
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
W900 5072047 23 PRINTING INFORMATION SOLID COLOR : BLACK Illuminant source : D50/2° Geometry : 45/0 Filter: M0 ISO 12647-2 FINISHING : ACRYLIC VARNISH MateSatinGlossyNo UV VARNISH : 5072047 17/02/2023 17/02/2023
3 18 24 22 20 26 4 5 6 7 8 9 10 11
12 13 14 15 16 17 18 2.60 (+/- 0.06). 19
20 2,60 (+/- 0,06). 21 22 2,60 (+/- 0,06). 23 24 2,60 (+/- 0,06). 25 W900 110V US CA 8405295 2392572 CSA C22.2 No.68-18 ASTM F2276-10 FCC 47 CFR Part 15, Subpart B ICES-003 ASTM F2115-18 UL 16 47 FCC ISED California Proposition 65 W900 110V US CA W900 110V US CA W900 110V US CA 8405295 2392572 8405295 2392572 8405295 2392572 CSA C22.2 No.68-18 ASTM F2276-10 FCC 47 CFR Part 15, Subpart B ICES-003 ASTM F2115-18 UL 16 47 FCC ISED California Proposition 65 CSA C22.2 No.68-18 ASTM F2276-10 FCC 47 CFR Part 15, Subpart B ICES-003 ASTM F2115-18 UL 16 47 FCC ISED California Proposition 65 CSA C22.2 No.68-18 ASTM F2276-10 FCC 47 CFR Part 15, Subpart B ICES-003 ASTM F2115-18 UL 16 47 FCC ISED California Proposition 65 2021-11-01 2021-11-01 2021-11-01 2021-11-01 26
Decathlon America 1160 Battery Street East, Ste. 100 San Francisco, CA 94111 Importado para Colombia por Decathlon Colombia SAS - NIT: 900868271-1 SIC: 900868271-1 Pack Ref : 5072210 46559
AttestationStatements NotCoveredEntityApplicant To:FederalCommunicationsCommissionDate:05-11-2023 7435OaklandMillsRoad, Columbia,MD21046,USA Ref:InformationRequiredbySection2.911(d)(5)(ii)filing FCCID:2A8UOW900 DecathlonAmericaLLC(“theapplicant”)certifiesthat,asofthedateofthefilingofthe application,theapplicantisnotidentifiedontheCoveredList(asaspecificallynamedentityor anyofitssubsidiariesoraffiliates)asanentityproducing“covered”equipment. Sincerelyyours, ApplicantSignature PrintedName:MatthewGunawan Title:LegalAdvisor Tel.:+14157128643 Email:[email protected] DocuSign Envelope ID: B1E3467C-B9A8-4F44-89AA-3610D875CF4D
AttestationStatements NotCoveredEquipment To:FederalCommunicationsCommissionDate:05-11-2023 7435OaklandMillsRoad, Columbia,MD21046,USA Ref:InformationRequiredbySection2.911(d)(5)(i)filing FCCID:2A8UOW900 DecathlonAmericaLLC(“theapplicant”)certifiesthattheequipmentforwhichauthorizationis soughtisnot“covered”equipmentprohibitedfromreceivinganequipmentauthorization pursuanttosection§2.903oftheFCCrules. Sincerelyyours, ApplicantSignature PrintedName:MatthewGunawan Title:LegalAdvisor Tel.:+14157128643 Email:[email protected] DocuSign Envelope ID: B1E3467C-B9A8-4F44-89AA-3610D875CF4D
DecathlonAmericaLLC AuthoritytoActasAgent Date:20March2023_ TUVRheinlandofNorthAmerica,Inc. 1279QuarryLane.,Suite.A Pleasanton,CA94566 ToWhomItMayConcern: IappointYanliFanofTUVRheinland(shanghai)Co.,Ltdtoactasouragentinthepreparationof thisapplicationforequipmentcertification.Icertifythatsubmitteddocumentsproperlydescribethe deviceorsystemforwhichequipmentcertificationissought.Ialsocertifythateachunitmanufactured, importedormarketed,asdefinedintheFCCorIndustryCanada’sregulationswillhaveaffixedtoita labelidenticaltothatsubmittedforapprovalwiththisapplication. Forinstanceswhereourauthorizedagentsignstheapplicationforcertificationonourbehalf,I acknowledgethatallresponsibilityforcomplyingwiththetermsandconditionsforCertification,as specifiedbyTUVRheinlandGroup,stillresideswithDecathlonAmericaLLC/1160BatteryStreet, Suite100,SanFrancisco,CA94111,UnitedStates ForTCBapplications,Wecertifythatwearenotsubjecttodenialoffederalbenefits,thatincludes FCCbenefits,pursuanttoSection5301oftheAnti-DrugAbuseActof1988,21U.S.C.862.Further, noparty,asdefinedin47CFR1.2002(b),totheapplicationissubjecttodenialoffederalbenefits, thatincludesFCCbenefits. Thankyou, AgencyAgreementDate:____20March2023_____________ Agreementisvalidfor12monthsfromtheabovedate. By: ___________________________MatthewGunawan__ (Signature)(Printname) HeadofLegal_(415)712-8643______________ (Title)(Telephone) Onbehalfof: _DecathlonAmericaLLC______ (CompanyName) Page1of1 DocuSign Envelope ID: B1E3467C-B9A8-4F44-89AA-3610D875CF4D
Date:____20March2023____ FederalCommunicationsCommission EquipmentAuthorizationBranch 7435OaklandMillsRoad,Columbia,MD21046,USA Subject:ConfidentialityRequestforFCCID:2A8UOW900 PursuanttoFCC47CRF0.457(d),theapplicantrequeststhatapartofthesubjectFCC/ICapplicationbeheldconfidential. TypeofConfidentialityRequestedExhibit ☐ShortTerm☒PermanentBlockDiagrams ☒ShortTermn/aExternalPhoto ☒ShortTerm☐PermanentInternalPhotos*** ☐ShortTerm☒PermanentOperationDescription/TheoryofOperation ☐ShortTerm☒PermanentSchematics ☒ShortTerm☐PermanentTestSetup*** ☐ShortTerm☐PermanentTune-UpProcedure ☒ShortTerm☐PermanentUser’sManual*** ☐ShortTerm☒PermanentPartList/AntennaConstruction DecathlonAmericaLLC hasspentsubstantialeffortindevelopingthisproductanditisoneofthefirstofitskindin industry.Havingthesubjectinformationeasilyavailableto"competition"wouldnegatetheadvantagetheyhaveachieved bydevelopingthisproduct.Notprotectingthedetailsofthedesignwillresultinfinancialhardship. PermanentConfidentiality: Theapplicantrequeststheexhibitslistedaboveaspermanentlyconfidentialbepermanentlywithheldfrompublicreview duetomaterialsthatcontaintradesecretsandproprietaryinformationnotcustomarilyreleasedtothepublic. (***ExceptionalcaseforPermanentConfidentialityfortheseExhibitsbyPAGonly) Short-TermConfidentiality: Theapplicantrequeststheexhibitsselectedaboveasshorttermconfidentialbewithheldfrompublicviewforaperiodof 180daysfromthedateoftheGrantofEquipmentAuthorizationandpriortomarketing.Thisistoavoidpremature releaseofsensitiveinformationpriortomarketingorreleaseoftheproducttothepublic.Applicantisalsoawarethat theyareresponsibletonotifyTUVRheinlandintheeventinformationregardingtheproductortheproductismade availabletothepublic.TUVRheinlandwillthenreleasethedocumentslistedaboveforpublicdisclosurepursuanttoFCC PublicNoticeDA04-1705. Sincerely, By:________________________________ _MatthewGunawan__ (Signature/Title)(Printname) Tel:(415)712-8643 Email:[email protected] MS-0044715Page1of1Revision1 DocuSign Envelope ID: B1E3467C-B9A8-4F44-89AA-3610D875CF4D Head of Legal
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W900 W900 W900 W900
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Safety Human Exposure 1.1 Radio Frequency Exposure Compliance 1.1.1 Electromagnetic Fields RESULT: Pass Test item : DOMYOS Fitness Treadmill Identification / Type No. : RUN100E 110V US CA Test standard : CFR47 FCC Part 2: Section 2.1093 CFR47 FCC Part 1: Section 1.1310 FCC KDB Publication 447498 D04 V01 RSS-102 Issue 5 February 2021 Product Classification This device defined as a transmitting device designed to be used in other than fixed locations and to generally be used in such a way that the RF source's radiating structure(s) is/are within 20 centimeters of the body of the user. Max -6.50 dBi Radio Frequency Exposure Limit For FCC: According to FCC KDB # 447498 D04 V01, Clause Appendix B.4 and 1.1307(b)(3)(i)(B) The available maximum time-averaged power or effective radiated power (ERP), whichever is greater, is less than or equal to the threshold P th (mW) described in the following formula. This method shall only be used at separation distances (cm) from 0.5 centimeters to 40 centimeters and at frequencies from 0.3 GHz to 6 GHz (inclusive). P th is given by: For IC: If the operating frequency of the device is between two frequencies located in Table 1, linear interpolation shall be applied for the applicable separation distance. EUT RF Exposure Evaluation a. Evaluation for Standalone Transmission Operation For FCC Mode Freq. [GHz] Maximum Conducted Peak Output Power [dBm] Antenna Gain [dBi] E.I.R.P [dBm] Maximum Conducted Peak Output Power [mW] d [cm] ERP20cm [mW] P th [mW] Bluetooth Classic (EW- BLED-26) 2.480 -0.3 -6.5 -6.8 0.93 0.5 3060 2.72 Bluetooth Low Energy (EW-BLED- 22) 2.402 2.3 -6.5 -4.2 1.70 0.5 3060 2.78 For IC Mode Maximum Conducted Peak Output Power [dBm] Antenna Gain [dBi] E.I.R.P [dBm] Maximum Conducted Peak Output Power [mW] Distance [mm] Limit [mW] Bluetooth Classic (EW-BLED-26) -0.3 -6.5 -6.8 0.93 5 4.62 Bluetooth Low Energy (EW-BLED-22) 2.3 -6.5 -4.2 1.70 5 3.94 Note: 1. Bluetooth(EW-BLED-26) RF Output Power refer to test report CN22TG87 001 2. Bluetooth(EW-BLED-22) RF Output Power refer to test report CN22Y9WY 001 b. Evaluation for Simultaneous Transmission Operation According to FCC KDB # 447498 D04 V01, Clause 2.2.2 and RSS-102 Issue 5, March 2015, Clause 3.1.2 Simultaneous Transmission Scenarios For FCC Mode P/ Pth SUM Limit Bluetooth Classic+ Bluetooth Low Energy EW-BLED-26 EW-BLED-22 0.95 1 0.34 0.61 For IC Mode P/ Pth SUM Limit Bluetooth Classic+ Bluetooth Low Energy EW-BLED-26 EW-BLED-22 0.63 1 0.20 0.43 Conclusion The distance 0.5cm was used to determine the SAR test exclusion. But the actually distance in normal using is larger than 0.5cm.So, the device is excluded for SAR test and complies with the FCC and IC exposure requirements.
ReportNo.:RFI-LAB-RF-202209-II17-1 QP030-E11 Page1of10 TestingReport CustomerName:ElectronicWayTechnologyCo.,Ltd ProductName:Bluetoothantenna SampleModel:EW-ANT-BT-01 ReferenceStandard:GB/T9410-2008;ANSI/IEEEStd149-1979 IssueDate:2022.9.27 Engineer:Date: Auditor:Date: Approver:Date: ReportNo.:RFI-LAB-RF-202209-II17-1 QP030-E11 Page2of10 Version VersionNo.DateDescriptionFormulateApproval A02022.9.27Forthefirsttime,formulateJacksonEason Contents 1.GeneralInformation.........................................................................................................................3 1.1Generalinformationoftestinginstitutions...........................................................................3 1.2Testingprinciple...................................................................................................................3 1.3Testequipment......................................................................................................................4 1.4Testenvironment...................................................................................................................4 1.5Statement..............................................................................................................................4 2.SampleInformation.........................................................................................................................5 2.1Clientinformation.................................................................................................................5 2.2DescriptionofEUT(S)..........................................................................................................5 2.3EUTappearance....................................................................................................................6 2.4DUTsetupphotooffreespaceOTAtesting........................................................................6 3.TestResults......................................................................................................................................7 3.1Teststandard.........................................................................................................................7 3.2Testuncertainty.....................................................................................................................7 3.3Testdata................................................................................................................................8 3.3.1S11parameters...........................................................................................................8 3.3.2VSWRdata................................................................................................................8 3.3.3Typicalfreespaceefficiencyandgain......................................................................8 3.3.4Typicalfreespaceradiationpattern...........................................................................9 (Thefollowingisblank)..............................................................................................................10 ReportNo.:RFI-LAB-RF-202209-II17-1 QP030-E11 Page3of10 1.GeneralInformation 1.1Generalinformationoftestinginstitutions Name ShenzhenRFI-LABCommunicationTechnologyCo.,Ltd. Address 10/FA,LingyunBld,LiufangRd,BaoanDistrict,SZ Tel 18675581971 E-mail [email protected] Equipment Alltheequipmentusedinthereportisfixedin 10/FA,LingyunBld,LiufangRd,BaoanDistrict,SZ 1.2Testingprinciple ReportNo.:RFI-LAB-RF-202209-II17-1 QP030-E11 Page4of10 1.3Testequipment EquipmentModelNo.SerialNo.Manufacturer Calibration date Next calibration date 16probe microwave chamber 3*3*2.5 RFI-LAB-RF -A00 SUNYIELD2021.3.152023.3.14 Network Analyzer E5071C RFI-LAB-RF -A02 Agilent 2022.5.132023.5.12 Network Analyzer E5071C RFI-LAB-RF -C02 KEYSIGHT2022.5.132023.5.12 1.4Testenvironment Temperature 24.3°C Humidity 59%RH Pressure 100.12kPa 1.5Statement (1)Thetestresultsinthereportareonlyapplicabletothetestedsamplesandthetestedsamples workundertheenvironmentdescribedinthereport. (2)OnlyShenzhenRFI-LABCommunicationTechnologyCo.,Ltd.havetherighttomodifythe report,andthemodificationinformationshallbeannotatedintherevisionform. (3)Anyobjectiontothisreportshallberaisedwithin30daysafterformalconfirmationofthe report. (4)Thisreportisinvalidifthereisanyevidencethatthesampleinformationprovidedisfalsified. (5)Thereportisinvalidwithoutthesignatureoftheauditorandapprover. ReportNo.:RFI-LAB-RF-202209-II17-1 QP030-E11 Page5of10 2.SampleInformation 2.1Clientinformation Name ElectronicWayTechnologyCo.,Ltd Address No.268,SouthJiguangRoad,QiandengTown,Kunshan,Jiangsu,P.R. Contacts / Tel / E-mail [email protected] 2.2DescriptionofEUT(S) ProductName Bluetoothantenna SampleModel EW-ANT-BT-01 Size / SerialNo. / TestItem VSWR;Antennagain;Efficiency;Radiationpattern FrequencyRange 2400-2500MHz ReceivedDate 2022.9.21 TestDate 2022.9.21 Remark ThelengthoftheRFcableis100mm ReportNo.:RFI-LAB-RF-202209-II17-1 QP030-E11 Page6of10 2.3EUTappearance 2.4DUTsetupphotooffreespaceOTAtesting Planform Frontview ReportNo.:RFI-LAB-RF-202209-II17-1 QP030-E11 Page7of10 3.TestResults 3.1Teststandard NameParameterMethodStandardno. Mobile communication antenna Antennagain Genericspecification forantennasusedinthe mobilecommunications GB/T 9410-2008 Radiationpattern VSWR Antenna Radiationefficiency IEEEStandardTest ProceduresforAntennas ANSI/IEEEStd 149-1979 Gainanddirectivity 3.2Testuncertainty TheuncertaintywascalculatedonthebasisoftheGUMpublishedbyISO,usingthe inclusionfactorofK=2andthe95%confidenceleveltoexpresstheextended uncertainty. ItemUncertainty VSWR±0.3 Antennagain ± 1dB Radiationefficiency±10% ReportNo.:RFI-LAB-RF-202209-II17-1 QP030-E11 Page8of10 3.3 Testdata 3.3.1S11parameters 3.3.2VSWRdata 3.3.3Typicalfreespaceefficiencyandgain Frequency/MHz 240024502500 VSWR 9.843310.07611.348 Frequency/MHz 24002410242024302440245024602470248024902500 PeakGain/dBi -6.53-6.5-6.79-6.66-6.89-6.92-7.04-6.95-6.93-6.99-7.2 Efficiency/% 4.774.714.504.…
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Prüfbericht - Produkte Test Report - Products Prüfbericht-Nr.: Test report no.: CN22TG87 001 Auftrags-Nr.: Order no.: 244417092 Seite 1 von 79 Page 1 of 79 Kunden-Referenz-Nr.: Client reference no.: P00645001 Auftragsdatum: Order date: 2022-11-11 Auftraggeber: Client: FCC: Decathlon America LLC 1160 Battery Street, Suite 100, San Francisco, CA 94111, United States IC: DECATHLON SE 4 Boulevard de Mons, VILLENEUVE D'ASCQ, 59650, France Prüfgegenstand: Test item: DOMYOS Fitness Treadmill Bezeichnung / Typ-Nr.: Identification / Type no.: W900 110V US CA FCC ID:2A8UOW900 IC:244468-W900 Auftrags-Inhalt: Order content: Complete test Prüfgrundlage: Test specification: FCC CFR47 Part 15, Subpart C Section 15.247 RSS-Gen Issue 5, Amendment 2, February 2021 RSS-247 Issue 2, February 2017 ANSI C63.10: 2013 Wareneingangsdatum: Date of sample receipt: 2022-11-08 Prüfmuster-Nr.: Test sample no: A003368355-001 Prüfzeitraum: Testing period: Refer to test report Ort der Prüfung: Place of testing: TÜV Rheinland (Shanghai) Co., Ltd. Prüflaboratorium: Testing laboratory: TÜV Rheinland (Shanghai) Co., Ltd. Prüfergebnis*: Test result*: Pass geprüft von: tested by: X Signed by: Yanli Fan genehmigt von: authorized by: X Signed by: Elliot Zhang Datum: Date: 2023-05-15 Ausstellungsdatum: Issue date: 2023-05-15 Stellung / Position: PE/Yanli Fan Stellung / Position: Reviewer/Elliot Zhang Sonstiges / Other: HVIN: W900 110V US CA Model code: 8405295 Conception code: 300689 Supplier name: Zhejiang Arcana Power Sports Supplier code: 46559 Test request no.: L074-03-2201-0003 Zustand des Prüfgegenstandes bei Anlieferung: Condition of the test item at delivery: Prüfmuster vollständig und unbeschädigt Test item complete and undamaged * Legende: P(ass) = entspricht o.g. Prüfgrundlage(n) F(ail) = entspricht nicht o.g. Prüfgrundlage(n) N/A = nicht anwendbar N/T = nicht getestet * Legend: P(ass) = passed a.m. test specification(s) F(ail) = failed a.m. test specification(s) N/A = not applicable N/T = not tested Dieser Prüfbericht bezieht sich nur auf das o.g. Prüfmuster und darf ohne Genehmigung der Prüfstelle nicht auszugsweise vervielfältigt werden. Dieser Bericht berechtigt nicht zur Verwendung eines Prüfzeichens. This test report only relates to the a. m. test sample. Without permission of the test center this test report is not permitted to be duplicated in extracts. This test report does not entitle to carry any test mark. TUV Rheinland (Shanghai) Co., Ltd. No.177, 178, Lane 777 W est Guangzhong Road, Jing'an District,Shanghai, China Mail: [email protected] · W eb: www.tuv.com Produkte Products Prüfbericht - Nr.: Test Report No. CN22TG87 001 Seite 2 von 79 Page 2 of 79 TEST SUMMARY 5.1.1 ANTENNA REQUIREMENT RESULT: Pass 5.1.2 20DB & 99% BANDWIDTH RESULT: Pass 5.1.3 PEAK OUTPUT POWER RESULT: Pass 5.1.4 FREQUENCY SEPARATION RESULT: Pass 5.1.5 NUMBER OF HOPPING FREQUENCY RESULT: Pass 5.1.6 TIME OF OCCUPANCY RESULT: Pass 5.1.7 CONDUCTED BAND EDGE AND OUT-OF BAND EMISSIONS RESULT: Pass 5.2.1 CONDUCTED EMISSION RESULT: Pass 5.3.1 RADIATED BAND-EDGE RESULT: Pass 5.3.2 RADIATED SPURIOUS EMISSION RESULT: Pass Produkte Products Prüfbericht - Nr.: Test Report No. CN22TG87 001 Seite 3 von 79 Page 3 of 79 Contents 1. GENERAL REMARKS ......................................................................................................... 4 1.1 COMPLEMENTARY MATERIALS .......................................................................................... 4 2. TEST SITES ...................................................................................................................... 4 2.1 TEST FACILITIES ............................................................................................................... 4 2.2 LIST OF TEST AND MEASUREMENT INSTRUMENTS ............................................................... 5 2.3 TRACEABILITY .................................................................................................................. 5 2.4 CALIBRATION ................................................................................................................... 5 2.5 MEASUREMENT UNCERTAINTY........................................................................................... 6 3. GENERAL PRODUCT INFORMATION .................................................................................... 7 3.1 PRODUCT FUNCTION AND INTENDED USE ........................................................................... 7 3.2 RATINGS AND SYSTEM DETAILS ........................................................................................ 7 3.3 INDEPENDENT OPERATION MODES .................................................................................... 8 3.4 NOISE GENERATING AND NOISE SUPPRESSING PARTS ....................................................... 8 3.5 SUBMITTED DOCUMENTS................................................................................................... 8 4. TEST SET-UP AND OPERATION MODES .............................................................................. 9 4.1 PRINCIPLE OF CONFIGURATION SELECTION ........................................................................ 9 4.2 TEST OPERATION AND TEST SOFTWARE ............................................................................ 9 4.3 SPECIAL ACCESSORIES AND AUXILIARY EQUIPMENT .......................................................... 9 4.4 COUNTERMEASURES TO ACHIEVE EMC COMPLIANCE ......................................................... 9 5. TEST RESULTS ............................................................................................................... 10 5.1 CONDUCTED TESTING AT ANTENNA PORT ........................................................................ 10 5.1.1 Antenna Requirement ............................................................................................................ 10 5.1.2 20dB & 99% Bandwidth .............................................................................…
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Test Setup Photos Conducted Test Setup Conducted Emission Test Setup Radiated Emission Test Setup 30MHz to 1GHz 1GHz to 18GHz 18GHz to 25GHz
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 2.40 GHz - 2.48 GHz | 933.00 µW |

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