HAC RF Report

FCC ID: ZNF109C

Test Report

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FCCID_2628808

HAC RF EMISSIONS TEST REPORT FCC 47 CFR § 20.19 ANSI C63.19-2011 For CDMA Phone FCC ID: ZNF109C Model Name: LG109C Report Number: 15I20516-S3A Issue Date: 5/28/2015 Prepared for LG ELECTRONICS MOBILECOMM U.S.A., INC. 1000 Sylvan Avenue Englewood Cliffs, New Jersey 07632 Prepared by UL VERIFICATION SERVICES INC. 47173 BENICIA STREET FREMONT, CA 94538, U.S.A. TEL: (510) 771-1000 FAX: (510) 661-0888 NVLAP LAB CODE 200065-0

Report No.: 15I20516-S3A Issue Date: 5/28/2015 Revision History Rev. Date Revisions Revised By -- 5/26/2015 Initial Issue -- A 5/28/2015 Report revised based on Reviewer’s comments: Kenneth Mak 1. Sec. 5.1.: Updated Table Page 2 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 Table of Contents 1. Attestation of Test Results ............................................................................................................. 4 2. Test Methodology ........................................................................................................................... 5 3. Facilities and Accreditation ........................................................................................................... 5 4. Calibration and Uncertainty ........................................................................................................... 6 4.1. Measuring Instrument Calibration ............................................................................................... 6 4.2. Measurement Uncertainty ........................................................................................................... 7 5. Device Under Test........................................................................................................................... 8 5.1. Air Interfaces and Operating Mode ............................................................................................. 8 6. System Specifications .................................................................................................................... 9 7. System Validation ......................................................................................................................... 10 7.1. System Validation Results ........................................................................................................ 11 8. Modulation Interference Factor (MIF) .......................................................................................... 12 9. Average Antenna Input Power & Evaluation for Low-power Exemption................................... 13 10. HAC RF Emissions Test Procedure ............................................................................................. 14 11. RF Emissions Measurement Criteria ........................................................................................... 17 12. HAC (RF Emissions) Test Results ............................................................................................... 18 12.1. Worst Case RF Emission Test Plot ........................................................................................... 19 Appendixes .......................................................................................................................................... 20 A_15I20516v0 Setup Photo ................................................................................................................. 20 B_15I20516v0 System Validation Plots ............................................................................................... 20 C_15I20516v0 RF Emissions Test Plots.............................................................................................. 20 D_15I20516v0 MIF Attestation Letter .................................................................................................. 20 E_15I20516v0 Probe Cal. Certificates ................................................................................................. 20 F_15I20516v0 Dipole Cal. Certificates ................................................................................................ 20 G_15I20516v0 UID Specification ......................................................................................................... 20 Page 3 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 1. Attestation of Test Results Applicant Name LG Electronics FCC ID ZNF109C Model Name LG109C Applicable Standards FCC 47 CFR § 20.19 ANSI C63.19-2011 KDB 285076 D01 HAC Guidance TCB workshop updates HAC Rating M4 Date Tested 4/24/2015 Test Results Pass UL Verification Services Inc. tested the above equipment in accordance with the requirements set forth in the above standards. All indications of Pass/Fail in this report are opinions expressed by UL Verification Services Inc. based on interpretations and/or observations of test results. Measurement Uncertainties were not taken into account and are published for informational purposes only. The test results show that the equipment tested is capable of demonstrating compliance with the requirements as documented in this report. Note: The results documented in this report apply only to the tested sample, under the conditions and modes of operation as described herein. This document may not be altered or revised in any way unless done so by UL Verification Services Inc. and all revisions are duly noted in the revisions section. Any alteration of this document not carried out by UL Verification Services Inc. will constitute fraud and shall nullify the document. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, any agency of the Federal Government, or any agency of any government (NIST Handbook 150, Annex A). This report is written to support regulatory compliance of the applicable standards stated above. Approved & Released By: Prepared By: Bobby Bayani Hung.Thai Senior Engineer Laboratory Technician UL Verification Services Inc. UL Verification Services Inc. Page 4 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 2. Test Methodology The tests documented in this report were performed in accordance with ANSI C63.19-2011 Methods of Measurement of Compatibility between Wireless Communications Devices and Hearing Aids, FCC published KDB 285076 D01 HAC Guidance v04 and TCB workshop updates. 3. Facilities and Accreditation The test sites and measurement facilities used to collect data are located at 47173 Benicia Street 47266 Benicia Street SAR Lab C SAR Lab 2 UL Verification Services Inc. is accredited by NVLAP, Laboratory Code 200065-0. Page 5 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 4. Calibration and Uncertainty 4.1. Measuring Instrument Calibration The measuring equipment utilized to perform the tests documented in this report has been calibrated in accordance with the manufacturer's recommendations, and is traceable to recognized national standards. Cal. Due date Name of Equipment Manufacturer Type/Model Serial No. MM DD Year HP Signal Generator HP 8665B 3546A00784 6 23 2015 Power Meter HP 437B 3125U09516 10 6 2015 Power Meter Agilent N1911A MY53060016 8 7 2015 Power Sensor Agilent E9323A MY53070003 5 1 2015 Power Sensor Agilent 8481A 3318A95392 10 6 2015 Amplifier MITEQ AMF-4D-00400600-50-30P 1622052 N/A Bi-directional coupler Werlatone, Inc. C8060-102 2711 N/A DC Power Supply Sorensen Ametek XT20-3 1318A00530 N/A Robot Remote Control Stäubli CS8C N/A N/A DASY5 Measurement Server SPEAG SEUMS001BA 1041 N/A Probe Alignment Unit SPEAG LB (V2) 261 N/A Data Acquisition Electronics SPEAG DAE3 427 1 14 2016 E-Field Probe SPEAG ER3DV6* 2509 5 16 2015 Calibration Dipole SPEAG CD835V3 1014 2 18 2016 Calibration Dipole SPEAG CD1880V3 1122 2 17 2016 Radio Communication Tester R&S CMU 200 838114/032 7 30 2015 Radio Communication Tester R &S CMU 200 140259 7 25 2015 Note(s): *: According to SPEAG’s Technical Report, “MIF Verification”, Doc # TR-FB-12.09.04-1, issued date: 9/4/2012. E-field probes are calibrated with specified uncertainty according to ISO 17025 as described in their calibration certificate. The MIF according to the definition in ANSI C63.19 is specific for a modulation and can therefore be used as a constant value if the probe has been PMR calibrated. Page 6 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 4.2. Measurement Uncertainty HAC Uncertainty Budget According to ANSI C63.19 Uncertainty Std. Unc.(±%) Error Description Probe Dist. Div. (Ci) E (Ci) H value (±%) E H Measurement System Probe Calibration 5.1 N 1 1 1 5.1 5.10 Axial Isotropy 4.7 R 1.732 1 1 2.7 2.71 Sensor Displacement 16.5 R 1.732 1 0.145 9.5 1.38 Boundary Effects 2.4 R 1.732 1 1 1.4 1.39 Phantom Boundary Effects 7.2 R 1.732 1 0 4.1 0.00 Linearity 4.7 R 1.732 1 1 2.7 2.71 Scaling to PMR Calibration 10.0 R 1.732 1 1 2.8 5.77 System Detection Limit 1.0 R 1.732 1 1 0.6 0.58 Readout Electronics 0.3 N 1 1 1 0.3 0.30 Response Time 0.8 R 1.732 1 1 0.5 0.46 Integration Time 2.6 R 1.732 1 1 1.5 1.50 RF Ambient Conditions 3.0 R 1.732 1 1 1.7 1.73 RF Reflections 12.0 R 1.732 1 1 6.9 6.93 Probe Positioner 1.2 R 1.732 1 0.67 0.7 0.46 Probe Positioning 4.7 R 1.732 1 0.67 2.7 1.82 Extrapolation and Interpolation 1.0 R 1.732 1 1 0.6 0.58 Test sample Related Test Positioning Vertical 4.7 R 1.732 1 0.67 2.7 1.82 Test Positioning Lateral 1.0 R 1.732 1 1 0.6 0.58 Device Holder and Phantom 2.4 R 1.732 1 1 1.4 1.39 Power Drift 5.0 R 1.732 1 1 2.9 2.89 Phantom and Setup Related Phantom Thickness 2.4 R 1.732 1 0.67 1.4 0.93 Combined Std. Uncertainty 15.4 12.2 Expanded Std. Uncertainty on Power 30.8 24.4 Expanded Std. Uncertainty on Field 15.4 12.2 Notesfor table 1. N - Nomal 2. R - Rectangular 3. Div. - Divisor used to obtain standard uncertainty 4. Ci - is te sensitivity coefficient Page 7 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 5. Device Under Test Normal operation Held to head Back Cover ☒ Normal Battery Cover 5.1. Air Interfaces and Operating Mode Voice over Additional Concurrent digital Wi-Fi Air- Bands Type HAC Simultaneous but not GSM HAC Tested Transport Low Interface (MHz) Transport Tested Tested Power or not Tested OTT Power Reduction Capability CDMA BC 0 / 1 VO Yes NA Not tested1 NA NA NA Type Transport Note: VO = Voice only 1. No concurrent mode was found to be the Worst Case mode DT = Digital Transport VD = CMRS and Data transport (HAC Tested) Page 8 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 6. System Specifications E-field measurements are performed using the DASY5 automated dosimetric assessment system. The DASY5 is made by Schmid & Partner Engineering AG (SPEAG) in Zurich, Switzerland. The DASY5 HAC Extension consists of the following parts: Test Arch Phantom The specially designed Test Arch allows high precision positioning of both the device and any of the validation dipoles. ER3DV6 Isotropic E-Field Probe Construction: One dipole parallel, two dipoles normal to probe axis Built-in shielding against static charges PEEK enclosure material (resistant to organic solvents, e.g., glycolether) Calibration: In air from 100 MHz to 3.0 GHz (absolute accuracy ±6.0%, k=2) Frequency: 100 MHz to > 6 GHz; Linearity: ± 0.2 dB (100 MHz to 3 GHz) Directivity: ± 0.2 dB in air (rotation around probe axis) ± 0.4 dB in air (rotation normal to probe axis) Dynamic Range: 2 V/m to > 1000 V/m; Linearity: ± 0.2 dB Dimensions: Overall length: 330 mm (Tip: 16 mm) Tip diameter: 8 mm (Body: 12 mm) Distance from probe tip to dipole centers: 2.5 mm The closest part of the sensor element is 1.1 mm closer to the tip Application: General near-field measurements up to 6 GHz Field component measurements Page 9 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 7. System Validation The test setup was validated when first configured and verified periodically thereafter to ensure proper function. The procedure provided in this section is a validation procedure using dipole antennas for which the field levels were computed by numeric modeling. Procedure Place a dipole antenna meeting the requirements given in ANSI C63.19-2011 in the normally occupied by the WD. The dipole antenna serves as a known source for an electrical and magnetic output. Position the E-field probe so that the following occurs: ‧ The probes and their cables are parallel to the coaxial feed of the dipole antenna ‧ The probe cables and the coaxial feed of the dipole antenna approach the measurement area from opposite directions ‧ The center point of the probe element(s) is 15 mm from the closest surface of the dipole elements. Scan the length of the dipole with the E-field probe and record the two maximum values found near the dipole ends. Average the two readings and compare the reading to the expected value in the calibration certificate or the expected value in this standard. Setup diagram Page 10 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 7.1. System Validation Results E-field Probe ER3DV6 SN2509 on 4/6/2015 Max. measured from Average max. E-field Target Calibration Input Power above high above low above arm Values (V/m) Deviation1) Dipole f (MHz) (mW) end (V/m) end (V/m) (V/m) (From SPEAG) (%) CD835V3 835 100 105.90 107.00 106.45 106.4 0.05 SN 1014 CD1880V3 1880 100 86.13 83.48 84.81 88.90 -4.61 SN 1122 Notes: 1) Delta (Deviation) % = 100 * (Measured value minus Target value) divided by the Target value. Deltas within ±25% are acceptable, of which 12% is deviation and 13% is measurement uncertainty. 2) The maximum E-field or were evaluated and compared to the target values provided by SPEAG in the calibration certificate of specific dipoles. 3) Please refer to the appendix for detailed measurement data and plots. Page 11 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 8. Modulation Interference Factor (MIF) The HAC Standard ANSI C63.19-2011 defines a new scaling using the Modulation Interference Factor (MIF) which replaces the need for the Articulation Weighting Factor (AWF) during the evaluation and is applicable to any modulation scheme. The Modulation Interference factor (MIF, in dB) is added to the measured average E-field (in dBV/m) and converts it to the RF Audio Interference level (in dBV/m). This level considers the audible amplitude modulation components in the RF E-field. CW fields without amplitude modulation are assumed to not interfere with the hearing aid electronics. Modulations without time slots and low fluctuations at low frequencies have low MIF values, TDMA modulations with narrow transmission and repetition rates of few 100 Hz have high MIF values and give similar classifications as ANSI C63-2007. Definitions ER3D, E-field probes have a bandwidth <10 kHz and can therefore not evaluate the RF envelope in the full audio band. DASY52 is therefore using the “indirect” measurement method according to ANSI C63.19-2011 which is the primary method. These near field probes read the averaged E-field measurement. Especially for the new high peak-to-average (PAR) signal types, the probes shall be linearized by probe modulation response (PMR) calibration in order to not overestimate the field reading. The evaluation method or the MIF is defined in ANSI C63.19-2011 section D.7. An RMS demodulated RF signal is fed to a spectral filter (similar to an A weighting filter) and forwarded to a temporal filter acting as a quasi-peak detector. The averaged output of these filtering is called to a 1 kHz 80% AM signal as reference. MIF measurement requires additional instrumentation and is not well suited for evaluation by the end user with reasonable uncertainty It may alternatively be determined through analysis and simulation, because it is constraint and characteristic for a communication signal. DASY52 uses well defined signals for PMR calibration. The MIF of these signals has been determined by simulation and is automatically applied. MIF values were not tested by a probe or as specified in the standards but are based on analysis provided by SPEAG for all the air interfaces (GSM, WCDMA, CDMA, LTE). The data included in this report are for the worst case operating modes. The UIDs used are listed below: UID Communication System Name MIF (dB) 10295-AAB CDMA2000 (1xRTT, RC1, SO3, 1/8th Rate 25 fr.) 3.26 A PMR calibrated probe is linearized for the selected waveform over the full dynamic range within the uncertainty specified in its calibration certificate. ER3D, EF3D and EU2D E-field probes have a bandwidth <10 kHz and can therefore not evaluate the RF envelope in the full audio band. DASY52 is therefore using the \indirect" measurement method according to ANSI C63.19-2011 which is the primary method. These near field probes read the averaged E-field measurement. Especially for the new high peak-to-average (PAR) signal types, the probes shall be linearized by PMR calibration in order to not overestimate the field reading. The MIF measurement uncertainty is estimated as follows, for modulation frequencies from slotted waveforms with fundamental frequency and at least 2 harmonics within 10 kHz:  0.2 dB for MIF -7 to +5 dB,  0.5 dB for MIF -13 to +11 dB  1 dB for MIF > -20 dB Page 12 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 9. Average Antenna Input Power & Evaluation for Low-power Exemption An RF air interface technology of a device is exempt from testing when its average antenna input power plus its MIF is ≤17 dBm for any of its operating modes. If a device supports multiple RF air interfaces, each RF air interface shall be evaluated individually. Average Antenna Input Power Air-Interface MIF (dB) HAC Tested Input Power (dBm)1 plus its MIF (dBm) CDMA BC0 24.7 3.26 27.96 Yes CDMA BC1 25.4 3.26 28.66 Yes Note(s): 1. Max tune-up limit Page 13 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 10. HAC RF Emissions Test Procedure The following are step-by-step test procedures. a) Confirm proper operation of the field probe, probe measurement system and other instrumentation and the positioning system. b) Position the WD in its intended test position. c) Set the WD to transmit a fixed and repeatable combination of signal power and modulation characteristic that is representative of the worst case (highest interference potential) encountered in normal use. Transiently occurring start-up, changeover, or termination conditions, or other operations likely to occur less than 1% of the time during normal operation, may be excluded from consideration. d) The center sub-grid shall be centered on the T-Coil mode perpendicular measurement point or the acoustic output, as appropriate. Locate the field probe at the initial test position in the 50 mm by 50 mm grid, which is contained in the measurement plane, refer to illustrated in Figure 1. If the field alignment method is used, align the probe for maximum field reception. e) Record the reading at the output of the measurement system f) Scan the entire 50 mm by 50 mm region in equally spaced increments and record the reading at each measurement point. The distance between measurement points shall be sufficient to assure the identification of the maximum reading. g) Identify the five contiguous sub-grids around the center sub-grid whose maximum reading is the lowest of all available choices. This eliminates the three sub-grids with the maximum readings. Thus, the six areas to be used to determine the WD’s highest emissions are identified. h) Identify the maximum reading within the non-excluded sub-grids identified in step g). i) Convert the highest field reading within identified in step h) to RF audio interference level, in V/m, by taking the square root of the reading and then dividing it by the measurement system transfer function, established in 5.5.1.1 Convert this result to dB(V/m) by taking the base-10 logarithm and multiplying by 20. Indirect measurement method Replacing step i), the RF audio interference level in dB (V/m) is obtained by adding the MIF (in dB) to the maximum steady-state rms field-strength reading, in dB (V/m), from step h). Use this result to determine the category rating j) Compare this RF audio interference level with the categories in Clause 8 (ANSI C63.19-2011) and record the resulting WD category rating k) For the T-Coil mode M-rating assessment, determine whether the chosen perpendicular measurement point is contained in an included sub-grid of the first scan. If so, then a second scan is not necessary. The first scan and resultant category rating may be used for the T-Coil mode M rating. Otherwise, repeat step a) through step i), with the grid shifted so that it is centered on the perpendicular measurement point. Record the WD category rating. Page 14 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 Figure 1 - WD reference and plane for RF emission measurements Page 15 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 Test flowchart Per ANSI-PC63.19 2011 Test Instructions • Confirm proper operation of probes and instrumentation • Position WD • Configure WD Tx Operation (Step a-c) • Initialize field probe and take first reading • Scan Area (Step d-f) • Identify exclusion area • Rescan or reanalyze open area todetermine maximum • Indirect method: Add the MIF to the maximum steady state rms field strength and record RF Audio Interference Level, in dB (V/m) (Step g-i) Identify & Record Category (Step j) Page 16 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 11. RF Emissions Measurement Criteria WD RF audio interference level caterories in logarithmic units E-field emissions Emission Categories < 960 MHz > 960 MHz Category M1 50 to 55 dB (V/m) 40 to 45 dB (V/m) Category M2 45 to 50 dB (V/m) 35 to 40 dB (V/m) Category M3 40 to 45 dB (V/m) 30 to 35 dB (V/m) Category M4 <40 dB (V/m) <30 dB (V/m) Page 17 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 12. HAC (RF Emissions) Test Results MIF values were not tested by a probe or as specified in the standards but are based on analysis provided by SPEAG for the following User Identifiers and air interfaces. The data included in this report are for the worst case operating modes. Refer to Appendix D and G for the MIF vales that represent the worst case operation modes. Results Results* Plots Air-Interface Ch. No. Freq. (MHz) plus 0.2dB uncertaninty M-Rating (dB V/m) Page # (dB V/m) 1013 824.70 30.91 31.11 M4 1 CDMA2000 384 836.60 31.91 32.11 M4 2 BC0 777 848.31 32.26 32.46 M4 3 25 1851.25 27.67 27.87 M4 4 CDMA2000 600 1880.00 27.58 27.78 M4 5 BC1 1175 1908.75 27.44 27.64 M4 6 Note(s): *: Measured Audio Interference level in dB (V/m): indirect method (max rms field strength Plus MIF) Page 18 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 12.1. Worst Case RF Emission Test Plot Test Laboratory: UL Verification Services Inc. SAR Lab C Date: 4/24/2015 HAC-RF Emission Communication System: UID 10295 - AAB, CDMA2000, RC1, SO3, 1/8th Rate 25 fr.; Frequency: 848.31 MHz; Duty Cycle: 1:17.7419 Phantom section: RF Section DASY5 Configuration: - Probe: ER3DV6 - SN2509; ConvF(1, 1, 1); Calibrated: 5/16/2014; - Sensor-Surface: (Fix Surface) - Electronics: DAE3 Sn427; Calibrated: 1/14/2015 - Phantom: HAC Test Arch with AMCC; Type: SD HAC P01 BB - Measurement SW: DASY52, Version 52.8 (7);SEMCAD X Version 14.6.10 (7164) CDMA BC0 E-Field measurement/Voice_ch 777/Hearing Aid Compatibility Test (101x101x1): Interpolated grid: dx=0.5000 mm, dy=0.5000 mm Device Reference Point: 0, 0, -6.3 mm Reference Value = 37.72 V/m; Power Drift = -0.14 dB Applied MIF = 3.26 dB RF audio interference level = 32.26 dBV/m Emission category: M4 MIF scaled E-field Grid 1 M4 Grid 2 M4 Grid 3 M4 31.87 dBV/m 32.06 dBV/m 31.07 dBV/m Grid 4 M4 Grid 5 M4 Grid 6 M4 32.1 dBV/m 32.26 dBV/m 31.29 dBV/m Grid 7 M4 Grid 8 M4 Grid 9 M4 31.83 dBV/m 32.03 dBV/m 31.02 dBV/m 0 dB = 41.04 V/m = 32.26 dBV/m Page 19 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.

Report No.: 15I20516-S3A Issue Date: 5/28/2015 Appendixes Refer to separated files for the following appendixes A_15I20516v0 Setup Photo B_15I20516v0 System Validation Plots C_15I20516v0 RF Emissions Test Plots D_15I20516v0 MIF Attestation Letter E_15I20516v0 Probe Cal. Certificates F_15I20516v0 Dipole Cal. Certificates G_15I20516v0 UID Specification END OF REPORT Page 20 of 20 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc.


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