BT BLE RF test report partial

FCC ID: W38-28010161

Test Report

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FCCID_4181212

RF TEST REPORT Report No.: FCC_IC_RF_SL19011001-SEV-006_BLE Supersede Report No.: Applicant : ChargePoint, Inc. Product Name : Network Communication Model No. : 28010161 47 CFR 15.247 Test Standard : RSS-247 Issue 2, Feb 2017 ANSI C63.10: 2013 Test Method : RSS-Gen Issue 5, April 2018 558074 D01 DTS Meas Guidance v05 FCC ID : W38-28010161 IC ID : 8854A- 28010161 Dates of test : 01/17/2019 – 01/30/2019 Issue Date : 01/30/2019 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: Gary Chou Chen Ge Compliance 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_SL19011001-SEV-006_BLE Page 2 of 20 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 & Radio Equipment Directive (RED) 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_SL19011001-SEV-006_BLE Page 3 of 20 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 Spec for BT Radio .....................................................................................................................................................6 6.3 EUT test modes/configuration Description....................................................................................................................6 7 SUPPORTING EQUIPMENT/SOFTWARE AND CABLING DESCRIPTION .........................................................................7 7.1 Supporting Equipment ...............................................................................................................................................7 7.2 Cabling Description ...................................................................................................................................................7 7.3 Test Software Description ..........................................................................................................................................7 8 TEST SUMMARY ...........................................................................................................................................................8 9 MEASUREMENT UNCERTAINTY ...................................................................................................................................9 9.1 Conducted Emissions ................................................................................................................................................9 9.2 Radiated Emissions (30MHz to 1GHz) .........................................................................................................................9 9.3 Radiated Emissions (1GHz to 40GHz) ....................................................................................................................... 10 9.4 RF conducted measurement..................................................................................................................................... 10 10 MEASUREMENTS, EXAMINATION AND DERIVED RESULTS .................................................................................. 11 10.1 Antenna Requirement.......................................................................................................................................... 11 10.2 Output Power ..................................................................................................................................................... 12 10.3 Radiated Spurious Emissions below 1GHz ............................................................................................................ 13 10.4 Radiated Spurious Emissions between 1GHz – 25GHz .......................................................................................... 15 ANNEX A. TEST INSTRUMENT ........................................................................................................................................... 18 ANNEX B. SIEMIC ACCREDITATION ................................................................................................................................... 19 775 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_SL19011001-SEV-006_BLE Page 4 of 20 1 Report Revision History Report No. Report Version Description Issue Date FCC_IC_RF_SL19011001-SEV-006_BLE None Original 01/29/2019 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_SL19011001-SEV-006_BLE Page 5 of 20 2 Executive Summary The purpose of this test program was to demonstrate compliance of following product Company: ChargePoint, Inc. Product: Network Communication Model No.: 28010161 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. 540430 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_SL19011001-SEV-006_BLE Page 6 of 20 6 EUT Information 6.1 EUT Description Product Name Network Communication Model No. 28010161 Trade Name ChargePoint Serial No. N/A Input Power 5Vdc Radio Hardware version 27-010077 Radio Software version 4.0.0.41 Date of EUT received 01/17/2019 Equipment Class/ Category DTS Port/Connectors N/A Remark None 6.2 Spec for BT Radio Radio Type Bluetooth Operating Frequency 2402MHz-2480MHz Modulation GFSK (LE) Channel Spacing 2MHz (LE) Antenna Type PIFA Antenna Gain 2.5 dBi (for 2.4GHz) 6.3 EUT test modes/configuration Description Mode Note Bluetooth BLE (GFSK) 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_SL19011001-SEV-006_BLE Page 7 of 20 7 Supporting Equipment/Software and cabling Description 7.1 Supporting Equipment Supporting Equipment Item Model Serial Number Manufacturer Note Description 1 Laptop Latitude E6510 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 Serial to USB Serial EUT USB Laptop 10 Unshielded - 7.3 Test Software Description Test Item Software Description RF Testing Putty 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_SL19011001-SEV-006_BLE Page 8 of 20 8 Test Summary Test Item Test standard Test Method/Procedure Pass / Fail FCC 15.203 FCC ANSI C63.10 – 2013 ☒ Pass Antenna Requirement IC - IC 558074 D01 DTS Meas Guidance v05 ☐ N/A Restricted Band of FCC 15.205 FCC ANSI C63.10:2013 ☒ Pass Operation IC RSS Gen 8.10 IC 558074 D01 DTS Meas Guidance v05 ☐ N/A FCC 15.207(a) FCC ANSI C63.10:2013 ☒ Pass* AC Conducted Emissions IC RSS Gen 8.8 IC RSS Gen Issue 5: 2018 ☐ N/A DTS Band Requirement Test Item Test standard Test Method/Procedure Pass / Fail - - - - ☒ Pass* 99% Occupied Bandwidth IC RSS Gen 6.6 IC RSS Gen Issue 5: 2018 ☐ N/A FCC 15.247 (a)(2) FCC ☒ Pass* 6dB Bandwidth 558074 D01 DTS Meas Guidance v05 IC RSS247 (5.2) IC ☐ N/A Band Edge and Radiated FCC 15.247(d) FCC ANSI C63.10:2013 ☒ Pass Spurious Emissions 558074 D01 DTS Meas Guidance v05 ☐ N/A IC RSS247 (5.5) IC FCC 15.247(b) FCC ☒ Pass** Output Power 558074 D01 DTS Meas Guidance v05 IC RSS247 (5.4) IC ☐ N/A ☐ Pass Receiver Spurious Emissions IC RSS Gen (4.8) IC RSS Gen Issue 5: 2018 ☒ 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 v05 IC RSS247 (5.2) IC ☐ N/A FCC 15.247(i) FCC - ☐ Pass RF Exposure requirement IC RSS Gen (5.5) IC RSS Gen Issue 5: 2018 ☒ N/A 1. All measurement uncertainties do not take into consideration for all presented test results. 2. The applicant shall ensure frequency stability by showing that an emission is maintained within the band of operation under all normal Remark operating conditions as specified in the user’s manual. 3. Pass** Output power verfication 4. Pass* Please refer to test report No.: FCC_RF_SL15060501-CPC-006-DTS, FCC ID: W38-28010077 , IC: 8854A-28010077 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_SL19011001-SEV-006_BLE Page 9 of 20 9 Measurement Uncertainty 9.1 Conducted Emissions The test is to measure the conducted emissions to the mains port of the EUT. Some error sources that can contribute to the total uncertainty: - Uncertainty of the receiver - Uncertainty of the LISN - Uncertainty of cables - Uncertainty due to the mismatches - Etc, see the below table for details Source of Uncertainty Value Probability Division Sensitivity Expanded (dB) Distribution Coefficient Uncertainty Receiver Reading 0.12 Rectangular 1.732 1 0.069284 Cable Insertion Loss 0.21 Normal 2 1 0.105 Filter Insertion Loss 0.25 Normal 2 1 0.125 LISN Insertion Loss 0.40 Normal 2 1 0.20 Receiver CW accuracy 0.5 Rectangular 1.732 1 0.2886836 Pulse Amplitude 1.5 Rectangular 1.732 1 0.86605081 Response PRF Response 1.5 Rectangular 1.732 1 0.86605081 Mismatch LISN - 0.25 U-Shape 1.414 1 0.1768033 Receiver LISN Impedance 2.5 Triangular 2.449 1 1.0208248 Combined Standard Uncertainty 1.928133 Expanded Uncertainty (K=2) 3.856266 The total derived measurement uncertainty is +/- 3.86 dB. 9.2 Radiated Emissions (30MHz to 1GHz) The test is to measure the radiated emissions of the EUT. Some error sources that can contribute to the total uncertainty: - Uncertainty of the receiver - Uncertainty of the antenna - Uncertainty of cables - Uncertainty due to the mismatches - NSA Calibration - Etc., details see the below table Value Probability Sensitivity Expanded Source of Uncertainty Division (dB) Distribution Coefficient Uncertainty Receiver Reading 0.12 Rectangular 1.732 1 0.069284 Cable Insertion Loss 0.21 Normal 2 1 0.105 Filter Insertion Loss 0.25 Normal 2 1 0.125 Antenna Factor 0.65 Normal 2 1 0.325 Receiver CW accuracy 0.5 Rectangular 1.732 1 0.2886836 Pulse Amplitude Response 1.5 Rectangular 1.732 1 0.86605081 PRF Response 1.5 Rectangular 1.732 1 0.86605081 Mismatch Filter - Receiver 0.25 U-Shape 1.414 1 0.1768033 NSA Calibration 4.0 U-Shape 1.414 1 2.8288543 Combined Standard Uncertainty 3.0059131 Expanded Uncertainty (K=2) 6.0118262 The total derived measurement uncertainty is +/- 6.00 dB. 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_SL19011001-SEV-006_BLE Page 10 of 20 9.3 Radiated Emissions (1GHz to 40GHz) The test is to measure the radiated emissions of the EUT. Some error sources that can contribute to the total uncertainty: - Uncertainty of the receiver - Uncertainty of the antenna - Uncertainty of cables - Uncertainty due to the mismatches - VSWR Calibration - Etc., details see the below table Value Probability Sensitivity Expanded Source of Uncertainty Division (dB) Distribution Coefficient Uncertainty Receiver Reading 0.12 Rectangular 1.732 1 0.0692840 Cable Insertion Loss 0.21 Normal 2 1 0.1050000 Filter Insertion Loss 0.25 Normal 2 1 0.1250000 Antenna Factor 0.65 Normal 2 1 0.3250000 Receiver CW accuracy 0.5 Rectangular 1.732 1 0.2886836 Pulse Amplitude Response 1.5 Rectangular 1.732 1 0.8660508 PRF Response 1.5 Rectangular 1.732 1 0.8660508 Mismatch Filter - Receiver 0.25 U-Shape 1.414 1 0.1768033 VSWR Calibration 2.0 U-Shape 1.414 1 1.4144272 Combined Standard Uncertainty 4.2363 Expanded Uncertainty (K=2) 8.4726 The total derived measurement uncertainty is +/- 8.47 dB. 9.4 RF conducted measurement The test is to measure the RF output power from the EUT. Some error sources that can contribute to the total uncertainty: - Uncertainty of the Reference Level Uncertainty - Uncertainty of variable attenuators - Uncertainty of cables - Uncertainty due to the mismatches Value Probability Division Sensitivity Expanded Source of Uncertainty (dB) Distribution Coefficient Uncertainty Reference Level 0.12 Rectangular 1.732 1 0.069284 Cable Insertion Loss 0.21 Normal 2 1 0.105 Attenuator 0.25 Normal 2 1 0.125 Mismatch 0.25 U-Shape 1.414 1 0.1768033 Combined Standard Uncertainty 0.476087 Expanded Uncertainty (K=2) 0.952174 The total derived measurement uncertainty is +/- 0.95 dB. 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_SL19011001-SEV-006_BLE Page 11 of 20 10 Measurements, Examination and Derived Results 10.1 Antenna Requirement Spec 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. Remark Antenna is permanently attached to the device. 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. FCC_IC_RF_SL19011001-SEV-006_BLE Page 12 of 20 10.2 Output Power Requirement(s): Spec Item Requirement Applicable For systems using digital modulation in the 902-928 MHz, 2400-2483.5 MHz, and § 15.247 5725-5850 MHz bands: 1 Watt. As an alternative to a peak power measurement, 1 ☒ RSS-247 (5.4) compliance with the one Watt limit can be based on a measurement of the maximum conducted output power. Test Setup 558074 D01 DTS Meas Guidance v04, 9.1.1 Measurement using a Spectrum Analyzer (SA) This procedure shall be used when the measurement instrument has available a resolution bandwidth that is greater than the DTS bandwidth. (a) Set the RBW ≥ DTS bandwidth. Test Procedure (b) Set VBW ≥ (c) Set span ≥ (d) Sweep time = auto couple. (e) Detector = peak. (f) Trace mode = max hold. (g) Allow trace to fully stabilize (h) Use peak marker function to determine the peak amplitude level. Temperature 23ºC Environmental Test Date 01/18/2019 Relative Humidity 44% condition Atmospheric Pressure 1021mbar Remark NONE Result ☒ Pass ☐ Fail Test Data ☒ Yes ☐ N/A Test Plot ☒ Yes (See below) ☐ N/A Verification test was done by Gary Chou at RF test site. Output Power Verification measurement result Limit Type Test mode Freq (MHz) CH Conducted Result (dBm) Power (dBm) Conducted Bluetooth LE 2402 Low 1.87 30 Pass Conducted Bluetooth LE 2440 Mid 1.63 30 Pass Conducted Bluetooth LE 2480 High 1.22 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_SL19011001-SEV-006_BLE Page 13 of 20 10.3 Radiated Spurious Emissions below 1GHz Requirement(s): Spec 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) RSS247 (5.5) 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 Test was done by Gary Chou at 10m chamber. 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_SL19011001-SEV-006_BLE Page 14 of 20 Radiated Emission Test Results (Below 1GHz) Test specification Below 1GHz Temp (°C): 22 Environmental Conditions: Humidity (%) 47.5 Atmospheric (mbar): 1020 Mains Power: 120VAC, 60Hz Result Pass Tested by: Gary Chou Test Date: 01/28/2019 Remarks: Bluetooth LE 2440 MHz Quasi Max Measurement Frequency Raw Cable AF Level Measurement Hgt Azt Limit Margin Pass Pol MHz dBuV Loss dB dBuV/m Type cm Deg dBuV/m dB /Fail 500.055938 33.86 14.17 -18.27 29.76 Quasi Max V 122 9 46 -16.25 Pass 883.36625 37.94 15.9 -13.78 40.06 Quasi Max V 167 186 46 -5.94 Pass 916.51 37.87 15.87 -12.36 41.37 Quasi Max V 111 197 46 -4.63 Pass 950.075625 36.12 16.04 -12.78 39.38 Quasi Max V 109 204 46 -6.63 Pass 899.96125 26.8 15.95 -13.29 29.46 Quasi Max V 132 240 46 -16.54 Pass 471.436563 27.29 14.18 -18.67 22.81 Quasi Max V 101 322 46 -23.19 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_SL19011001-SEV-006_BLE Page 15 of 20 10.4 Radiated Spurious Emissions between 1GHz – 25GHz Requirement(s): Spec 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 RSS247(5.5) 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 26GHz. 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 Test was done by Gary Chou at 10m Chamber. 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_SL19011001-SEV-006_BLE Page 16 of 20 Radiated Emission Test Results (Above 1GHz) BLE – 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) 17798.02 38.35 8.09 8.32 54.76 Peak Max V 187 218 74 -19.24 Pass 1529.45 42.44 2.37 -6.34 38.47 Peak Max V 250 302 74 -35.53 Pass 4804.29 41.16 4.1 -0.91 44.35 Peak Max V 177 213 74 -29.65 Pass 17798.02 26.53 8.09 8.32 42.94 Average Max V 187 218 54 -11.06 Pass 1529.45 30.27 2.37 -6.34 26.3 Average Max V 250 302 54 -27.7 Pass 4804.29 27.18 4.1 -0.91 30.37 Average Max V 177 213 54 -23.63 Pass BLE – 2440MHz 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) 17924.46 38.42 7.94 8.67 55.03 Peak Max H 165 141 74 -18.97 Pass 1530.38 41.51 2.37 -6.33 37.55 Peak Max H 255 356 74 -36.45 Pass 4880.27 45.39 4.18 -1 48.57 Peak Max V 267 21 74 -25.43 Pass 17924.46 26.51 7.94 8.67 43.12 Average Max H 165 141 54 -10.88 Pass 1530.38 28.37 2.37 -6.33 24.41 Average Max H 255 356 54 -29.59 Pass 4880.27 37.19 4.18 -1 40.37 Average Max V 267 21 54 -13.63 Pass BLE – 2480MHz 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) 12253.27 38.43 6.51 3.76 48.70 Peak Max V 210 117 74 -25.3 Pass 4965.19 39.57 4.26 -1.08 42.75 Peak Max V 350 261 74 -31.25 Pass 1130.36 43.62 2 -7.24 38.38 Peak Max V 351 74 74 -35.62 Pass 12253.27 26.18 6.51 3.76 36.45 Average Max V 210 117 54 -17.55 Pass 4965.19 26.26 4.26 -1.08 29.44 Average Max V 350 261 54 -24.56 Pass 1130.36 31.44 2 -7.24 26.20 Average Max V 351 74 54 -27.8 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_SL19011001-SEV-006_BLE Page 17 of 20 Restricted Band Measurement Plots: Restricted Band 2402MHz Restricted Band 2480MHz 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_SL19011001-SEV-006_BLE Page 18 of 20 Annex A. TEST INSTRUMENT Instrument Model Serial # Cal Date Cal Cycle Cal Due In use Radiated Emissions Keysight EXA 44GHz Spectrum N9030B(PXA) MY57140374 07/22/2018 1 Year 07/22/2019 Analyzer Keysight Signal Generator MXG N5182A MY47071065 04/12/2018 1 Year 04/12/2019 Pre-Amplifier (1-26.5GHz) 8449B 3008A00715 05/16/2018 1 Year 05/16/2019 RF Pre-Amplifier (9kHz - 6.5GHz) LPA-6-30 11170601 02/06/2018 1 Year 02/06/2019 Bi-Log antenna (30MHz~2GHz) JB1 A030702 03/09/2018 2 Year 03/09/2020 Horn Antenna (1GHz~26GHz) 3117 214309 11/22/2017 1 Year 11/22/2019 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_SL19011001-SEV-006_BLE Page 19 of 20 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_SL19011001-SEV-006_BLE Page 20 of 20 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: 2019-03-27 01:06:20
Document Modified: 2019-03-27 01:06:20
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