
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
ShenZhen Zhongyi Technology CO., Ltd. 2.911 (d)(5)(i) Equipment Type Attestation v1.2 Section 2.911(d)(5)(i) Certification – Equipment Type Company name: ShenZhen Zhongyi Technology CO., Ltd. Address: Room 401, No.4 Road One, Shangxue Science and Technology City, Xinxue Community, Bantian Street, Longgang District, Shenzhen, China Product Name: FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger FCC ID: 2A9Q9-M2012Q-A Model(s): EPB-FS23, M2012Q-A 2.911(d)(5)(i) Equipment Type We, [ShenZhen Zhongyi Technology CO., Ltd.] (“the applicant”) certify that the equipment for which authorization is sought through certification is not: Prohibited from receiving an equipment authorization pursuant to § 2.903; of the FCC rules. Identified as an equipment type in the “Covered List” NOTE 1 Yours sincerely, Name: Merry Yu Date: Sept. 19, 2023 Title: Manager Company name: ShenZhen Zhongyi Technology CO., Ltd. Signature: NOTE 1 “Covered List ”; is the List of Equipment and Services Covered By Section 2 of The Secure Networks Act, available at https://www.fcc.gov/supplychain/coveredlist References; 1) 986446 D01 Covered Equipment v01 https://apps.fcc.gov/oetcf/kdb/forms/FTSSearchResultPage.cfm?switch=P&id=325672 2) Federal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-national-security-threats-to-the-com munications-supply-chain-through-the
ShenZhen Zhongyi Technology CO., Ltd. 2.911 (d)(5)(ii) Applicant Attestation v1.3 Section 2.911(d)(5)(ii) Certification – Applicant (Covered List ) Company name: ShenZhen Zhongyi Technology CO., Ltd. Address: Room 401, No.4 Road One, Shangxue Science and Technology City, Xinxue Community, Bantian Street, Longgang District, Shenzhen, China Product Name: FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger FCC ID: 2A9Q9-M2012Q-A Model(s): EPB-FS23, M2012Q-A 2.911(d)(5)(ii) Applicant filing We, [ShenZhen Zhongyi Technology CO., Ltd.] (“the applicant”) certify that, as of the date of the filing of the application, the applicant is not identified NOTE 1 on the “Covered List” NOTE 2 ,established pursuant to §1.50002 of this chapter, as an entity producing covered communications equipment. Yours sincerely, Name: Merry Yu Date: Sept. 19, 2023 Title: Manager Company name: ShenZhen Zhongyi Technology CO., Ltd. Signature: NOTE 1 Delete option not applicable to this application. NOTE 2 “Covered List ”; is the List of Equipment and Services Covered By Section 2 of The Secure Networks Act, available at https://www.fcc.gov/supplychain/coveredlist References; 1) 986446 D01 Covered Equipment v01 https://apps.fcc.gov/oetcf/kdb/forms/FTSSearchResultPage.cfm?switch=P&id=325672 2) Federal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-national-security-threats-to-the-com munications-supply-chain-through-the
ShenZhenZhongyiTechnologyCO.,Ltd. 2.911(d)(7)USAAgentv1.3 Section2.911(d)(7)USAAgentforServiceofProcess Companyname:ShenZhenZhongyiTechnologyCO.,Ltd. Address:Room401,No.4RoadOne,ShangxueScienceandTechnologyCity,Xinxue Community,BantianStreet,LonggangDistrict,Shenzhen,China ProductName:FSCBamboo5000mAhDualPortPowerBankwithWirelessCharger FCCID:2A9Q9-M2012Q-A Model(s):EPB-FS23,M2012Q-A 2.911(d)(7)USADesignatedAgentforServiceofProcess We,[ShenZhenZhongyiTechnologyCO.,Ltd.](“theapplicant”)designate[USA MEIHUATRADINGINC] NOTE1 forthepurposeofacceptingserviceofprocesson behalfoftheapplicant. Applicantconsent:WeAcknowledgeourconsenttoacceptserviceofprocessinthe UnitedStatesformattersrelatedtotheapplicableequipment,andatthephysicalU.S. addressandemailaddressofthedesignatedagentandacknowledgeour acceptanceofourobligationtomaintainanagentforserviceofprocessintheUnited Statesfornolessthanoneyearaftereitherthegranteehaspermanentlyterminated allmarketingandimportationoftheapplicableequipmentwithintheU.S.,orthe conclusionofanyCommission-relatedadministrativeorjudicialproceedinginvolving theequipment,whicheverislater. Agentobligation:WeAcknowledgeourobligationtoacceptserviceofprocessinthe UnitedStatesformattersrelatedtotheapplicableequipmentatourphysicalU.S. addressandemailaddressfornolessthanoneyearaftereitherthegranteehas permanentlyterminatedallmarketingandimportationoftheapplicableequipment withintheU.S.,ortheconclusionofanyCommission-relatedadministrativeorjudicial proceedinginvolvingtheequipment,whicheverislater. ShenZhenZhongyiTechnologyCO.,Ltd. 2.911(d)(7)USAAgentv1.3 USAAgent Companyname:USAMEIHUATRADING INC Address:5379PineValleyCtBoulder,CO 80301UnitedStates FCCRegistrationNumber(FRN): 0033406166 ContactName:HarleyQuinn TelephoneNo:(312)363-9424 Email:[email protected] Applicant Companyname:ShenZhenZhongyi TechnologyCO.,Ltd. Address:Room401,No.4RoadOne, ShangxueScienceandTechnologyCity, XinxueCommunity,BantianStreet, LonggangDistrict,Shenzhen,China FCCGranteeCode:2A9Q9 ContactName:MerryYu TelephoneNo:0755-89501773 Email:[email protected] Signature: Title:Manager Signature: Title:Manager Date:Sept.12,2023Date:Sept.12,2023 NOTE1:AnapplicantlocatedintheUnitedStatesmaydesignateitselfastheagentforservice ofprocess. Reference;FederalRegisterdocument2022-28263publishedon02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-nation al-security-threats-to-the-communications-supply-chain-through-the
ShenZhen Zhongyi Technology CO., Ltd. Agent Authorization Company: ShenZhen Zhongyi Technology CO., Ltd. Address: Room 401, No.4 Road One, Shangxue Science and Technology City, Xinxue Community, Bantian Street, Longgang District, Shenzhen, China Product Name: FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger Model Number(s): EPB-FS23, M2012Q-A Product Description: FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger We authorize MiCOM Labs Inc., 575 Boulder Court, Pleasanton, California 94566, USA, to act on our behalf on all matters concerning the certification of above named equipment. We declare that MiCOM Labs Inc. is allowed to forward all information related to the approval and certification of equipment to the regulatory agencies as required and to discuss any issues concerning the approval application. Any and all acts carried out by MiCOM Labs on our behalf shall have the same effect as acts of our own. Signature: Date: Sept. 19, 2023 Name: Merry Yu Title: Manager Company: ShenZhen Zhongyi Technology CO., Ltd.
ShenZhen Zhongyi Technology CO., Ltd. Office of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Date: Sept. 19, 2023 Subject; Request for Confidentiality FCC ID: 2A9Q9-M2012Q-A 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 Parts List 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: Merry Yu Title: Manager
ShenZhen Zhongyi Technology CO., Ltd. Model Difference Declaration To Whom It May Concern, We, ShenZhen Zhongyi Technology CO., Ltd.( FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger) ; Model Number: EPB-FS23, M2012Q-A; All model’s the function, software and electric circuit are the same, only with a product model named different. Test sample model: EPB-FS23. Please contact me if you have any question. Signature: Date: Sept. 19, 2023 Name: Merry Yu Title: Manager
Annex A External Photos Report No.: HK2308283973-1E/2E Page 1 of 4 Report No.: HK2308283973-1E/2E Page 2 of 4 Report No.: HK2308283973-1E/2E Page 3 of 4 Report No.: HK2308283973-1E/2E Page 4 of 4
FCC ID LABEL: Ca. 10mm x 20mm Label Location FCC ID: 2A9Q9-M2012Q-A
Annex B Internal Photo Report No.: HK2308283973-1E/2E Page 1 of 4 \ Report No.: HK2308283973-1E/2E Page 2 of 4 Antenna Report No.: HK2308283973-1E/2E Page 3 of 4 Report No.: HK2308283973-1E/2E Page 4 of 4
Page 1 of 16 Report No.: HK2308283973-2E FCC Test Report Test Report On Behalf of ShenZhen Zhongyi Technology CO., Ltd. For FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger Model No.: EPB-FS23, M2012Q-A FCC ID: 2A9Q9-M2012Q-A Prepared For: ShenZhen Zhongyi Technology CO., Ltd. Room 401, No.4 Road One, Shangxue Science and Technology City, Xinxue Community, Bantian Street, Longgang District, Shenzhen, China Prepared By: Shenzhen HUAK Testing Technology Co., Ltd. 1-2/F., Building B2, Junfeng Zhongcheng Zhizao Innovation Park, Heping, Fuhai Street, Bao’an District, Shenzhen, Guangdong, China Date of Test: Aug. 28, 2023 ~ Sept. 12, 2023 Date of Report: Sept. 12, 2023 Report Number: HK2308283973-2E Page 2 of 16 Report No.: HK2308283973-2E Test Result Certification Applicant’s Name ................. : ShenZhen Zhongyi Technology CO., Ltd. Address.................................. : Room 401, No.4 Road One, Shangxue Science and Technology City, Xinxue Community, Bantian Street, Longgang District, Shenzhen, China Manufacture's Name ............ : ShenZhen Zhongyi Technology CO., Ltd. Address.................................. : Room 401, No.4 Road One, Shangxue Science and Technology City, Xinxue Community, Bantian Street, Longgang District, Shenzhen, China Product Description Trade Mark ................................ : N/A Product Name ........................... : FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger Model and/or Type Reference: EPB-FS23, M2012Q-A Standards ............................. : FCC CFR 47 PART 18, KDB 680106 D01 This publication may be reproduced in whole or in part for non-commercial purposes as long as the Shenzhen HUAK Testing Technology Co., Ltd. is acknowledged as copyright owner and source of the material. Shenzhen HUAK Testing Technology Co., Ltd. takes no responsibility for and will not assume liability for damages resulting from the reader's interpretation of the reproduced material due to its placement and context. Date of Test ............................................ : Date (s) of Performance of Tests ............ : Aug. 28, 2023 ~ Sept. 12, 2023 Date of Issue ........................................... : Sept. 12, 2023 Test Result ............................................... : Pass Testing Engineer : (Gary Qian) Technical Manager : (Eden Hu) Authorized Signatory : (Jason Zhou) Page 3 of 16 Report No.: HK2308283973-2E Note: 1. For a more detailed features description, please refer to the manufacturer’s specifications or the User's Manual. 2. Frequency Band: 112-205KHz Channel List Channel Frequency (KHz) Channel Frequency (MHz) Channel Frequency (MHz) Channel Frequency (MHz) 01 129 The EUT antenna is Coil Antenna. No antenna other than that furnished by the responsible party shall be used with the device. 2. Summary of Test Results 2.1. Test procedures according to the technical standards: FCC KDB 680106 D01 RF Exposure Wireless Charging Apps v03r01 FCC CFR 47 Standard Section Test Item Judgment Remark FCC CFR 47 part1, 1.1310 KDB 680106 D01v03r01 (3)(3) Magnetic Field Strength (H) (A/m) PASS 2.2. Measurement Uncertainty The reported uncertainty of measurement y ±U, where expended uncertainty U is based on a standard uncertainty multiplied by a coverage factor of k=2, providing a level of confidence of approximately 95 %. No. Item Uncertainty 1 All Emissions, Radiated(<30M)(9KHz-30MHz) ±3.90dB 2 Temperature ±0.5°C 3 Humidity ±2% Page 4 of 16 Report No.: HK2308283973-2E 2.3. Test Instruments Description Brand Model No. S/N Calibrated Date Calibrated Until Electric and Magnetic Field Analyzer narda EHP-200AC180ZX11028 Feb. 17, 2023 Feb. 16, 2024 NOTE: 1. the calibration interval of the above test instruments is 12 months. 2.4. Test Mode Test Item Te s t mode Description MPE test cases Mode 1AC/DC Adapter+ EUT + Mobile Phone (Battery Status: <1%) Mode 2AC/DC Adapter+ EUT + Mobile Phone (Battery Status: <50%) Mode 3AC/DC Adapter+ EUT + Mobile Phone (Battery Status: <100%) Mode 4EUT + Mobile Phone (Battery Status: <1%) Mode 5EUT + Mobile Phone (Battery Status: <50%) Mode 6EUT + Mobile Phone (Battery Status: <100%) Note: 1. For Radiated Emission, 3axis were chosen for testing for each applicable mode. 2. The Mobile Phone provided by Lab. 3. According to the manufacturer's design principle, the wireless charging power will reach its maximum when the client device's battery level is between 1% and 10%. Page 5 of 16 Report No.: HK2308283973-2E 3. Maximum Permissible Exposure Limit of Maximum Permissible Exposure Limits for Occupational / Controlled Exposure Frequency Range (MHz) Electric Field Strength (E) (V/m) Magnetic Field Strength (H) (A/m) Power Density (S) (mW/ cm²) Averaging Time |E|²,|H|² or S (minutes) 0.3-3.0 614 1.63 (100)* 6 3.0-30 1842 / f 4.89 / f (900 / f)* 6 30-300 61.4 0.163 1.0 6 300-1500 F/300 6 1500-100,000 5 6 Limits for General Population / Uncontrolled Exposure Frequency Range (MHz) Electric Field Strength (E) (V/m) Magnetic Field Strength (H) (A/m) Power Density (S) (mW/ cm²) Averaging Time |E|²,|H|² or S (minutes) 0.3-1.34 614 1.63 (100)* 30 1.34-30 824/f 2.19/f (180 / f)* 30 30-300 27.5 0.073 0.2 30 300-1500 F/1500 30 1500-100,000 1 30 Note 1: f = frequency in MHz; *Plane-wave equivalent power density. Note 2: For the applicable limit, see FCC 1.1310, 680106 D01 RF Exposure Wireless Charging Apps v03. Note 3: Emissions between 100 kHz to 300 kHz should be assessed versus the limits at 300 kHz in Table 1 of Section 1.1310: 614 V/m and 1.63A/m. A KDB inquiry is required to determine the applicable exposure limits below 100 kHz. Page 6 of 16 Report No.: HK2308283973-2E 4. Test Procedure a. For devices designed for typical desktop applications, such a wireless charging pads, RF exposure evaluation should be conducted assuming a user separation distance of (AC Mode: H-field & E- field strengths for all sides is 15cm, H-field strengths of top side is 20cm) and (DC Mode: H-field & E- field strengths for all sides is…
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Page 1 of 24 Report No.: HK2308283973-1E FCC Test Report Test Report On Behalf of ShenZhen Zhongyi Technology CO., Ltd. For FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger Model No.: EPB-FS23, M2012Q-A FCC ID: 2A9Q9-M2012Q-A Prepared For: ShenZhen Zhongyi Technology CO., Ltd. Room 401, No.4 Road One, Shangxue Science and Technology City, Xinxue Community, Bantian Street, Longgang District, Shenzhen, China Prepared By: Shenzhen HUAK Testing Technology Co., Ltd. 1-2/F., Building B2, Junfeng Zhongcheng Zhizao Innovation Park, Heping, Fuhai Street, Bao’an District, Shenzhen, Guangdong, China Date of Test: Aug. 28, 2023 ~ Sept. 12, 2023 Date of Report: Sept. 12, 2023 Report Number: HK2308283973-1E Page 2 of 24 Report No.: HK2308283973-1E Test Result Certification Applicant’s Name ................. : ShenZhen Zhongyi Technology CO., Ltd. Address.................................. : Room 401, No.4 Road One, Shangxue Science and Technology City, Xinxue Community, Bantian Street, Longgang District, Shenzhen, China Manufacture's Name ............ : ShenZhen Zhongyi Technology CO., Ltd. Address.................................. : Room 401, No.4 Road One, Shangxue Science and Technology City, Xinxue Community, Bantian Street, Longgang District, Shenzhen, China Product Description Trade Mark ................................ : N/A Product Name ........................... : FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger Model and/or Type Reference: EPB-FS23, M2012Q-A Standards ............................. : FCC CFR 47 PART 18 This publication may be reproduced in whole or in part for non-commercial purposes as long as the Shenzhen HUAK Testing Technology Co., Ltd. is acknowledged as copyright owner and source of the material. Shenzhen HUAK Testing Technology Co., Ltd. takes no responsibility for and will not assume liability for damages resulting from the reader's interpretation of the reproduced material due to its placement and context. Date of Test ............................................ : Date (s) of Performance of Tests ............ : Aug. 28, 2023 ~ Sept. 12, 2023 Date of Issue ........................................... : Sept. 12, 2023 Test Result ............................................... : Pass Testing Engineer : (Gary Qian) Technical Manager : (Eden Hu) Authorized Signatory : (Jason Zhou) Page 3 of 24 Report No.: HK2308283973-1E Table of Contents Page 1 . Test Summary 5 1.1 . Test Procedures and Results 5 1.2 . Information of the Test Laboratory 5 1.3 . Measurement Uncertainty 5 2. General Information 6 2.1. General Description of EUT 6 2.2. Carrier Frequency of Channels 7 2.3. Operation of EUT during Testing 7 2.4. Description of Test Setup 8 2.5. Description of Support Units 9 2.6. Measurement Instruments List 10 3. Conducted Emission Test 11 3.1. Block Diagram of Test Setup 11 3.2. Conducted Power Line Emission Limit 11 3.3. Test Procedure 11 3.4. Test Result 12 4. Radiated Emissions 14 4.1. Block Diagram of Test Setup 14 4.2. Rules and Specifications 15 4.3. Test Procedure 15 4.4. Test Result 16 5. Antenna Requirement 20 6. Photograph of Test 21 7. Photos of the EUT 24 Page 4 of 24 Report No.: HK2308283973-1E ** Modified History ** Revision Description Issued Data Remark Revision 1.0 Initial Test Report Release Sept. 12, 2023 Jason Zhou Page 5 of 24 Report No.: HK2308283973-1E 1. Test Summary 1.1. Test Procedures and Results Description of Test Section Number Result Conducted Emissions Test 18.307 COMPLIANT Radiated Emission Test 18.305 COMPLIANT Note: 1. PASS: Test item meets the requirement. 2. Fail: Test item does not meet the requirement. 3. N/A: Test case does not apply to the test object. 4. The test result judgment is decided by the limit of test standard. 1.2. Information of the Test Laboratory Shenzhen HUAK Testing Technology Co., Ltd. Add.: 1-2/F., Building B2, Junfeng Zhongcheng Zhizao Innovation Park, Heping, Fuhai Street, Bao’an District, Shenzhen, Guangdong, China Testing Laboratory Authorization: A2LA Accreditation Code is 4781.01. FCC Designation Number is CN1229. Canada IC CAB identifier is CN0045. CNAS Registration Number is L9589. 1.3. Measurement Uncertainty Measurement Uncertainty Conducted Emission Expanded Uncertainty =2.71dB, k=2 Radiated emission expanded uncertainty(9kHz-30MHz) = 3.90dB, k=2 Radiated emission expanded uncertainty(30MHz-1000MHz)= 3.90dB, k=2 Radiated emission expanded uncertainty(Above 1GHz) = 4.28dB, k=2 Page 6 of 24 Report No.: HK2308283973-1E 2. General Information 2.1. General Description of EUT Equipment: FSC Bamboo 5000mAh Dual Port Power Bank with Wireless Charger Model Name: EPB-FS23 Series Models: M2012Q-A Model Difference: All model’s the function, software and electric circuit are the same, only with a product model named different. Test sample mode: EPB-FS23. Trade Mark: N/A FCC ID: 2A9Q9-M2012Q-A Antenna Type: Coil Antenna Antenna Gain: 0dBi Operation Frequency: 112KHz~205KHz Test Frequency: 129KHz Number of Channels: 1 Modulation Type: ASK Power Source: USB-C Input / Output: DC 5V/2A USB Output: DC 5V/2A Wireless Output: 5W Battery Capacity: 5000mAh/3.7V, 18.5Wh Power Rating: USB-C Input / Output: DC 5V/2A USB Output: DC 5V/2A Wireless Output: 5W Battery Capacity: 5000mAh/3.7V, 18.5Wh Page 7 of 24 Report No.: HK2308283973-1E 2.2. Carrier Frequency of Channels Operation Frequency each of channel Channel Frequency 01 129KHz 2.3. Operation of EUT during Testing Test Item Test mode Description Radiated & Conducted test cases Mode 1AC/DC Adapter+ EUT +Wireless load (Full Load) Mode 2AC/DC Adapter+ EUT +Wireless load (Half Load) Mode 3AC/DC Adapter+ EUT +Wireless load (Null Load) Mode 4EUT +Wireless load (Full Load) Mode 5EUT +Wireless load (Half Load) Mode 6EUT +Wireless load (Null Load) Note: 1. All modes and configurations above have been tested, Only the result of the worst case was recorded in the report, the worst-case configuration is Mode 1. 2. For Radiated Emission, 3axis were chosen for tes…
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Radiated Emission AC Mode: DC Mode: Conducted Emission
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 18 | 0.112 MHz - 0.205 MHz | - |

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