1812166R-IC statement for SAR not required-EZ-BT WICED Module-CYBT-423028-02-V1.

FCC ID: WAP3028

Test Report

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FCCID_3817169

RF Exposure Evaluation Declaration Product Name : EZ-BT WICED Module Model No. : CYBT-423028-02 IC : 7922A-3028 Applicant : Cypress Semiconductor Address : 198 Champion Ct, San Jose, California 95134 United States Date of Receipt : Jan. 29, 2018 Test Date Jan. 30, 2018~ Feb. 08, 2018 Issued Date : Mar. 07, 2018 Report No. : 1812166R-RF-CA-P20V01 Report Version : V1.0 The test results relate only to the samples tested. The test results shown in the test report are traceable to the national/international standard through the calibration of the equipment and evaluated measurement uncertainty herein. This report must not be used to claim product endorsement by TAF any agency of the government. The test report shall not be reproduced without the written approval of DEKRA Testing and Certification (Suzhou) Co., Ltd.

Report No: 1812166R-RF-CA-P20V01 Tes t R e p o r t C e r t i f i c a t i o n Issued Date : Mar. 07, 2018 Report No. : 1812166R-RF-CA-P20V01 Product Name : EZ-BT WICED Module Applicant : Cypress Semiconductor Address : 198 Champion Ct, San Jose, California 95134 United States Manufacturer : Cypress Semiconductor Address : 198 Champion Ct, San Jose, California 95134 United States Model No. : CYBT-423028-02 IC : 7922A-3028 EUT Voltage : DC 1.8-3.6V Applicable Standard : RSS-102: Issue 5, 2015 Test Result : Complied Performed Location : DEKRA Testing and Certification (Suzhou) Co., Ltd. No.99 Hongye Rd., Suzhou Industrial Park, Suzhou, 215006, Jiangsu, China TEL: +86-512-6251-5088 / FAX: +86-512-6251-5098 IC Lab Code: 4075B Documented By : ( Adm. Specialist: Kitty Li ) Reviewed By : (Senior Engineer: Frank He ) Approved By : (Engineering Manager : Harry Zhao ) Page: 2 of 5

Report No: 1812166R-RF-CA-P20V01 1. RF Exposure Evaluation 1.1. Limits From RSS-102 Issue 5, Section 2.5.1 Exemption No SAR Evaluation Required if power is below the following threshold: Page: 3 of 5

Report No: 1812166R-RF-CA-P20V01 1.2. Test Procedure Software provided by client enabled the EUT to transmit and receive data at lowest, middle and highest channel individually. The temperature and related humidity: 18℃and 78％ RH. 1.3. Test Result of RF Exposure Evaluation Product : EZ-BT WICED Module Test Item : RF Exposure Evaluation Test Site : AC-6  Antenna Gain: Model No. N/A Antenna manufacturer N/A Antenna Delivery 1*TX+1*RX 2*TX+2*RX 3*TX+3*RX Antenna technology SISO Basic CDD MIMO Sectorized Beam-forming Antenna Type Dipole External Sectorized PIFA PCB Internal Ceramic Chip Antenna Monopole Antenna Ant Gain Antenna Technology (dBi) SISO Ant1:-1 Maximum measured transmitter power: Pout Pout Maximum Pout Frequency Conducted Conducted Antenna EIRP (MHz) (dBm) (mW) Gain (dBi) (mW) Bluetooth 4.8 3.02 -1 2.02 Page: 4 of 5

Report No: 1812166R-RF-CA-P20V01 EIRP= PConducted+ Antenna Gain Threshold for no SAR evaluation in 5mm is 4.00 mW Maximum TX Power is 3.02mW Conducted and 2.02mW EIRP Maximum TX Power is 2.02mW Conclusion: No SAR evaluation required since maximum Transmitter Pout (both conducted and EIRP) is below IC threshold The End Page: 5 of 5


Document Created: 2018-03-09 09:34:55
Document Modified: 2018-03-09 09:34:55
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