Test Report BTLE

FCC ID: W38-28010087

Test Report

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FCCID_2809820

RF TEST REPORT Report No.: FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Supersede Report No.: FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.1 Applicant : ChargePoint, Inc Product Name : Network Communication / RFID Reader Model No. : 28010077/ 28010087 Host Model No. : CPF12 & CPF25 47 CFR 15.247 Test Standard : RSS-247 Issue 1.0, May 2015 ANSI C63.10: 2013 Test Method : RSS-Gen Issue 4, Nov 2014 558074 D01 DTS Meas Guidance v03r02 FCC ID : W38-28010077/ W38-28010087 IC ID : 8854A-28010077/ 8854A-28010087 Dates of test : September 16th, 22nd- 23rd of 2015 Issue Date : 11/4/2015 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 Issued By: SIEMIC Laboratories 775 Montague Expressway, Milpitas, 95035 CA 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 2 of 28 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 Safety, EMC, RF/Wireless, Telecom 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 3 of 28 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 ..............................................................................................................................................................8 6.5 Host External Photos ..............................................................................................................................................9 6.6 Host Internal Photos ................................................................................................................................................ 10 6.7 EUT Test Setup Photos ........................................................................................................................................... 12 7 SUPPORTING EQUIPMENT/SOFTWARE AND CABLING DESCRIPTION ....................................................................... 13 7.1 Supporting Equipment ............................................................................................................................................. 13 7.2 Cabling Description ................................................................................................................................................. 13 7.3 Test Software Description ........................................................................................................................................ 13 8 TEST SUMMARY ......................................................................................................................................................... 14 9 MEASUREMENT UNCERTAINTY ................................................................................................................................. 15 10 MEASUREMENTS, EXAMINATION AND DERIVED RESULTS .................................................................................. 16 10.1 Radiated Measurements ...................................................................................................................................... 16 10.2 Output Power (Bluetooth LE) ................................................................................................................................ 24 ANNEX A. TEST INSTRUMENT ........................................................................................................................................... 26 ANNEX B. SIEMIC ACCREDITATION ................................................................................................................................... 27 775 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 4 of 28 1 Report Revision History Report No. Report Version Description Issue Date FCC-IC_RF_SL15081101-CPC-009-BLE None Original 09/31/2015 FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.0 Rev 1.0 Updated EUT information. 10/01/0215 FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.1 Rev 1.1 Included enclosure photos 10/27/2015 FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Rev 1.2 Updated page 24. 11/4/2015 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 5 of 28 2 Executive Summary The purpose of this test program was to demonstrate compliance of following product Company: ChargePoint, Inc. Product: Network Communication / RFID Reader Model: 28010077/ 28010087 Host Model No. CPF12 & CPF25 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 6 of 28 6 EUT Information 6.1 EUT Description Product Name Network Communication / RFID Reader Model No. 28010077/ 28010087 Serial No. Prototype 1 Trade Name ChargePoint, Inc. Host Model No. CPF12 & CPF25 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, 2402MHz-2480MHz Port/Connectors N/A 6.2 Radio Description Specifications for Radio: Radio Type Bluetooth (Ver4.0+EDR) Operating Frequency 2402MHz-2480MHz Modulation FHSS (BDR, EDR), DSSS (LE) Channel Spacing 1MHz (BDR, EDR), 2MHz (LE) Antenna Type Prestta Embedded Antenna Antenna Gain 2.5dBi (2.4GHz) Antenna Connector Type On Board 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 Channel No. Frequency (MHz) Available (Y/N) 0 2402 Y … … Y Bluetooth LE 19 2440 Y … … Y 39 2480 Y 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 7 of 28 6.3 EUT test modes/configuration Description Mode Note Bluetooth LE LE (GFSK) RF test EUT is set to continuously transmit at 13.56MHz when powered on. 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 8 of 28 6.4 EUT Photos 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 9 of 28 6.5 Host External Photos EUT – Front View EUT – Rear View EUT – Left View EUT – Right View EUT – Top View EUT – Bottom 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 10 of 28 6.6 Host Internal Photos PCB Main Board- Top View PCB Main Board- Bottom View PCBA1 –Top View PCBA1 –Bottom View PCBA2 –Top View PCBA2 –Bottom 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 11 of 28 Antenna 1 Antenna 2 EUT Radio with shielding EUT Radio without shielding 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 12 of 28 6.7 EUT Test Setup Photos Radiated Emissions (<30MHz) – Front View Radiated Emissions (<30MHz) – Rear View Radiated Emissions (<1GHz) – Front View Radiated Emissions (<1GHz) – Rear View Radiated Emissions (>1GHz) – Front View Radiated Emissions (>1GHz) – 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 13 of 28 7 Supporting Equipment/Software and cabling Description 7.1 Supporting Equipment Supporting Equipment Item Model Serial Number Manufacturer 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 1 Unshielded - 7.3 Test Software Description Test Item Software Description RF Testing Tera Term Set the EUT to transmit continuously in diferent test mode 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 14 of 28 8 Test Summary Test Item Test standard Test Method/Procedure Pass / Fail ANSI C63.10: 2013 FCC 15.205 FCC ☐ Pass 558074 D01 DTS Meas Guidance v03r02 Restricted Band of Operation ☒ N/A IC RSS Gen 8.10 RSS Gen Issue 4: 2014 AC Conducted Emissions FCC 15.207(a) FCC ANSI C63.10: 2013 ☐ Pass Voltage IC RSS Gen 8.8 RSS Gen Issue 4: 2014 ☒ N/A DTS band Requirement Test Item Test standard Test Method/Procedure Pass / Fail FCC 15.247(a)(1) FCC - ☐ Pass 99% Occupied Bandwidth IC RSS Gen (6.6) IC RSS Gen Issue 4: 2014 ☒ N/A FCC 15.247(a)(2) FCC ☐ Pass 6db Bandwidth 558074 D01 DTS Meas Guidance v03r02 IC RSS247 (5.2.1) IC ☒ N/A Band Edge and Radiated FCC 15.247(d) FCC ANSI C63.10: 2013 ☒ Pass Spurious Emissions IC RSS247 (5.5) IC 558074 D01 DTS Meas Guidance v03r02 ☐ N/A FCC 15.247(b) FCC ☒ Pass Output Power 558074 D01 DTS Meas Guidance v03r02 IC RSS247 (5.4.4) IC ☐ N/A ☐ Pass Receiver Spurious Emissions IC RSS Gen (4.8) IC RSS Gen Issue 4: 2014 ☒ N/A FCC 15.247(e) FCC - ☐ Pass Antenna Gain > 6 dBi IC - IC - ☒ N/A FCC 15.247(e) FCC ☐ Pass Power Spectral Density 558074 D01 DTS Meas Guidance v03r02 IC RSS247 (5.2.2) IC ☒ N/A FCC 15.247(i) FCC - ☐ Pass RF Exposure requirement IC RSS Gen(5.5) IC RSS Gen Issue 4: 2014 ☒ N/A 1. All measurement uncertainties do not take into consideration for all presented test results. Remark 2. The applicant shall ensure frequency stability by showing that an emission is maintained within the band of operation under all normal operating conditions as specified in the user’s manual. 3. Reference report FCC_RF_SL15060501-CPC-006-DTS for more information. 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 15 of 28 9 Measurement Uncertainty Emissions Test Item Frequency Range Description Uncertainty Confidence level of approximately 95% (in the case +5.6dB/- Band Edge and Radiated Spurious Emissions 30MHz – 1GHz where distributions are normal), with a coverage 4.5dB factor of 2 (for EUTs < 0.5m X 0.5m X 0.5m) Confidence level of approximately 95% (in the case +4.3dB/- Band Edge and Radiated Spurious Emissions 1GHz – 40GHz where distributions are normal), with a coverage 4.1dB factor of 2 (for EUTs < 0.5m X 0.5m X 0.5m) 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 16 of 28 10 Measurements, Examination and Derived Results 10.1 Radiated Measurements 10.1.1 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. 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 1026mbar Remark EDR/BDR worst case scenario. 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 17 of 28 Test Plots for LMA Module/s and CPF12 & CPF25 below 30MHz ƒ= 100kHz – 30MHz plot, and loop antenna at 0 degree at 3m distance 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 0.81 39.23 -0.20 14.28 53.31 Quasi Max 0.00 100.00 341.00 69.43 -16.12 Pass 1.61 34.81 -0.25 8.99 43.55 Quasi Max 0.00 100.00 227.00 63.47 -19.92 Pass 0.86 35.72 -0.21 13.81 49.32 Quasi Max 0.00 100.00 45.00 68.89 -19.57 Pass 2.46 34.43 -0.30 5.90 40.03 Quasi Max 0.00 100.00 352.00 69.54 -29.52 Pass 3.27 33.39 -0.31 4.01 37.09 Quasi Max 0.00 100.00 127.00 69.54 -32.45 Pass 13.56 63.83 -0.62 -0.16 63.06 Quasi Max 0.00 100.00 6.00 123.99 -60.93 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 18 of 28 ƒ= 100kHz – 30MHz plot, and loop antenna at 90 degree at 3m distance 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 0.81 39.54 -0.20 14.28 53.62 Quasi Max 90.00 100.00 275.00 69.43 -15.81 Pass 1.05 33.93 -0.22 12.21 45.93 Quasi Max 90.00 100.00 105.00 67.18 -21.25 Pass 1.81 34.81 -0.27 8.13 42.68 Quasi Max 90.00 100.00 250.00 69.54 -26.86 Pass 3.20 33.58 -0.31 4.14 37.41 Quasi Max 90.00 100.00 267.00 69.54 -32.13 Pass 3.66 32.16 -0.31 3.36 35.21 Quasi Max 90.00 100.00 36.00 69.54 -34.33 Pass 13.56 57.65 -0.62 -0.15 56.87 Quasi Max 90.00 100.00 279.00 123.99 -67.12 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 19 of 28 10.1.2 Transmitter Radiated Spurious Emissions Below 1GHz Requirement(s): Specification(s) Item Requirement Applicable Except higher limit as specified elsewhere in other section, the emissions from the low-power radio-frequency devices shall not exceed the field strength levels specified in the following table and the level of any unwanted emissions shall not exceed the level of the fundamental emission. The tighter limit applies at the band 47CFR§15.247(d), edges ☒ a) RSS210(A8.5) Frequency range (MHz) Field Strength (uV/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. The EUT was scanned up to 1GHz. Both horizontal and vertical polarities were investigated. The results Remark show only the worst case. 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 20 of 28 Radiated Emission Test Results (Below 1GHz) Test specification: Radiated Spurious Emissions Temp(°C): 25.5 ºC Environmental Conditions: Humidity (%): 44.4 % ☒ Pass Atmospheric(mbar): 1016 mbar Result: Mains Power: 208VAC, 60Hz ☐ Fail Tested by: Osvaldo Casorla Test Date: 09/16/2015 Remarks: BLE 2402MHz, Low Channel ƒ=30MHz – 1000MHz plot at V= 208VAC, 60Hz and 3 meter distance ƒ=30MHz – 1000MHz Measurements Frequency Raw Cable AF Level Measurement Hgt Azt Limit Margin Pass Pol MHz dBµV Loss dB dBµV/m Type cm Deg dBµV/m dB /Fail 30.78 41.08 0.81 -15.11 26.77 Quasi Max V 136.00 292.00 40.00 -13.23 Pass 366.65 54.74 3.41 -23.51 34.64 Quasi Max V 100.00 278.00 46.02 -11.38 Pass 433.32 57.74 3.67 -22.09 39.32 Quasi Max V 175.00 214.00 46.02 -6.70 Pass 466.64 53.90 3.75 -21.69 35.96 Quasi Max V 154.00 205.00 46.02 -10.06 Pass 500.00 51.91 4.01 -21.08 34.84 Quasi Max V 132.00 343.00 46.02 -11.18 Pass 699.98 49.45 4.68 -18.42 35.70 Quasi Max V 100.00 356.00 46.02 -10.32 Pass Note: Both horizontal and vertical polarities were investigated. The results above show only the worst case. 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 21 of 28 10.1.3 Transmitter Radiated Spurious Emissions > 1GHz & Restricted band Requirement(s): Specification(s) Item Requirement Applicable For non-restricted band, In any 100 kHz bandwidth outside the frequency band in which the spread spectrum or digitally modulated intentional radiator is operating, the radio frequency power that is produced by the intentional radiator shall be at least 20 dB or 30dB below that in the 100 kHz bandwidth within the band that ☒ a) contains the highest level of the desired power, determined by the measurement 47CFR§15.247(d), method on output power to be used. Attenuation below the general limits RSS210(A8.5) specified in § 15.209(a) is not required ☐ 20 dB down ☒ 30 dB down or restricted band, emission must also comply with the radiated emission limits b) ☒ specified in 15.209 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. An average 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. The EUT was scanned up to 25GHz. Both horizontal and vertical polarities were investigated. The results Remark show only the worst case. 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 22 of 28 Test specification: Radiated Spurious Emissions (above 1GHz) Temp(°C): 20 Environmental Conditions: Humidity (%): 36 ☒ Pass Atmospheric(mbar): 1021 Result: Mains Power: 208VAC, 60Hz ☐ Fail Tested by: Osvaldo Casorla Test Date: 09/21/2015 - 9/23/2015 Remarks: Bluetooth LE Bluetooth LE – 2402MHz Cable Frequency Raw AF Level Measurement Pol Hgt Azt Limit Margin Pass Loss (MHz) (dBuV) (dB) (dBuV/m) Type (V/H) (cm) (Deg) (dBuV/m) (dB) /Fail (dB) 4152.33 35.97 5.96 11.56 53.49 Peak Max V 179.00 45.00 74.00 -20.51 Pass 4798.63 34.94 6.24 9.73 50.92 Peak Max H 152.00 57.00 74.00 -23.08 Pass 14711.68 39.01 13.48 7.85 60.34 Peak Max H 232.00 146.00 74.00 -13.66 Pass 4152.33 23.11 5.96 11.56 40.63 Average Max V 179.00 45.00 54.00 -13.37 Pass 4798.63 21.87 6.24 9.73 37.84 Average Max H 152.00 57.00 54.00 -16.16 Pass 14711.68 26.34 13.48 7.85 47.67 Average Max H 232.00 146.00 54.00 -6.33 Pass Bluetooth LE – 2440MHz Cable Frequency Raw AF Level Measurement Pol Azt Limit Margin Pass Loss Hgt (cm) (MHz) (dBuV) (dB) (dBuV/m) Type (V/H) (Deg) (dBuV/m) (dB) /Fail (dB) 4885.03 34.96 6.24 9.62 50.82 Peak Max H 148.00 242.00 74.00 -23.18 Pass 6262.42 40.45 7.68 10.44 58.56 Peak Max H 242.00 193.00 74.00 -15.44 Pass 17727.56 37.06 13.00 10.63 60.70 Peak Max H 224.00 137.00 74.00 -13.30 Pass 4885.03 22.25 6.24 9.62 38.12 Average Max H 148.00 242.00 54.00 -15.88 Pass 6262.42 27.82 7.68 10.44 45.93 Average Max H 242.00 193.00 54.00 -8.07 Pass 17727.56 24.55 13.00 10.63 48.18 Average Max H 224.00 137.00 54.00 -5.82 Pass Note: Both horizontal and vertical polarities were investigated. The results above show only the worst case. Bluetooth LE – 2480MHz Cable Frequency Raw AF Level Measurement Pol Azt Limit Margin Pass Loss Hgt (cm) (MHz) (dBuV) (dB) (dBuV/m) Type (V/H) (Deg) (dBuV/m) (dB) /Fail (dB) 4117.71 34.95 5.93 11.71 52.59 Peak Max H 148.00 156.00 74.00 -21.41 Pass 14779.15 39.66 13.59 7.68 60.93 Peak Max H 178.00 174.00 74.00 -13.07 Pass 17930.23 36.90 13.00 10.84 60.74 Peak Max H 152.00 292.00 74.00 -13.26 Pass 4117.71 22.52 5.93 11.71 40.16 Average Max H 148.00 156.00 54.00 -13.84 Pass 14779.15 26.62 13.59 7.68 47.89 Average Max H 178.00 174.00 54.00 -6.11 Pass 17930.23 24.13 13.00 10.84 47.97 Average Max H 152.00 292.00 54.00 -6.03 Pass Note: Both horizontal and vertical polarities were investigated. The results above show only the worst case. 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 23 of 28 Restricted Band Test plot (Bluetooth BLE) Restricted Band Low BLE Restricted Band High BLE 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 24 of 28 10.2 Output Power (Bluetooth LE) Requirement(s): Spec Item Requirement Applicable a) FHSS in 2400-2483.5MHz with ≥ 75 channels: ≤1 Watt ☐ b) FHSS in 5725-5850MHz: ≤1 Watt ☐ c) For all other FHSS in the 2400-2483.5MHz band: ≤0.125 Watt. ☐ § 15.247 d) FHSS in 902-928MHz with ≥ 50 channels: ≤1 Watt ☐ e) FHSS in 902-928MHz with ≥ 25 & <50 channels: ≤0.25 Watt ☐ f) DSSS in 902-928MHz, 2400-2483.5MHz, 5725-5850MHz: ≤1 Watt ☒ Test Setup Measurement using a Power Meter (PM) Measurements may be performed using a wideband gated RF power meter provided that the gate parameters are adjusted such that the power is measured only when the EUT is transmitting at its maximum power control level. Since the measurement is made only during the ON time of the transmitter, no duty cycle correction factor Test Procedure is required. - Connect EUT’s RF output power to power meter - Set EUT to be continuous transmission mode - Measurement the average output power using power meter and record the result - Repeat above steps for different test channel and other modulation type. Temperature 23ºC Environmental Test Date 09/21/2015 - 9/23/2015 Relative Humidity 26% condition Atmospheric Pressure 1021mbar 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 25 of 28 Output Power measurement result (Bluetooth) Limit Type Test mode Freq (MHz) CH Conducted Result (dBm) Power (dBm) Output power Bluetooth LE 2402 Low 1.9 30 Pass Output power Bluetooth LE 2440 Mid 1.6 30 Pass Output power Bluetooth LE 2480 High 1.2 30 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 26 of 28 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 ☐ RF Conducted Measurement Spectrum Analyzer N9010A MY50210206 1 Year 08/20/2016 ☒ EMPower7002- Power Sensor 159814 1 Year 09/03/2016 ☒ 006 775 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 27 of 28 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. FCC-IC_RF_SL15081101-CPC-009-BLE_Rev1.2 Page 28 of 28 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 Measurement 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: 2015-11-04 10:53:16
Document Modified: 2015-11-04 10:53:16
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