
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
5 FCC statement: 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. 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 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. Changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment. Radiation Exposure Statement This device complies with FCC RF radiation exposure limits set forth for an uncontrolled environment. This transmitter must not be co-located or operating in conjunction with any other antenna or transmitter. During the operation of device a distance of 15 cm surrounding the device and 20 cm above the top surface of the device must be respected.
Adam Elements International Co., LTD. Add: 10F.-3, No.54, Songjiang Rd., Zhongshan Dist., Taipei City, Taiwan Date: 2021/1/8 FCC ID: 2ABY9OMNIA-QHOT Dear Sir/Madam, We, Adam Elements International Co., LTD. Hereby declares the following statement for Federal Communications Commission, PCB board, circuit, structure and internal of these model(s) are the same, Only model number is different for these model: Product name: Wireless Charging Cup Heater with adapter Model no.: OMNIA Q Hot, APAADQHOTUSGY Sincerely, Name/Title: Alan Chang/General Manager Company: Adam Elements International Co., LTD. Address: 10F.-3, No.54, Songjiang Rd., Zhongshan Dist., Taipei City, Taiwan Phone: +886-2-27389900 Fax: +886-2-27389922 E-Mail: [email protected]
CONFIDENTIALITY REQUEST for Certification Service in USA Federal Communication Commission Equipment Authorization Division, Application Processing Branch 7435 Oakland Mills Road Columbia, MD 21046 Date:<2021/1/8> Pursuant to Paragraphs §0.457 and 0.459 of the Commission’s Rules (47 C.F.R.) and Section §552(b)(4) of the Freedom of Information Act, we requests confidentiality for the following products: FCC ID Model name 2ABY9OMNIA-QHOT OMNIA Q Hot For the product stated above, we request that the following information be held confidential; Exhibits Long-Term Confidentiality Short-Term Confidentiality Short-Term Confidentiality Days External Photos Internal Photos Block Diagram Schematics Test Setup Photos User’s Manual Parts List Tune Up Operational Descriptions The long-term confidentiality exhibits contain our trade secrets and proprietary information that could be of benefit to our competitors. The short-term confidentiality on the basis of ensuring that business sensitive information remains confidential until the actual marketing of our new device. If you have any questions, please feel free to contact me at the address shown below. Sincerely, Name/Title: Alan Chang/General Manager Company: Adam Elements International Co., LTD. Address: 10F.-3, No.54, Songjiang Rd., Zhongshan Dist., Taipei City, Taiwan Phone: +886-2-27389900 Fax: +886-2-27389922 E-Mail: [email protected]
Adam Elements International Co., LTD. 10F.-3, No.54, Songjiang Rd., Zhongshan Dist., Taipei City, Taiwan Federal Communications Commission Authorization and Evaluation Division Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 2021/1/8 To whom it may concern: We, Adam Elements International Co., LTD. the undersigned, hereby authorize Eurofins Product Service GmbH to act on our behalf in all matters relating to applications for equipment authorization FCC ID: 2ABY9OMNIA-QHOT including the signing of all documents related to these matters. Any and all acts carried out by Eurofins Product Service GmbH on our behalf shall have the same effect as acts of our own. We also hereby certify that no party to this application is subject to a denial of benefits, including FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862. Sincerely, Name/Title: Alan Chang/General Manager Company: Adam Elements International Co., LTD. Address: 10F.-3, No.54, Songjiang Rd., Zhongshan Dist., Taipei City, Taiwan Phone: +886-2-27389900 Fax: +886-2-27389922 E-Mail: [email protected]
GTS202012000218 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 1 of 5 Product Name: Wireless Charging Cup Heater with adapter Test Model No.: OMNIA Q Hot EUT Constructional Details Photo 1 Photo 2 GTS202012000218 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 2 of 5 Photo 3 Photo 4 GTS202012000218 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 3 of 5 Photo 5 Photo 6
FCC ID Label FCC ID: 2ABY9OMNIA-QHOT ·
GTS202012000218 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 4 of 5 Photo 7 Photo 8 GTS202012000218 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 5 of 5 Photo 9 Photo 10 ------End------ Antenna
Global United Technology Services Co., Ltd. Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 1 of 6 Report No.: GTSL202012000218 RF Exposure Evaluation Applicant: Adam Elements International Co., LTD. Address of Applicant: 10F.-3, No.54, Songjiang Rd., Zhongshan Dist., Taipei City, Taiwan Manufacturer/Factory: Shenzhen Jizhitai Technology Co.,Ltd Address of Manufacturer/Factory: 3/F Block 37 & 1/F Block 38 Baotian Industry, Chentian Community, Xixiang Street, Bao’an District, Shenzhen, China. Equipment Under Test (EUT) Product Name: Wireless Charging Cup Heater with adapter Model No.: OMNIA Q Hot, APAADQHOTUSGY Test sample(s) ID: GTS202012000218-1 Sample(s) Status Engineer sample Modulation type: MSK Antenna Type: Inductive loop coil Antenna Antenna gain: 0dBi Power supply: 5V,9V,12V 2A,1.67A,1.5A 15W FCC ID: 2ABY9OMNIA-QHOT Applicable standards: KDB 680106 D01 RF Exposure Wireless Charging Apps v03 Date of sample receipt: 2020-11-23 Date of Test: 2020-11-23~2020-12-15 Date of report issued: 2020-12-21 Global United Technology Services Co., Ltd. Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 2 of 6 1 Measuring Standard KDB 680106 D01 RF Exposure Wireless Charging Apps v03 2 Requirements According to the item 5 of KDB 680106 D01v03: Inductive wireless power transfer applications that meet all of the following requirements are excluded from submitting an RF exposure evaluation. (1) Power transfer frequency is less than 1MHz. The device operate in the frequency range 110KHz~205KHz. (2) Output power from each primary coil is less than or equal to 15 watts. The maximum output power for each primary coil is 15W. (3) The transfer system includes only single primary and secondary coils. This includes charging systems that may have multiple primary coils and clients that are able to detect and allow coupling only between individual pairs of coils. The transfer system includes 1 primary coils. (4) Client device is placed directly in contact with the transmitter. Client device is placed directly in contact with the transmitter (5) Mobile exposure conditions only (portable exposure conditions are not covered by this exclusion). Mobile exposure conditions only (6) The aggregate H-field strengths at 15 cm surrounding the device and 20 cm above the top surface from all simultaneous transmitting coils are demonstrated to be less than 50% of the MPE limit. The EUT H-field strengths at 15 cm surrounding the device and 20 cm above the top surface from all simultaneous transmitting coils are demonstrated to be less than 50% of the MPE limit. Remark: Meet all the above requirements. Limits The criteria listed in the following table shall be used to evaluate the environment impact of human exposure to radio frequency (RF) radiation as specified in 1.1307(b) Limits for Maximum Permissible Exposure (MPE) Global United Technology Services Co., Ltd. Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 3 of 6 3 Test Setup 4 Test Procedure 1) The RF exposure test was performed in anechoic chamber. 2) The measurement probe was placed at test distance (15 cm from all sides and 20 cm from the top) which is between the edge of the charger and the geometric center of probe. 3) The highest emission level was recorded and compared with limit as soon as measurement of each points (A, B, C, D, E) were completed. 4) The EUT was measured according to the dictates of KDB 680106 D01v03. Remark:The EUT’s test position A, B, C, D and E is valid for the E and H field measurements. 5 Test Instruments list Test Equipment Manufacturer Model No. SN. Cal.Date (mm-dd-yy) Cal.Due date (mm-dd-yy) Exposure Level Tester Narda ELT-400 N-0231 June. 25 2020 June. 24 2021 Magnetic field probe 100cm 2 Narda ELT probe 100cm 2 M0675 June. 25 2020 June. 24 2021 6 Test Support Equipment list Equipment Manufacturer Model No. SN. Remark Adapter Salcom V2323 N/A N/A Mobile phone Huawei Mate 30 N/A N/A Mobile phone Apple iphone X N/A N/A Global United Technology Services Co., Ltd. Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 4 of 6 7 Test Facility The test facility is recognized, certified, or accredited by the following organizations: ● FCC —Registration No.: 381383 Global United Technology Services Co., Ltd., Shenzhen EMC Laboratory has been registered and fully described in a report filed with the (FCC) Federal Communications Commission. The acceptance letter from the FCC is maintained in files. Registration 381383. ● IC —Registration No.: 9079A The 3m Semi-anechoic chamber of Global United Technology Services Co., Ltd. has been registered by Certification and Engineering Bureau of Industry Canada for radio equipment testing with Registration No.: 9079A ● NVLAP (LAB CODE:600179-0) Global United Technology Services Co., Ltd., is accredited by the National Voluntary Laboratory Accreditation Program (NVLAP). LAB CODE:600179-0 8 Test Result H-Filed Strength at 15 cm from the edges surrounding the EUT (A/m) Test Mod e Unit Charging Battery Level Frequenc y Range (MHz) Test Position A Test Position B Test Position C Test Position D Test Position E 50% Limits (A/m) Limits (A/m) Mate 30 uT 1% 0.110-0.2 05 0.30 0.29 0.33 0.19 0.30 -- -- A/m 0.24 0.23 0.26 0…
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Global United Technology Services Co., Ltd. Report No.: GTSL202012000218F01 Authorized Signature: Robinson Luo Laboratory Manager This results shown in this test report refer only to the sample(s) tested, this test report cannot be reproduced, except in full, without prior written permission of the company. The report would be invalid without specific stamp of test institute and the signatures of compiler and approver. Page 1 of 21 TEST REPORT Applicant: Adam Elements International Co., LTD. Address of Applicant: 10F.-3, No.54, Songjiang Rd., Zhongshan Dist., Taipei City, Taiwan Manufacturer/Factory: Shenzhen Jizhitai Technology Co.,Ltd Address of Manufacturer/Factory: 3/F Block 37 & 1/F Block 38 Baotian Industry, Chentian Community, Xixiang Street, Bao’an District, Shenzhen, China. Equipment Under Test (EUT) Product Name: Wireless Charging Cup Heater with adapter Model No.: OMNIA Q Hot, APAADQHOTUSGY FCC ID: 2ABY9OMNIA-QHOT Applicable standards: FCC CFR Title 47 Part 15 Subpart C Date of sample receipt: 2020-11-23 Date of Test: 2020-11-23~2020-12-15 Date of report issued: 2020-12-21 Test Result : PASS * * In the configuration tested, the EUT complied with the standards specified above. Report No.: GTSL202012000218F01 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 2 of 21 2 Version Version No. Date Description 00 2020-12-21 Original Prepared By: Date: 2020-12-21 Tested/Project Engineer Check By: Date: 2020-12-21 Reviewer Report No.: GTSL202012000218F01 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 3 of 21 3 Contents Page 1 COVER PAGE .............................................................................................................................................1 2 VERSION ...................................................................................................................................................2 3 CONTENTS ...............................................................................................................................................3 4 TEST SUMMARY ......................................................................................................................................4 4.1 MEASUREMENT UNCERTAINTY .............................................................................................................4 5 GENERAL INFORMATION .......................................................................................................................5 5.1 GENERAL DESCRIPTION OF EUT ..........................................................................................................5 5.2 TEST MODE .........................................................................................................................................6 5.3 DESCRIPTION OF SUPPORT UNITS ........................................................................................................6 5.4 TEST FACILITY ....................................................................................................................................6 5.5 TEST LOCATION ..................................................................................................................................6 5.6 OTHER INFORMATION REQUESTED BY THE CUSTOMER ..........................................................................6 6 TEST INSTRUMENTS LIST ......................................................................................................................7 7 TEST RESULTS AND MEASUREMENT DATA .......................................................................................9 7.1 ANTENNA REQUIREMENT: .....................................................................................................................9 7.2 CONDUCTED EMISSIONS ....................................................................................................................10 7.3 SPURIOUS EMISSION .........................................................................................................................13 7.4 20DB OCCUPY BANDWIDTH ...............................................................................................................20 8 TEST SETUP PHOTO .............................................................................................................................21 9 EUT CONSTRUCTIONAL DETAILS .......................................................................................................21 Report No.: GTSL202012000218F01 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 4 of 21 4 Test Summary Test Item Section in CFR 47 Result Antenna requirement 15.203 Pass AC Power Line Conducted Emission 15.207 Pass Spurious Emission 15.209(a)(f) Pass 20dB Bandwidth 15.215 Pass Pass: The EUT complies with the essential requirements in the standard. 4.1 Measurement Uncertainty Test Item Frequency Range Measurement Uncertainty Notes Radiated Emission 30MHz-200MHz 3.8039dB (1) Radiated Emission 200MHz-1GHz 3.9679dB (1) Radiated Emission 1GHz-18GHz 4.29dB (1) Radiated Emission 18GHz-40GHz 3.30dB (1) AC Power Line Conducted Emission 0.15MHz ~ 30MHz 3.44dB (1) Note (1): The measurement uncertainty is for coverage factor of k=2 and a level of confidence of 95%. Report No.: GTSL202012000218F01 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, …
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GTSL202012000218 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 1 of 2 Product Name: Wireless Charging Cup Heater with adapter Test Model No.: OMNIA Q Hot Test Setup Photo Radiated Emission GTSL202012000218 Global United Technology Services Co., Ltd. No. 123-128, Tower A, Jinyuan Business Building, No.2, Laodong Industrial Zone, Xixiang Road, Baoan District, Shenzhen, Guangdong, China 518102 Telephone: +86 (0) 755 2779 8480 Fax: +86 (0) 755 2779 8960 Page 2 of 2 Conducted Emission ------End------
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 0.11 MHz - 0.205 MHz | - |

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