................................................5 4 TEST SITE INFORMATION ............................................................................................................................................5 5 MODIFICATION .............................................................................................................................................................5 6 EUT INFORMATION ......................................................................................................................................................6 6.1 EUT Description ........................................................................................................................................................6 6.2 Radio Description ......................................................................................................................................................6 6.3 EUT test modes/configuration Description....................................................................................................................7 6.4 EUT Photos – External ..............................................................................................................................................8 6.5 EUT Test Setup Photos .............................................................................................................................................9 7 SUPPORTING EQUIPMENT/SOFTWARE AND CABLING DESCRIPTION ....................................................................... 10 7.1 Supporting Equipment ............................................................................................................................................. 10 7.2 Cabling Description ................................................................................................................................................. 10 7.3 Test Software Description ........................................................................................................................................ 10 8 TEST SUMMARY ......................................................................................................................................................... 11 9 MEASUREMENT UNCERTAINTY ................................................................................................................................. 12 10 MEASUREMENTS, EXAMINATION AND DERIVED RESULTS .................................................................................. 13 10.1 Antenna Requirement.......................................................................................................................................... 13 10.2 Conducted Emissions Test Result ........................................................................................................................ 14 10.3 Radiated Measurements ...................................................................................................................................... 17 10.3.1 Radiated Measurements below 1GHz ............................................................................................................... 17 10.3.2 Radiated Measurements below 30MHz ............................................................................................................. 19 10.3.3 Frequency Stability ......................................................................................................................................... 23 10.3.4 Occupied bandwidth ....................................................................................................................................... 25 ANNEX A. TEST INSTRUMENT ........................................................................................................................................... 27 ANNEX B. SIEMIC ACCREDITATION ................................................................................................................................... 28 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 4 of 29 1 Report Revision History Report No. Report Description Issue Date RF_SL15081001-CPC-008-FCC-IC_RFID Version - Original 9/24/2015 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 5 of 29 2 Executive Summary The purpose of this test program was to demonstrate compliance of following product Company: ChargePoint, Inc. Product: RFID Reader Model: 28010087 against the current Stipulated Standards. The specified model product stated above has demonstrated compliance with the Stipulated Standard listed on 1st page. 3 Customer information Applicant Name : ChargePoint, Inc. Applicant Address : 254 E. Hacienda Ave Campbell, CA 95148 Manufacturer Name : ChargePoint, Inc. Manufacturer Address : 254 E. Hacienda Ave Campbell, CA 95148 4 Test site information Lab performing tests : SIEMIC Laboratories Lab Address : 775 Montague Expressway, Milpitas, CA 95035 FCC Test Site No. : 881796 IC Test Site No. : 4842D-2 VCCI Test Site No. : A0133 5 Modification Index Item Description Note - - - - 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 6 of 29 6 EUT Information 6.1 EUT Description Product Name RFID Reader Model No. 28010087 Trade Name ChargePoint, Inc. Serial Number Prototype 1 Input Power 100-240VDC, 50/60Hz Product Hardware version 28-010087 Product Software version 4.0.1.100 Radio Hardware version 28-010087 Radio Software version 4.0.1.100 Date of EUT received 08/21/2015 Equipment Class/ Category DTS Operating Frequencies 13.56MHz Port/Connectors N/A 6.2 Radio Description Specifications for Radio: Radio Type RFID Operating Frequency 13.56MHz Modulation ASK Channel Spacing None Antenna Type PCB loop antenna Antenna Gain 0.5dBi Antenna Connector Type N/A Channel List: Type Mode Channel No. Frequency (MHz) Available (Y/N) RFID 13.56MHz 1 13.56 Y 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 7 of 29 6.3 EUT test modes/configuration Description Mode Note RF test EUT is set to continuously transmit at 13.56MHz when powered on. Note: None Test Item Operating mode Tested antenna port Test frequencies Antenna Requirement N/A - Conducted Emissions Voltage Continuous Transmit - Limit in the band of 13.553 – 13.567 MHz Continuous Transmit - Limit in the band of 13.410 – 13.553 MHz and Continuous Transmit - 13.567 – 13.710 MHz 13.56MHz Limit in the band of 13.110 – 13.410 MHz and Continuous Transmit - 13.710 – 14.010 MHz Limit outside the band of 13.110 – 14.010 MHz Continuous Transmit - Frequency Stability Continuous Transmit - Occupied Bandwidth Continuous Transmit - Note: EUT uses a PCB trace antenna attached to the PCB board. Only radiated measurements were performed during the test. 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 8 of 29 6.4 EUT Photos – External PCBA1 RFID - View 1 PCBA1 RFID - View 2 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 9 of 29 6.5 EUT Test Setup Photos AC Line Conducted Emissions– Front View AC Line Conducted Emissions– Rear View Radiated Emissions (<1GHz) – Front View Radiated Emissions (<1GHz) – Rear View Radiated Emissions (<30MHz) – Front View Radiated Emissions (<30MHz) – Rear View 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 10 of 29 7 Supporting Equipment/Software and cabling Description 7.1 Supporting Equipment Index Supporting Equipment Model Serial No Manu Note Description 1 Laptop P05F Latitude E5510 N/A Dell - 7.2 Cabling Description Connection Start Connection Stop Length / shielding Info Name Note From I/O Port To I/O Port Length (m) Shielding USB EUT I/O Port Laptop USB 2 Unshielded - 7.3 Test Software Description Test Item Software Description Conducted Emissions Radiated Spurious Emissions Set the EUT to transmit continuously in different test mode. Tera Term Command used which turns on 13.56MHz TX continuously Frequency Stability Occupied Bandwidth 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 11 of 29 8 Test Summary Test Item Test standard Test Method/Procedure Pass / Fail FCC 15.203 ANSI C63.10 – 2013 ☒ Pass Antenna Requirement IC 558074 D01 DTS Meas. Guidance v03r02 ☐ N/A FCC 15.225(a) ANSI C63.10 2013 ☒ Pass AC Conducted Emissions Voltage IC RSS Gen (7.2.2) RSS Gen. 8.8 ☐ N/A Test Item Test standard Test Method/Procedure Pass / Fail FCC 15.225(a) FCC ANSI C63.10 2013 ☒ Pass Limit in the band of 13.553 – 13.567 MHz IC RSS210(A2.6) IC RSS Gen 6.13 ☐ N/A Limit in the band of 13.410 – 13.553 MHz FCC 15.225(b) FCC ANSI C63.10 2013 ☒ Pass and 13.567 – 13.710 MHz IC RSS210(A2.6) IC RSS Gen 6.13 ☐ N/A Limit in the band of 13.110 – 13.410 MHz FCC 15.225(c) FCC ANSI C63.10 2013 ☒ Pass and 13.710 – 14.010 MHz IC RSS210(A2.6) IC RSS Gen 6.13 ☐ N/A Limit outside the band of FCC 15.225(d), 15.209 FCC ANSI C63.10 2013 ☒ Pass 13.110 – 14.010 MHz IC RSS210(A2.6) IC RSS Gen 6.13 ☐ N/A ☐ Pass Receiver Spurious Emission IC - IC RSS Gen 7.1 ☒ N/A FCC 15.225(e) FCC - ☒ Pass Frequency Stability IC RSS210(A2.6) IC RSS Gen 6.11 ☐ N/A FCC - FCC - ☒ Pass Occupied Bandwidth IC RSS-210(5.9.1) IC RSS Gen 6.6 ☐ N/A 1. All measurement uncertainties are not taken into consideration for all presented test result. 2. The applicant shall ensure frequency stability by showing that an emission is maintained Remark within the band of operation under all normal operating conditions as specified in the user’s manual. 3. Test Method: ANSI C63.10: 2013 / RSS – Gen Issue 4: November 2014. 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 12 of 29 9 Measurement Uncertainty Test Item Description Uncertainty Confidence level of approximately 95% AC Conducted Emissions Voltage (in the case where distributions are ±3.5dB normal), with a coverage factor of 2 Limit in the band of 13.553 – 13.567 MHz +5.6dB/-4.5dB Limit in the band of 13.410 – 13.553 MHz and +5.6dB/-4.5dB 13.567 – 13.710 MHz Confidence level of approximately 95% Limit in the band of 13.110 – 13.410 MHz and (in the case where distributions are normal), with a coverage factor of 2 (for +5.6dB/-4.5dB 13.710 – 14.010 MHz EUTs < 0.5m X 0.5m X 0.5m) Limit outside the band of +5.6dB/-4.5dB 13.110 – 14.010 MHz Radiated Spurious Emissions +5.6dB/-4.5dB 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 13 of 29 10 Measurements, examination and derived results 10.1 Antenna Requirement Specification(s) Requirement Applicable An intentional radiator shall be designed to ensure that no antenna other than that furnished by the responsible party shall be used with the device. Antenna requirement must meet at least one of the following: §15.203 ☒ a) Antenna must be permanently attached to the device. b) The antenna must use a unique type of connector to attach to the device. c) Device must be professionally installed. The installer shall be responsible for ensuring that the correct antenna is employed by the device. The RFID antenna is integral to the PCB board permanently to the device which meets the requirement (See Remark Internal Photographs submitted as another Exhibit). Result ☒ Pass ☐ Fail 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 14 of 29 10.2 Conducted Emissions Test Result Conducted Emission Limit Frequency ranges Limit (dBuV) Section (MHz) QP Average 0.15 ~ 0.5 66 – 56 56 – 46 Class B 0.5 ~ 5 56 46 devices 5 ~ 30 60 50 Specification(s) Item Requirement Applicable For an intentional radiator that is designed to be connected to the public utility (AC) power line, the radio frequency voltage that is conducted back onto the AC power line § 15.207, on any frequency or frequencies, within the band 150 kHz to 30 MHz, shall not exceed a) the limits set in § 15.207, as measured using a 50 μH/50 ohms line impedance ☒ RSS210(A8.1) stabilization network (LISN). AC Line conducted emission within the band 150kHz to 30MHz Test Setup - The EUT and supporting equipment were set up in accordance with the requirements of the standard on top of a 1.5m x 1m x 0.8m high, non-metallic table, as shown in Annex B. Procedure - The power supply for the EUT was fed through a 50/50H EUT LISN, connected to filtered mains. - The RF OUT of the EUT LISN was connected to the EMI test receiver via a low-loss coaxial cable. - All other supporting equipment was powered separately from another main supply. Temperature 22°C Test Date 09/23/2015 Environmental conditions Relative Humidity 36 % Atmospheric Pressure 1026 mbar Remark The EUT was tested at 208VAC, 60Hz Result ☒ Pass ☐ Fail Test Data ☒ Yes (See below) ☐ N/A Test Plot ☒ Yes (See below) ☐ N/A 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 15 of 29 Test specification: Conducted Emissions Temp(°C): 20.1°C Environmental Conditions: Humidity (%): 36% ☒ Pass Atmospheric(mbar): 1026mbar Result: Mains Power: 208VAC, 60Hz ☐ Fail Tested by: Osvaldo Casorla Test Date: 09/23/2015 Remarks: LMA 13.56MHz RFID TX Neutral Plot at V=208VAC, ƒ=60Hz Neutral Measurements Frequency Raw Cable Factors Level Measurement Line/ Limit Margin Pass /Fail MHz dBuV Loss dB dBuV Type Neutral dBuV dB 0.18 40.17 10.00 1.50 51.67 Quasi Peak Neutral 64.68 -13.01 Pass 0.23 36.89 10.00 1.16 48.05 Quasi Peak Neutral 62.47 -14.42 Pass 0.27 37.58 10.00 0.99 48.58 Quasi Peak Neutral 61.07 -12.50 Pass 0.45 32.19 10.01 0.71 42.91 Quasi Peak Neutral 56.85 -13.94 Pass 0.48 32.79 10.01 0.69 43.49 Quasi Peak Neutral 56.29 -12.80 Pass 3.58 24.58 10.03 0.55 35.17 Quasi Peak Neutral 56.00 -20.83 Pass 4.37 28.53 10.03 0.55 39.11 Quasi Peak Neutral 56.00 -16.89 Pass 4.75 26.31 10.04 0.55 36.89 Quasi Peak Neutral 56.00 -19.11 Pass 0.18 32.62 10.00 1.50 44.12 Average Neutral 54.68 -10.56 Pass 0.23 26.17 10.00 1.16 37.33 Average Neutral 52.47 -15.14 Pass 0.27 23.46 10.00 0.99 34.46 Average Neutral 51.07 -16.62 Pass 0.45 23.69 10.01 0.71 34.41 Average Neutral 46.85 -12.44 Pass 0.48 23.46 10.01 0.69 34.16 Average Neutral 46.29 -12.13 Pass 3.58 18.10 10.03 0.55 28.68 Average Neutral 46.00 -17.32 Pass 4.37 20.20 10.03 0.55 30.78 Average Neutral 46.00 -15.22 Pass 4.75 18.86 10.04 0.55 29.45 Average Neutral 46.00 -16.55 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 16 of 29 Test specification: Conducted Emissions Temp(°C): 20.1°C Environmental Conditions: Humidity (%): 36% ☒ Pass Atmospheric(mbar): 1026mbar Result: Mains Power: 208VAC, 60Hz ☐ Fail Tested by: Osvaldo Casorla Test Date: 09/23/2015 Remarks: LMA 13.56MHz RFID TX Line Plot at V=208VAC, ƒ=60Hz Line Measurements Frequency Raw Cable Factors Level Measurement Line/ Limit Margin Pass /Fail MHz dBµV Loss dB dBµV Type Neutral dBµV dB 0.18 42.89 10.00 1.49 54.38 Quasi Peak Line 64.60 -10.23 Pass 0.22 39.16 10.00 1.19 50.36 Quasi Peak Line 62.73 -12.37 Pass 0.27 36.56 10.00 0.99 47.55 Quasi Peak Line 61.02 -13.47 Pass 0.27 38.66 10.00 0.98 49.65 Quasi Peak Line 61.00 -11.35 Pass 0.31 33.13 10.00 0.89 44.03 Quasi Peak Line 60.04 -16.02 Pass 0.40 32.99 10.01 0.75 43.74 Quasi Peak Line 57.76 -14.02 Pass 0.49 32.24 10.01 0.69 42.94 Quasi Peak Line 56.20 -13.26 Pass 0.54 27.87 10.01 0.66 38.54 Quasi Peak Line 56.00 -17.46 Pass 0.18 33.57 10.00 1.49 45.06 Average Line 54.60 -9.54 Pass 0.22 29.56 10.00 1.19 40.75 Average Line 52.73 -11.98 Pass 0.27 23.08 10.00 0.99 34.07 Average Line 51.02 -16.94 Pass 0.27 22.59 10.00 0.98 33.58 Average Line 51.00 -17.42 Pass 0.31 22.42 10.00 0.89 33.32 Average Line 50.04 -16.72 Pass 0.40 21.29 10.01 0.75 32.04 Average Line 47.76 -15.72 Pass 0.49 22.25 10.01 0.69 32.95 Average Line 46.20 -13.25 Pass 0.54 13.61 10.01 0.66 24.28 Average Line 46.00 -21.72 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 17 of 29 10.3 Radiated Measurements 10.3.1 Radiated Measurements below 1GHz Requirement(s): Specification(s) Requirement Applicable Operation within the band 13.110–14.010 MHz: (a) The field strength of any emissions within the band 13.553–13.567 MHz shall not exceed 15,848 microvolts/meter at 30 meters. (b) Within the bands 13.410–13.553 MHz and 13.567–13.710 MHz, the field strength of any emissions shall not exceed 334 microvolts/meter at 30 meters. (c) Within the bands 13.110–13.410 MHz and 13.710–14.010 MHz the field strength of any 47 CFR §15.225 emissions shall not exceed 106 microvolts/meter at 30 meters. (d) The field strength of any emissions appearing outside of the 13.110–14.010 MHz band ☒ RSS-210 (A2.6) shall not exceed the general radiated emission limits in §15.209. Frequency range (MHz) Field Strength (µV/m) 30 – 88 100 88 – 216 150 216 960 200 Above 960 500 Test Setup 1. The EUT was switched on and allowed to warm up to its normal operating condition. 2. The test was carried out at the selected frequency points obtained from the EUT characterisation. Maximization of the emissions, was carried out by rotating the EUT, changing the antenna polarization, and adjusting the antenna height in the following manner: a. Vertical or horizontal polarisation (whichever gave the higher emission level over a full Procedure rotation of the EUT) was chosen. b. The EUT was then rotated to the direction that gave the maximum emission. c. Finally, the antenna height was adjusted to the height that gave the maximum emission. 3. A Quasi-peak measurement was then made for that frequency point. 4. Steps 2 and 3 were repeated for the next frequency point, until all selected frequency points were measured. Temperature 20.1°C Test Date 08/24/2015 Environmental conditions Relative Humidity 36% Atmospheric Pressure 1026mbar Remark - Result ☒ Pass ☐ Fail Test Data ☒ Yes (See below) ☐ N/A Test Plot ☒ Yes (See below) ☐ N/A 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 18 of 29 Test specification: Radiated Measurements Temp(°C): 20.1°C Environmental Conditions: Humidity (%): 36% ☒ Pass Atmospheric(mbar): 1026mbar Result: Mains Power: 208VAC, 60Hz ☐ Fail Tested by: Osvaldo Casorla Test Date: 08/24/2015 Remarks: Tx mode ƒ=30MHz – 1000MHz plot at V=208VAC, ƒ=60Hz and 3 meter distance ƒ=30MHz – 1000MHz Measurements Frequency Raw Cable AF Level Measurement Hgt Azt Limit Margin Pass Pol MHz dBµV/m Loss dB dBµV/m Type cm Deg dBµV/m dB /Fail 300.01 58.17 3.26 -25.34 36.10 Quasi Max H 263.00 156.00 46.02 -9.92 Pass 314.25 55.59 3.40 -24.70 34.30 Quasi Max H 349.00 91.00 46.02 -11.72 Pass 359.93 55.00 3.68 -23.65 35.04 Quasi Max V 131.00 41.00 46.02 -10.98 Pass 385.68 45.40 3.84 -23.34 25.90 Quasi Max V 266.00 35.00 46.02 -20.12 Pass 433.32 57.20 4.05 -22.09 39.15 Quasi Max V 94.00 344.00 46.02 -6.87 Pass 460.09 41.06 4.15 -21.98 23.22 Quasi Max V 142.00 164.00 46.02 -22.80 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 19 of 29 10.3.2 Radiated Measurements below 30MHz Requirement(s): Specification(s) Requirement Applicable Operation within the band 13.110–14.010 MHz (a) The field strength of any emissions within the band 13.553–13.567 MHz shall not exceed 15,848 microvolts/meter at 30 meters. (b) Within the bands 13.410–13.553 MHz and 13.567–13.710 MHz, the field strength of any 47 CFR §15.225 emissions shall not exceed 334 microvolts/meter at 30 meters. ☒ RSS-210 (A2.6) (c) Within the bands 13.110–13.410 MHz and 13.710–14.010 MHz the field strength of any emissions shall not exceed 106 microvolts/meter at 30 meters. (d) The field strength of any emissions appearing outside of the 13.110–14.010 MHz band shall not exceed the general radiated emission limits in §15.209. Test Setup 1. The EUT and supporting equipment were set up in accordance with the requirements of the standard on top of a 1.5m X 1.0m X 0.8m high, non-metallic table. 2. The filtered power supply for the EUT and supporting equipment were tapped from the appropriate Test Setup power sockets located on the turntable. 3. The relevant loop antenna was set at the required test distance away from the EUT and supporting equipment boundary. For < 30MHz, Radiated emissions were measured according to ANSI C63.10. The EUT was set to transmit at the highest output power. Procedure The EUT was set 3 meter away from the measuring antenna. The loop antenna was positioned 1 meter above the ground from the centre of the loop. The measuring bandwidth was set to 10 kHz. The limit is converted from microvolt/meter to decibel microvolt/meter. Temperature 22°C Test Date 08/28/2015 Environmental conditions Relative Humidity 40% Atmospheric Pressure 1027mbar Remark - Result ☒ Pass ☐ Fail Test Data ☐ Yes (See below) ☒ N/A Test Plot ☒ Yes (See below) ☐ N/A 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 20 of 29 Test specification: Radiated Measurements Temp(°C): 20.1°C Environmental Conditions: Humidity (%): 36% ☒ Pass Atmospheric(mbar): 1027mbar Result: Mains Power: 208VAC, 60Hz ☐ Fail Tested by: Osvaldo Casorla Test Date: 08/28/2015 Remarks: Tx mode ƒ= 100kHz – 30MHz plot, and loop antenna at 0 degree ƒ= 100kHz – 30MHz Measurements Frequency Raw Cable AF Level Measurement Hgt Azt Limit Margin Pass Degree MHz dBµV Loss dB dBµV/m Type cm Deg dBµV/m dB /Fail 0.54 37.05 -0.18 17.59 54.46 Quasi Max 0 100.00 29.00 72.96 -18.50 Pass 0.81 38.30 -0.20 14.28 52.38 Quasi Max 0 100.00 167.00 69.43 -17.05 Pass 1.10 33.69 -0.22 11.83 45.30 Quasi Max 0 100.00 350.00 66.78 -21.48 Pass 2.10 34.37 -0.29 7.03 41.11 Quasi Max 0 100.00 133.00 69.54 -28.43 Pass 3.07 33.58 -0.31 4.37 37.65 Quasi Max 0 100.00 207.00 69.54 -31.89 Pass 13.56 63.10 -0.62 -0.16 62.33 Quasi Max 0 100.00 182.00 123.99 -61.66 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 21 of 29 ƒ= 100kHz – 30MHz plot, and loop antenna at 90 degree ƒ= 100kHz – 30MHz Measurements Frequency Raw Cable AF Level Measurement Hgt Azt Limit Margin Pass Degree MHz dBµV Loss dB dBµV/m Type cm Deg dBµV/m dB /Fail 0.54 37.34 -0.18 17.59 54.76 Quasi Max 90 100.00 234.00 72.96 -18.20 Pass 0.81 37.66 -0.20 14.29 51.74 Quasi Max 90 100.00 196.00 69.43 -17.69 Pass 1.07 33.73 -0.22 12.04 45.55 Quasi Max 90 100.00 220.00 67.02 -21.47 Pass 2.19 34.28 -0.29 6.73 40.72 Quasi Max 90 100.00 38.00 69.54 -28.82 Pass 3.45 32.50 -0.31 3.70 35.89 Quasi Max 90 100.00 243.00 69.54 -33.65 Pass 13.56 58.67 -0.62 -0.16 57.89 Quasi Max 90 100.00 101.00 123.99 -66.10 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 22 of 29 Loop antenna at 0 degree * RBW 10 kHz * Att 25 dB * VBW 30 kHz M1[1] 64.69 dBµV/m Ref 122.0 dBµV/m SWT 10ms 13.560450000 MHz Limit Check PASS 1Pk Line Qpeak PASS View 110 dBµV/m 100 dBµV/m 90 dBµV/m 80 dBµV/m Qpeak 70 dBµV/m M1 60 dBµV/m 50 dBµV/m 40 dBµV/m Tdf 30 dBµV/m CF 13.56 MHz Span 900.0 kHz Date: 28.AUG.2015 23:00:24 Frequency (MHz) Amplitude (dBµV/m) Azt Deg Limit dBµV/m Margin (dB) 13.56045 64.69 100.00 123.99 -59.30 Loop antenna at 90 degree * RBW 10 kHz * Att 25 dB * VBW 30 kHz M1[1] 60.70 dBµV/m Ref 122.0 dBµV/m SWT 10ms 13.560000000 MHz Limit Check PASS 1Pk Line Qpeak PASS View 110 dBµV/m 100 dBµV/m 90 dBµV/m 80 dBµV/m Qpeak 70 dBµV/m M1 60 dBµV/m 50 dBµV/m 40 dBµV/m Tdf 30 dBµV/m CF 13.56 MHz Span 900.0 kHz Date: 28.AUG.2015 23:29:38 Frequency (MHz) Amplitude (dBµV/m) Azt Deg Limit dBµV/m Margin (dB) 13.56000 60.70 101.00 123.99 -63.29 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 23 of 29 10.3.3 Frequency Stability Requirement(s): Specification(s) Requirement Applicable 47 CFR §15.225 e) Limit: ±0.01% of 13.56 MHz = 1356 Hz ☒ RSS-210 (A2.6) EUT Spectral Analyzer Test Setup Environmental Chamber 1. The EUT was set up inside an environmental chamber. 2. The EUT was placed in the centre of the environmental. Frequency Stability was measured according to 47 CFR §2.1055. Measurement was taken with spectrum Procedure analyzer. The spectrum analyzer bandwidth and span was set to read in hertz. A voltmeter was used to monitor when varying the voltage. Temperature 20°C Test Date 09/18/2015 Environmental conditions Relative Humidity 41% Atmospheric Pressure 1025mbar Remark None Result ☒ Pass ☐ Fail Test Data ☒ Yes (See below) ☐ N/A Test Plot ☐ Yes (See below) ☒ N/A 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 24 of 29 Test results: Frequency Stability versus Temperature: The Frequency tolerance of the carrier signal shall be maintained within ± 0.01% of the operating frequency over a temperature variation of -20ºC to +50ºC at normal supply voltage. Reference Frequency: 13.56059118 MHz at 20°C at 208VAC, 60Hz Temperature Measured Freq. Freq. Drift Freq. Deviation Pass/Fail (ºC) (MHz) (Hz) (Limit: 0.01%) 50 13.56051102 -80.16 <0.01 Pass 40 13.56053106 -60.12 <0.01 Pass 30 13.56057114 -20.04 <0.01 Pass 20 Reference (13.56059118 MHz) 10 13.56061122 20.04 <0.01 Pass 0 13.56061121 20.03 <0.01 Pass -10 13.56061122 20.04 <0.01 Pass -20 13.56061120 20.02 <0.01 Pass Frequency Stability versus Input Voltage: The Frequency tolerance of the carrier signal shall be maintained within ± 0.01%, the frequency of the transmitter was measured at 85% and at 115% of the rated power supply voltage at a 20ºC environmental temperature. Carrier Frequency: 13.56059118 MHz at 20°C at 208VAC, 60Hz Measured Voltage Measured Freq. Freq. Drift Freq. Deviation ±15% of nominal Pass/Fail (MHz) (Hz) (Limit: 0.01%) (AC) 239.2 13.56059410 2.92 <0.01 Pass 176.8 13.56059111 -0.07 <0.01 Pass 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 25 of 29 10.3.4 Occupied bandwidth Requirement(s): Specification(s) Requirement Applicable The transmitter shall be operated at its maximum carrier power measured under normal test conditions. The span of the analyzer shall be set to capture all products of the modulation process, including the emission skirts. The resolution bandwidth shall be set to as close to 1% of the selected span as is possible without being below 1%. The video bandwidth shall be set to 3 times the resolution bandwidth. Video averaging is not permitted. Where practical, a RSS-Gen ☒ sampling detector shall be used given that a peak or peak hold may produce a wider 4.6.1 bandwidth than actual. The trace data points are recovered and directly summed in linear terms. The recovered amplitude data points, beginning at the lowest frequency, are placed in a running sum until 0.5% of the total is reached and that frequency recorded. The process is repeated for the highest frequency data points. This frequency is recorded. The span between the two recorded frequencies is the occupied bandwidth. 1. The EUT was set up inside a semi-anechoic chamber in accordance with the standard. Test Setup 2. The EUT was placed on top of a 0.8m high, non-metallic table in a typical configuration. 1. The EUT was switched on and allowed to warm up to its normal operating condition. 2. To measure conducted, a SMA cable was used to replace the EUT antenna. To measure radiated, Procedure an external antenna was used to detect EUT transmission signal. 3. Measurement of the 99% Occupied Bandwidth of EUT transmission signal and make record. Temperature 22°C Test Date 09/18/2015 Environmental conditions Relative Humidity 39% Atmospheric Pressure 1025mbar Remark - Result ☒ Pass ☐ Fail Test Data ☐ Yes (See below) ☒ N/A Test Plot ☒ Yes (See below) ☐ N/A 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 26 of 29 Test Results: Radio Channel Frequency (MHz) 99% Occupied BW (kHz) Limit (MHz) 13.56MHz 13.56057114 1.5030 N/A Test Plot: 13.56 MHz 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 27 of 29 Annex A. TEST INSTRUMENT Instrument Model Serial # Cal Cycle Cal Due In use Conducted Emissions R & S Receiver ESHS10 830223/0009 1 Year 06/24/2016 ☒ Spectrum Analyzer FSIQ7 825555/013 1 Year 08/04/2016 ☒ Schwarzbeck LISN NNLK 8129 8129-190 1 Year 08/21/2016 ☐ CHASE LISN MN2050B 1018 1 Year 08/07/2016 ☒ Radiated Emissions EMI Test Receiver ESL6 100178 1 Year 05/27/2016 ☒ ETS-Lingren Loop Antenna 6512 00049120 1 Year 08/20/2016 ☒ Antenna - Biconlog (30 MHz – 2 GHz) JB1 A030702 1 Year 08/15/2016 ☒ DoubleRidged Waveguide Horn Antenna 3115 10SL0059 1 Year 08/25/2016 ☐ (1-18 GHz) Horn Antenna (18 GHz - 40 GHz) AH-840 101013 1 Year 08/28/2016 ☐ RF Pre-Amplifier LPA-6-30 11140711 1 Year 02/19/2016 ☒ Microwave Preamplifier (18 GHz - 40 GHz) PA-840 181251 1 Year 02/19/2016 ☐ 3 Meters SAC 3M N/A 1 Year 10/30/2016 ☐ 10 Meters SAC 10M N/A 1 Year 05/06/2016 ☒ Frequency tolerance Spectrum Analyzer FSIQ7 825555/013 1 Year 08/04/2016 ☒ Test Equity Environment Chamber 1007H 61201 1 Year 07/28/2016 ☒ AC Power Source 5001 iX-208-411 56615 1 Year 07/15/2016 ☒ RF Conducted Measurement Spectrum Analyzer N9010A MY50210206 1 Year 08/20/2016 ☐ Test Software Version Test Item Vendor Software Version Radiated Emission EMISoft EMISoft Vasona V5.0 Conducted Emission EMISoft EMISoft Vasona V5.0 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 28 of 29 Annex B. SIEMIC Accreditation Accreditations Document Scope / Remark ISO 17025 (A2LA) Please see the documents for the detailed scope ISO Guide 65 (A2LA) Please see the documents for the detailed scope TCB Designation A1, A2, A3, A4, B1, B2, B3, B4, C FCC DoC Accreditation FCC Declaration of Conformity Accreditation FCC Site Registration 3 meter site FCC Site Registration 10 meter site IC Site Registration 3 meter site IC Site Registration 10 meter site Radio & Telecommunications Terminal Equipment: EN45001 – EN ISO/IEC 17025 EU NB Electromagnetic Compatibility: EN45001 – EN ISO/IEC 17025 Singapore iDA Phase I, Phase II CB(Certification Body) Vietnam MIC Please see the document for the detailed scope CAB Accreditation (Phase II) OFCA Foreign Certification Body for Radio and Telecom Hong Kong OFCA (Phase I) Conformity Assessment Body for Radio and Telecom Radio: Scope A – All Radio Standard Specification in Category I Industry Canada CAB Telecom: CS-03 Part I, II, V, VI, VII, VIII 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:

Test report No. RF_SL15081001-CPC-008-FCC-IC_RFID Page 29 of 29 Radio: A1. Terminal equipment for purpose of calling Japan Recognized Certification Telecom: B1. Specified radio equipment specified in Article 38-2, Paragraph 1, Item Body Designation 1 of the Radio Law EMI: KCC Notice 2008-39, RRL Notice 2008-3: CA Procedures for EMI KN22: Test Method for EMI EMS: KCC Notice 2008-38, RRL Notice 2008-4: CA Procedures for EMS KN24, KN61000-4-2, -4-3, -4-4, -4-5, -4-6, -4-8, -4-11: Test Method for EMS Korea CAB Accreditation Radio: RRL Notice 2008-26, RRL Notice 2008-2, RRL Notice 2008-10, RRL Notice 2007-49, RRL Notice 2007-20, RRL Notice 2007-21, RRL Notice 2007- 80, RRL Notice 2004-68 Telecom: President Notice 20664, RRL Notice 2007-30, RRL Notice 2008-7 with attachments 1, 3, 5, 6; President Notice 20664, RRL Notice 2008-7 with attachment 4 LP0002, PSTN01, ADSL01, ID0002, IS6100, CNS14336, PLMN07, PLMN01, Taiwan NCC CAB Recognition PLMN08 Taiwan BSMI CAB Recognition CNS 13438 R-3083: Radiation 3 meter site Japan VCCI C-3421: Main Ports Conducted Interference Measurement T-1597: Telecommunication Ports Conducted Interference Measurements EMC: AS/NZS CISPR 11, AS/NZS CISPR 14.1, AS/NZS CISPR22, AS/NZS 61000.6.3, AS/NZS 61000.6.4 Radio communications: AS/NZS 4281, AS/NZS 4268, AS/NZS 4280.1, AS/NZS 4280.2, AS/NZS 4295, AS/NZS 4582, AS/NZS 4583, AS/NZS 4769.1, Australia CAB Recognition AS/NZS 4769.2, AS/NZS 4770, AS/NZS 4771 Telecommunications: AS/ACIF S002:05, AS/ACIF S003:06, AS/ACIF S004:06 AS/ACIF S006:01, AS/ACIF S016:01, AS/ACIF S031:01, AS/ACIF S038:01, AS/ACIF S040:01, AS/ACIF S041:05, AS/ACIF S043.2:06, AS/ACIF S60950.1 AS/ACIF S002, AS/ACIF S003, AS/ACIF S004, AS/ACIF S006, AS/ACIF Australia NATA Recognition S016,AS/ACIF S031, AS/ACIF S038, AS/ACIF S040, AS/ACIF S041, AS/ACIF S043.2 775 Montague Expressway, Milpitas, CA 95035, USA • Phone: (+1) 408 526 1188 • Facsimile (+1) 408 526 1088 Visit us at: www.siemic.com; Follow us at:


Document Created: 2015-09-24 17:22:24
Document Modified: 2015-09-24 17:22:24
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