Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
Attestation Statements (2024/03/22) TO: Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046, USA RE: Attestation Statements Part 2.911(d)(7) request for (FCC ID# 2A24I-V02G15J18 ) (Tag-N-Trac Inc.), the undersigned, hereby authorize (Tag-N-Trac Inc.) to act as our designated U.S. agent for service of process, (Tag-N-Trac Inc.) accepts to maintain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. (Tag-N-Trac Inc.) accepts the responsibility to act as designated U.S. agent for service of process. Applicant Information: Company name:Tag-N-Trac Inc. FRN: 0031335995 Grantee Code: 2A24I Contact Name:Venu Gutlapalli Address: 4250 Executive Sq, #675, La Jolla, CA 92037, US Telephone No:+1 858-227-6694 Email:[email protected] Signature [ ] U.S. Agent Information: Company Name:Tag-N-Trac Inc. FRN: 0031335995 Address:4250 Executive Sq, #675, La Jolla, CA 92037, US Contact Name:Venu Gutlapalli Telephone No:+1 858-227-6694 Email:[email protected] Signature []
Applicant Declaration QSF27-14-04 Rev 1.1 Jan 17, 2024 Page 1 of 1 Original Issue: Jan. 4, 2021 SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States Applicant Legal Business Name Tag-N-Trac Inc. Address 4250 Executive Sq, #675, La Jolla, California, United States, 92037 FRN 0031335995 Grantee Code 2A24I FCC ID 2A24I-V02G15J18 Authorized Contact Name Gary Leung Contact Email [email protected] Contact Phone 408-203-9069 I, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare; a)in accordance with 47CFR2.911(d), all of the statements herein and the exhibits attached hereto are true and correct to the best of my knowledge and belief. b)in accepting a Grant of Equipment Authorization issued by a TCB, under the authority of the FCC, as a result of the representations made in this application, the Applicant is responsible for: (1)labeling the equipment with the exact FCC ID as specified in this application, (2)compliance statement labeling pursuant to the applicable rules, (3)compliance of the equipment with the applicable technical rules, c)if the Applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC’s technical requirements. d)in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified under 47 CFR 2.909 and KDB394321. e)in accordance with ISO 17065, FCC KDB641163, FCC KDB610077, KDB394321 and RSP-100, the Applicant has read, understood, accepts and agrees to abide by the post market surveillance requirements. (1)the Applicant understands, accepts and agrees that a sample may be requested for surveillance testing. (2)the Applicant shall make provisions to always have a production sample available upon request by SGS, FCC and/or ISED. (3)the Applicant shall, upon request by SGS, at the Applicant’s expense, provide a production sample of the requested product to SGS, FCC and/or ISED as instructed. The sample shall include all support devices, cables, software, accessories or other hardware or software required for evaluation, review, certification and audit surveillance of products certified by SGS. f)neither the Applicant nor any party to the application is subject to a denial of Federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §862 because of a conviction for possession or distribution of a controlled substance. See 47CFR 1.2002(b) for the definition of a “party” for these purposes. g)the Applicant has read, understood, accepts and agrees to abide by the SGS North America, Inc.(TCB) terms and conditions. Link to CFRs: https://www.fcc.gov/wireless/bureau-divisions/technologies-systems-and-innovation-division/rules-regulations-title-47 Link to KDBs: https://apps.fcc.gov/oetcf/kdb/index.cfm Link to RSP-100: https://www.ic.gc.ca/eic/site/smt-gst.nsf/eng/sf01130.html Link to the Covered List: Covered List [Tag-N-Trac Inc. ] (“the applicant”) certifies that the equipment for which authorization is sought is not “covered” equipment prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. [Tag-N-Trac Inc. ] (“the applicant”) certifies that, as of the date of the filing of the application, the applicant [is not] identified on the Covered list, established pursuant to §1.50002, as an entity producing “covered” equipment. Applicant Signature: Date: 2024/3/16 Print Name: Gary Leung Title: System HW Engineer *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database
Tag-N-Trac Inc. Date: 2024-03-14 Attention: Application Examiner/Review Engineer To whom it may concern: Hereby, we (Tag-N-Trac Inc.) declarate that our prouct (Sense Stream Tag - Single Use) used LTE Cat M1 Module (model No.: BG95-M1, which is certified under FCC ID: XMR2020BG95M1), which is produced by Quectel Wireless Solutions Co., Ltd., the software and hardware of the all modules have not undergone any changes. Sincerely, Signed on behalf of: Tag-N-Trac Inc. Address: 4250 Executive Sq, #675, City: San Diego State/Province: La Jolla, California, United States, 92037 Contact Name: Gary Leung Function: System HW Engineer Signature:
Date: 2024-03-16 Declaration Letter about Limited Use To whom it may concern, WE (Tag-N-Trac Inc.) HEREBY DECLARED THAT Our product Product Description: Sense Stream Tag - Single Use Model No: Tag-N-Trac FCC ID: 2A24I-V02G15J18 The LTE Bands 5/25/26/66/85 integrated in RF module BG95-M1 in this device has been disabled by software. We only open the LTE Bands 2/4/12/13. Any modification will be highlighted on the release letter, and the impact analysis will also have a review. Verification procedure and verification results will be performed based on the release letter and impact analysis report. Name (Printed): Gary Leung Signature: Title: System HW Engineerr On behalf of Company: Tag-N-Trac Inc. Telephone: 408-203-9069
Date: March 21,2024 To Whom It May Concern: DECLARATION OF WIRELESS MODULE AND TEST REPORTS We Quectel Wireless Solutions Co., Ltd hereby authorised company Tag-N-Trac Inc. to use our TEST REPORT of our model name: BG95-M1, FCC ID: XMR2020BG95M1. The mentioned module BG95-M1 in the said test report is for LTE Cat M1 module has been used in equipment model: ST100-SU. Thank you for your attention to this matter. Yours sincerely, Printed Name: Jean Hu Job Position: Certification Manager (Signature)
Tag-N-Trac Inc. TO Date: 2024/3/16 : Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Title: System HW Engineer Regarding: 2A24I-V02G15J18 To whom it may c oncern: We, the undersigned, hereby authorize Parlam Zhan to act on our behalf in all manners relating to application for equipment authorization with respect to the FCC ID above, including signing of all documents relating to these matters. Any a nd all acts carried out by t he agent on our behalf shall have the same effect as acts of our own. We, the undersigned, hereby certify that we are not subject to a denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 853(a). Where our agent signs the application for certification on our behalf, I acknowledge that all responsibility for complying with the terms and conditions for Certification, as specified by SGS North America, Inc., still resides with Tag-N-Trac Inc. This authorization is valid until further written notice from the applicant. r Name (Printed) : Gary Leung Signature: On behalf of Company: Tag-N-Trac Inc. Telephone: 408-203-9069
Tag-N-Trac Inc. To: SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia United States From: Tag-N-Trac Inc. 4250 Executive Sq, #675, La Jolla, California, United States, 92037 Regarding:Confidentiality Request regarding application for FCC ID: 2A24I-V02G15J18 LO NG TERM CONFIDENTIALITY Pursuant to 47 CFR Section 0.459 and 0.457 of the commission’s rules, the applicant hereby request confidential treatment of the documents listed below, associated with the certification application referenced above. Schematic(s) Block Diagrams Ope rational Descriptions BOM Tune up The documents above contain proprietary information not released to the public. Public disclosure of this inf ormation may prove harmful to the business of the applicant. SHORT TERM CONFIDENTIALITY Additionally, the applicant requests the following documents be held confidential until the device is marketed or 180 days from the grant date, whichever is less. If the device is marketed within 180 days of the Grant Date, the applicant will notify the TCB per FCC KDB 726920 D01 Confidentiality Request Procedures. External Photos In ternal Photos Test Setup Photos User manual(s) Sincerely, Signature: Printed Name: Gary Leung Title: System HW Engineer Company Name: Tag-N-Trac Inc.
HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page1of19 RFTestReport Applicant:Tag-N-TracInc. Address: 4250ExecutiveSq,#675,LaJolla,California,UnitedStates, 92037 Product:SenseStreamTag-SingleUse ModelNo.:ST100-SU BrandName:Tag-N-Trac FCCID:2A24I-V02G15J18 Standards: 47CFRPart24 47CFRPart27 ReportNo.:PD20240022RF01 IssueDate:2024/03/13 TestResult:PASS* * Theaboveequipmenthasbeentestedandcompliancewiththerequirement oftherelativestandardsbyHefeiPanwinTechnologyCo.,Ltd. ReviewedBy:JerryZhangApprovedBy:AlecYang HefeiPanwinTechnologyCo.,Ltd. Floor1,ZoneE,Plant2#,MingzhuIndustrialPark,No.106Chuangxin Avenue,High-techZone,HefeiCity,AnhuiProvince,China TEL:+86-0551-63811775 TestReport ReportNo.:PD20240022RF01 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page2of19 RevisionHistory ReportNo.VersionDescriptionIssueDateNote PD20240022RF011InitialReport2024/03/13Valid Remark: ThistestingreportonlytestedRadiatedSpuriousEmissiondata,pleaserefertothemodulereportforothertesting items.(ModelNo.:BG95-M1,ReportNo.:R2004A0250-R2V3,R2004A0250-R3V3) TestReport ReportNo.:PD20240022RF01 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page3of19 CONTENTS 1TestLaboratory......................................................................................................................................................8 1.1NotesoftheTestReport................................................................................................................................8 1.2TestFacility....................................................................................................................................................8 1.3TestingLaboratory.........................................................................................................................................8 2GeneralDescriptionofEquipmentunderTest...................................................................................................8 2.1DetailsofApplication.....................................................................................................................................8 2.2DetailsofEUT................................................................................................................................................9 2.3MaximumConductedpowerandEmissionDesignator..............................................................................10 2.4FrequencyListofLow/Middle/HighChannels.............................................................................................11 2.5AppliedStandards........................................................................................................................................13 3TestCondition......................................................................................................................................................14 3.1TestEnvironmentalConditions....................................................................................................................14 3.2TestConfiguration........................................................................................................................................14 3.3EquipmentList.............................................................................................................................................15 3.4TestUncertainty...........................................................................................................................................16 4TestItemsDescription.........................................................................................................................................17 4.1RadiatedSpuriousEmission.......................................................................................................................17 Appendixes..............................................................................................................................................................19 TestReport ReportNo.:PD20240022RF01 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page4of19 TestSummary LTEBand2 No.TestCaseFCCRulesLimitVerdict 1 RFOutputPower& EffectiveRadiatedPower §2.1046, §24.232(c) EIRP≤2Watt Referencereport R2004A0250-R2V3 2Peak-to-AverageRatio§24.232(d)≤13dB Referencereport R2004A0250-R2V3 3OccupiedBandwidth§2.1049Nolimit. Referencereport R2004A0250-R2V3 4 ConductedBandEdge Measurement §2.1051, §24.238(a) ≤-13 dBm/1%*EBW,in1 MHzbands immediatelyoutside andadjacenttothe frequencyblock. Referencereport R2004A0250-R2V3 5 SpuriousEmissionsat AntennaTerminals §2.1051, §24.238(a) ≤-13dBm/1MHz, from9kHzto10 th harmonicsbut outsideauthorized operatingfrequency ranges. Referencereport R2004A0250-R2V3 6 RadiatedSpurious Emission §2.1053, §24.238(a) ≤-13dBm/1MHz.PASS 7FrequencyStability §2.1055 §24.235 Withinauthorized bandsof operation/frequency block. Referencereport R2004A0250-R2V3 TestReport ReportNo.:PD20240022RF01 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page5of19 LTEBand4 No.TestCaseFCCRulesLimitVerdict 1 RFOutputPower& EffectiveRadiatedPower §2.1046, §27.50(d)(4) EIRP≤1Watt Referencereport R2004A0250-R3V3 2Peak-to-AverageRatio§27.50(d)(5)≤13dB Referencereport R2004A0250-R3V3 3OccupiedBandwidth§2.1049Nolimit. Referencereport R2004A0250-R3V3 4 ConductedBandEdge Measurement §2.1051, §27.53(h) ≤-13 dBm/1%*EBW,in1 MHzbands immediatelyoutside andadjacenttothe frequencyblock. Referencereport R2004A0250-R3V3 5 SpuriousEmissionsat AntennaTerminals §2.1051, §27.53(h) ≤-13dBm/1MHz, from9kHzto10 th harmonicsbut outsideauthorized operatingfrequency ranges. Referencereport R2004A0250-R3V3 6 RadiatedSpurious Emission §2.1053, §27.53(h) ≤-13dBm/1MHz.PASS 7FrequencyStability §2.1055 §27.54 Withinauthorized bandsof operation/frequency block. Referencereport R2004A0250-R3V3 TestReport ReportNo.:PD20240022RF01 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.…
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588 West Jindu Road, Xinqiao, Songjiang · ShangHai · China
| # | Rule Parts | Frequency Range | Power Output | Emission | Tolerance |
|---|---|---|---|---|---|
| 8 | 27 | 779.5 MHz - 784.5 MHz | 111.00 mW | 950KW7D | 0.00887 ppm |

Smart Sense Tag
Equipment Class
JAB - Part 15 Class B Digital Device
SmartSense Label
Equipment Class
PCB - PCS Licensed Transmitter
Smart Sense Tag
Equipment Class
PCB - PCS Licensed Transmitter