2A3TQ-GS5101Automotive Driving Recorder

FCC Caution § 15.19 Labeling requirements. This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. § 15.21 Information to user. Any Changes or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment. § 15.105 Information to the user. Note: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: -Reorient or relocate the receiving antenna. -Increase the separation between the equipment and receiver. -Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. -Consult the dealer or an experienced radio/TV technician for help. ISED Warning: This device complies with Industry Canada licence-exempt RSS standard(s). Operation is subject to the following two conditions: (1) This device may not cause interference, and (2) This device must accept any interference, including interference that may cause undesire d operation of the device. - French: Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes: (1) l'appareil ne doit pas produire de brouillage, et (2) l'utilisateur de l'appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement. The device has been evaluated to meet general RF exposure requirement. T he device can be used in mobile exposure condition with 20cm distance L'appareil a été évalué et répond aux exigences générales d'exposition aux RF. L'appareil peut être utilisé dans des conditions d'exposition mobiles à une distance de 20cm The device has been evaluated to meet general RF exposure requirement. The device can be used in mobile exposure condition with 20cm distance

Rev 1/26/2023 Lumileds (Shanghai) Management Co.,Ltd Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA Company name: Lumileds (Shanghai) Management Co.,Ltd Address: 3rd Floor, No.19-20, Lane 299, Wen Shui Road, Jing An District, Shanghai, P.R.China Product Name: Automotive Driving Recorder FCC ID: 2A3TQ- GS5101 Model(s): GS5101, GS5101D, GS5111, GS5111D Ref: Attestation Statements Part 2.911(d)(5)(ii) Filing We, [Lumileds (Shanghai) Management Co.,Ltd] (“the applicant”) certifies that, as of the date of the filing of the application, the applicant is not identified on the Covered List as a specifically named entity or any of its subsidiaries or affiliates as an entity producing “covered” equipment. Yours Sincerely, Name: Cathy Xie Date: 2023-08-22 Title: Development Quality Engineer Signature of applicant:

Rev 1/26/2023 Lumileds (Shanghai) Management Co.,Ltd Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA Company name: Lumileds (Shanghai) Management Co.,Ltd Address: 3rd Floor, No.19-20, Lane 299, Wen Shui Road, Jing An District, Shanghai, P.R.China Product Name: Automotive Driving Recorder FCC ID: 2A3TQ- GS5101 Model(s): GS5101, GS5101D, GS5111, GS5111D Ref: Attestation Statements Part 2.911(d)(5)(i) Filing We, [Lumileds (Shanghai) Management Co.,Ltd ] (“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. Yours Sincerely, Name: Cathy Xie Date: 2023-08-22 Title: Development Quality Engineer Signature of applicant:

Model Declaration Letter Dear Sir， For our business issue and marketing requirement, we would like to list different model numbers on the certificates and reports, as following: Model No.: GS5101, GS5101D, GS5111, GS5111D We declare that the difference of these is listed as below: Main Model No Serial Model Difference GS5101 GS5101D, GS5111, GS5111D listed below Signature: Contact Person: Cathy Xie Title: Development Quality Engineer Company: Lumileds (Shanghai) Management Co.,Ltd Address: 3rd Floor, No.19-20, Lane 299, Wen Shui Road, Jing An District, Shanghai, P.R.China Tel: +86-15821451869 E-Mail: [email protected] Date: 2023-08-22 They have the same software parameter and hardware design (i.e., circuit design, PCB Layout, RF module/circuit, antenna type(s) and antenna location, components on PCB), same mechanical structure and design (including product enclosure, materials), the only difference is the model name. Thank you!

C5266091_X8_Ed.1 1/1 Letter of Authorization Company: Lumileds (Shanghai) Management Co.,Ltd Address: 3rd Floor, No.19-20, Lane 299, Wen Shui Road, Jing An District, Shanghai, P.R.China Product Name: Automotive Driving Recorder Model Number: GS5101, GS5101D, GS5111, GS5111D FCC Identifier: 2A3TQ-GS5101 We authorize LGAI Technological Center S.A., Ronda de la Font del Carme, s/n, 08193 Bellaterra, Spain, to act on our behalf on all matters concerning the above named equipment. Any individual within LGAI Technological Center S.A. is authorized to act on our behalf and take action on the application. We declare that authorize LGAI Technological Center S.A., Ronda de la Font del Carme, s/n, 08193 Bellaterra, Spain, is allowed to forward all information related to the approval project to the Federal Communication Commission and to discuss any issues concerning the approval application. Any and all acts carried out by LGAI Technological Center S.A. on our behalf shall have the same effect as acts of our own. Name: Cathy Xie Date: 2023/8/22 Title: Development Quality Engineer Signature of applicant:

Lumileds (Shanghai) Management Co.,Ltd Date: 2023/08/22 Office of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 Subject; Request for Confidentiality FCC ID: 2A3TQ-GS5101 To Whom It May Concern, Pursuant to the provisions of the Commission’s rules Title 47 Sections §0.457 and §0.459, we are requesting the Commission to withhold the following attachment(s) as confidential documents from public disclosure indefinitely. These documents contain detailed system and equipment descriptions and are considered as proprietary information in operation of the equipment. The public disclosure of these documents might be harmful to our company and would give competitors an unfair advantage in the market. Schematic Diagram Block Diagram Operational Description In additional to above mentioned documents, in order to comply with the marketing regulations in Title 47 CFR §2.803 and the importation rules in Title 47 CFR §2.1204, while ensuring that business sensitive information remains confidential until the actual marketing of newly authorized devices, we request Short Term Confidentiality of the following attachment(s); External Photos Test Setup Photos Internal Photos User Manual For 45 days, pursuant to Public Notice DA 04-1705. OR For 180 days pursuant to KDB 726920 D01. It is our understanding that all measurement test reports, FCC ID label format and correspondence during the certification review process cannot be granted as confidential documents and this information will be available for public review once the grant of equipment authorization is issued. Sincerely, Signature: Name: Cathy Xie

机身贴尺寸：25x20mm 黑底白字，铜板不干胶,过哑膜,产线打印流水号，来料单排打印 Made in China Automotive Driving Recorder Model: GS5101 Input: 5V 1.5A FCC ID: 2A3TQ-GS5101 IC: 27991-GS5101 HVIN: GS5101

机身贴尺寸：25x20mm 黑底白字，铜板不干胶,过哑膜,产线打印流水号，来料单排打印 Made in China Automotive Driving Recorder Model: GS5101D Input: 5V 1.5A FCC ID: 2A3TQ-GS5101 IC: 27991-GS5101 HVIN: GS5101

机身贴尺寸：25x20mm 黑底白字，铜板不干胶,过哑膜,产线打印流水号，来料单排打印 Made in China Automotive Driving Recorder Model: GS5111 Input: 5V 1.5A FCC-ID: 2A3TQ-GS5101 IC: 27991-GS5101 HVIN: GS5101

机身贴尺寸：25x20mm 黑底白字，铜板不干胶,过哑膜,产线打印流水号，来料单排打印 Made in China Automotive Driving Recorder Model: GS5111D Input: 5V 1.5A FCC ID: 2A3TQ-GS5101 IC: 27991-GS5101 HVIN: GS5101

Label Location

WIFI ANT

Report No.: 20230717G08965X-W1 CCIC-SET/TRF: GJ-EMC-E (2020-01-09) Page 1 of 18 EMC TEST REPORT Report No.: 20230717G08965X-W1 Product Name: Automotive Driving Recorder FCC ID: 2A3TQ-GS5101 IC: :27991-GS5101 Model No.: GS5101 Serial Model No.: GS5101D, GS5111, GS5111D Applicant: Lumileds (Shanghai) Management Co.,Ltd Address: No.19-20, Lane 299, Wenshui Road, Jing An District, Shanghai, P.R.China Received Date: 2023.07.28 Dates of Testing: 2023.07.31~2023.08.03 Issued by: CCIC Southern Testing Co., Ltd. Lab Location: Electronic Testing Building, No. 43 Shahe Road, Xili Street, Nanshan District, Shenzhen, Guangdong, China. Tel: 86 755 26627338 Fax: 86 755 26627238 This test report consists of 18 pages in total. It may be duplicated completely for legal use with the approval of the applicant. It should not be reproduced except in full, without the written approval of our laboratory. The client should not use it to claim product endorsement by CCIC-SET. The test results in the report only apply to the tested sample. The test report shall be invalid without all the signatures of testing engineers, reviewer and approver. Any objections must be raised to CCIC-SET within 15 days since the date when the report is received. It will not be taken into consideration beyond this limit. Report No.: 20230717G08965X-W1 CCIC-SET/TRF: GJ-EMC-E (2020-01-09) Page 2 of 18 Test Report Product Name ....................... : Automotive Driving Recorder Model No..................... GS5101 Serial Model No............ GS5101D, GS5111, GS5111D Trade name Philips Applicant ............................... : Lumileds (Shanghai) Management Co.,Ltd Applicant Address................ : No.19-20, Lane 299, Wenshui Road, Jing An District, Shanghai, P.R.China Manufacturer ........................ : Lumileds (Shanghai) Management Co.,Ltd Manufacturer Address ......... : No.19-20, Lane 299, Wenshui Road, Jing An District, Shanghai, P.R.China Test Standards ...................... : 47 CFR Part 15 Subpart B ICES-003 Issue 7 Test Result ............................ : PASS Tested by ............................. : Ruihong Xie Test Engineer 2023.08.11 Reviewed by ......................... : Chris You Senior Engineer 2023.08.11 Approved by ......................... : 2023.08.11 Yang Fan, Manager Report No.: 20230717G08965X-W1 CCIC-SET/TRF: GJ-EMC-E (2020-01-09) Page 3 of 18 TABLE OF CONTENTS 1. GENERAL INFORMATION .................................................................................................... 4 1.1 EUT Description ......................................................................................................................... 4 1.2 Test Standards and Results ........................................................................................................ 4 Facilities and Accreditations ................................................................................................................ 5 1.2.1 Facilities .................................................................................................................................... 5 1.2.2 Test Environment Conditions .................................................................................................... 5 1.2.3 Measurement Uncertainty ......................................................................................................... 5 2. TEST CONDITIONS SETTING .............................................................................................. 6 2.1 Test Peripherals .......................................................................................................................... 6 2.2 Test Mode .................................................................................................................................... 6 2.3 Test Setup and Equipments List ................................................................................................ 7 2.3.1 Conducted Emission ................................................................................................................. 7 2.3.2 Radiated Emission ..................................................................................................................... 8 3. 47 CFR PART 15B REQUIREMENTS .................................................................................. 10 3.1 Conducted Emission ................................................................................................................. 10 3.1.1 Requirement ............................................................................................................................ 10 3.1.2 Test Description ...................................................................................................................... 10 3.1.3 Test Result ............................................................................................................................... 10 3.2 Radiated Emission .................................................................................................................... 13 3.2.1 Requirement ............................................................................................................................ 13 3.2.2 Test Description ...................................................................................................................... 14 3.2.3 Test Result ............................................................................................................................... 14 Change History Issue Date Reason for change 1.0 2023.08.11 First edition Report No.: 20230717G08965X-W1 CCIC-SET/TRF: GJ-EMC-E (2020-01-09) Page 4 of 18 1. GENERAL INFORMATION 1.1 EUT Description EUT Name .......................... .: Automotive Driving Recorder Trade Name.....................: Philips Brand Name.....................: Philips Hardware Version............ : GS5101: 80101D1680001 Software Version .................. : GS5101: PHILIPS-GS5101-V1-04 Power supply.....................: Adaptor Mode…

Text truncated - open the document above for the full version.