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  3. 2AEIM-TAG555Q

2AEIM-TAG555Q5G NR Module

Tesla, Inc

Application Details

Equipment Class
PCB - PCS Licensed Transmitter
Date of Grant
Sep 12, 2024
Application Purpose
Original Equipment
Date of Application
Sep 11, 2024
Equipment Note
5G NR Module
Frequency Range
3750.00000000 - 3750.00000000
Company
Tesla, Inc
Country
United States

Documents & Files

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Attestation Statements

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Cover Letter(s)

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ID Label/Location Info

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RF Exposure Info

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Test Report

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Document Text

Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.

Attestation Statements

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 Tesla, Inc Address 3500 Deer Creek Road, Palo Alto, CA 94 304 USA FRN 0020169504 Grantee Code 2AEIM FCC ID 2AEIM-TAG555Q Authorized Contact Name Peng Zhang Contact Email [email protected] Contact Phone +1 510 213 1367 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 i n 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 ensur e 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 so ftware 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: ht tps://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 [TESLA 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. [TESLA 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: July 26, 2024 Print Name: Peng Zhang Title: Sr Staff Certification Engineer *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database

Attestation Statements

Rev 1/26/2023 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA Date: August 12, 2024 Ref: Attestation Statements Part 2 .911(d)(7) Filing FCC ID or Grantee Code: 2AEIM-TAG555Q [Tesla, Inc] (“the applicant”) certifies that, as of the date of the filing of the application, we designate ourselves as the U.S. agent for service of process. Designated U.S. Agent Information: FRN : 0020169504 Name: Tesla, Inc Address: 3500 Deer Cr eek Rd, Pal o Alto, CA 94304 USA Contact Pe rson: Peng Zhang Tel. : +1 510 213 1367 Email : [email protected] Sincerely, Name (Printed): Peng Zhang Title: Sr Staff Certification Engineer Signature:

Cover Letter(s)

Tesla, Inc Cover Letter-Modular Approval FCC ID: 2AEIM-TAG555Q Date: 2024-07- 26 Gentlemen: There’s a Module that would like to have your authorization as a modular approval. The specific product as below, Module with its designed features and specified description, meets special requirements for Full modular approval on FCC KDB996369 by cross-reference list below. Company Tesla, Inc Model Name 5G NR Module Model Number TAG555Q-GL FCC ID 2AEIM-TAG555Q Requirement of FCC KDB996369 Comply(Y/N) 1. The modular transmitter must have its own RF shielding.Y The EUT provides the RF shielding. See EUT photo. 2. The modular transmitter must have buffered modulation/data inputs (if such inputs are provided) to ensure that the module will comply with Part 15 requirements under conditions of excessive data rates or over-modulation. Y The EUT has its buffered modulation. Please see the Schematic Diagram. 3. The modular transmitter must have its own power supply regulation. Y The EUT has its own power supply regulation, please see the Schematic Diagram. 4. The modular transmitter must comply with the antenna and transmission system requirements of Sections 15.203, 15.204(b) and 15.204(c). The antenna must either be permanently attached or employ a “unique” antenna coupler (at all connections between the module and the antenna, including the cable). The “professional installation” provision of Section 15.203 is not applicable to modules but can apply to limited modular approvals under paragraph (b) of this section. Y The EUT meets the FCC antenna requirements. 5. The modular transmitter must be tested in a stand -alone configuration, i.e., the module must not be inside another device during testing. Y The EUT was tested with a test board, Please see test report and setup photo 6. The modular transmitter must be labeled with its own FCC ID number, and, if the FCC ID is not visible when the module is installed inside another device, then the outside of the device into which the module is installed must also display a label referring to the enclosed module. This exterior label can use wording such as the following: “Contains Transmitter Module Y Please see exhibition label sample for the FCC ID of this module. And also in the exhibition User manual, there are instructions give to the OEM on how to label the end product. FCC ID: 2AEIM-TAG555Q” or “Contains FCC ID: 2AEIM-TAG555Q” Any similar wording that expresses the same meaning may be used. The Grantee may either provide such a label, an example of which must be included in the application for equipment authorization, or, must provide adequate instructions along with the module which explain this requirement. In the latter case, a copy of these instructions must be included in the application for equipment authorization. 7. The modular transmitter must comply with any specific rule or operating requirements applicable to the transmitter and the manufacturer must provide adequate instructions along with the module to explain any such requirements. A copy of these instructions must be included in the application for equipment authorization. Y The EUT is compliant with all applicable FCC rules. Details instructions for maintaining compliance are gave in the User Manual. 8. The modular transmitter must comply with any applicable RF exposure requirements. For example, FCC Rules in Sections 2.1091, 2.1093 and specific sections of Part 15, including 15.319(i), 15.407(f), 15.253(f) and 15.255(g), require that Unlicensed PCS, UNII and millimeter wave devices perform routine environmental evaluation for RF Exposure to demonstrate compliance. In addition, spread spectrum transmitters operating under Section 15.247 are required to address RF Exposure compliance in accordance with Section 15.247(b)(4). Y The EUT complies with RF exposure requirement. Thank you. Sincerely, Print Name: Peng Zhang Title: Sr Staff Certification Engineer Signature: On behalf of Company: Tesla, Inc Telephone: +1 510 213 1367 E-mail: [email protected]

Cover Letter(s)

Tesla, Inc. 3500 Deer Creek Road, Palo Alto, CA 94304 p +650 681 5100 f +650 681 5101 Federal Communications Commission Office of Engineering & Technology Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 Via Electronic Filing Date: Oct 3, 2019 Re: Authorized Personnel for Grantee Code 2AEIM To Whom It May Concern: I currently serve as Tesla, Inc’s (Tesla) grantee contact (Grantee Code: 2AEIM) for Federal Communications Commission (FCC) equipment authorizations. As prescribed in KDB 852134 Authorized Policy Form 731, I authorize the following personnel to act on Tesla’s behalf with regard to all matters that relate to FCC equipment authorization (i.e., signing Form 731, attestation letters, and confidentiality request letters). This (these) individual(s) also is (are) authorized to assign additional persons to act on Tesla’s behalf as authorized agents. Authorized Personnel: Peng Zhang This authorization is valid until further written notice from any of Tesla’s authorized grantee contact(s). Sincerely Yours, Sean Lui Sr. Staff Charging Compliance Engineer 3500 Deer Creek Road, Palo Alto, California US 94304 Phone: (650)681-5109 [email protected]

Cover Letter(s)

<Tesla, Inc> Date: July 26, 2024 TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: 2AEIM -TAG555Q To whom it may concern: We, the undersigned, hereby authori ze Parlam Zhan to a ct on o ur behalf in all m anners relating to application for equipment authorization wit h respect to the FCC ID above, includi ng signi ng of all documents relati ng to these matters. Any and all acts carri ed out by the agent on our behalf shall have the s ame e ffect as acts o f 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 <<Tesla, Inc>>. This authorization is valid until further written notice from the applicant. Name (Printed): Peng Zhang Title: Sr Staff Certification Engineer Signature: On behalf of Company: Tesla, Inc Telephone: +1 510 213 1367

RF Exposure Info

HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page1of14 RFTestReport Applicant: TESLAINC Address: 3500DeerCreekRd,PaloAlto,CA94304USA Product: 5GNRModule ModelNo.: TAG555Q-GL BrandName: TESLA FCCID:2AEIM-TAG555Q Standards: 47CFRPart2.1093 ReportNo.: PD20240042RF03 IssueDate: 2024/07/25 TestResult: PASS* * TestingperformedatHefeiPanwinTechnologyCo.,Ltd.ontheaboveequipment indicatestheproductmeetstherequirementsoftherelevantstandards. ReviewedBy:CharlieWangApprovedBy:AlecYang HefeiPanwinTechnologyCo.,Ltd. Floor1,ZoneE,Plant2#,MingzhuIndustrialPark,No.106Chuangxin Avenue,High-techZone,HefeiCity,AnhuiProvince,China TEL:+86-0551-63811775 TestReport ReportNo.:PD20240042RF03 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page2of14 RevisionHistory ReportNo.VersionDescriptionIssueDateNote PD20240042RF0301InitialReport2024/07/25Valid Remark: ·Thesamplestestedhavebeenevaluatedinaccordancewith47CFRPart2.1093/47CFRPart1.1307,andhavebeen proventomeettheapplicablelimitrequirements. TestReport ReportNo.:PD20240042RF03 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page3of14 CONTENTS 1TestLaboratory......................................................................................................................................................4 1.1NotesoftheTestReport................................................................................................................................4 1.2TestingLaboratory.........................................................................................................................................4 2GeneralDescriptionofEquipmentunderTest...................................................................................................4 2.1DetailsofApplication.....................................................................................................................................4 2.2DetailsofEUT................................................................................................................................................5 3TestCondition........................................................................................................................................................6 3.1LaboratoryEnvironment................................................................................................................................6 4RFExposureExemption.......................................................................................................................................7 AppendixA–TestResults.......................................................................................................................................9 AppendixB–TheEUTAppearance.....................................................................................................................14 TestReport ReportNo.:PD20240042RF03 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page4of14 1TestLaboratory 1.1NotesoftheTestReport Thisreportisinvalidwithoutsignatureofauditorandapproverorwithanyalterations.Thereportshallnotbe partiallyreproducedwithoutwrittenapprovalofthetestingcompany.Entrustedtestresultsareonlyresponsiblefor incomingsamples.Ifthereisanyobjectiontothetestingreport,itshallberaisedtothetestingcompanywithin15 daysfromthedateofreceivingthereport.Inthetestresults,"NA"means"notapplicable",andthetestitems markedwith"∆"aresubcontractedprojects. 1.2TestingLaboratory CompanyNameHefeiPanwinTechnologyCo.,Ltd. Address Floor1,ZoneE,Plant2#,MingzhuIndustrialPark,No.106Chuangxin Avenue,High-techZone,HefeiCity,AnhuiProvince,China Telephone+86-0551-63811775 PostCode230031 2GeneralDescriptionofEquipmentunderTest 2.1DetailsofApplication ApplicantTESLAINC ApplicantAddress3500DeerCreekRd,PaloAlto,CA94304USA ManufacturerTESLAINC ManufacturerAddress3500DeerCreekRd,PaloAlto,CA94304USA TestReport ReportNo.:PD20240042RF03 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page5of14 2.2DetailsofEUT Product5GNRModule ModelTAG555Q-GL HardwareVersionR1.0 SoftwareVersionTAG555QGLABR06A01M8G_OCPU AntennaTypeExternalIntegrated Note:ThedeclaredofproductspecificationforEUTand/orAntennapresentedinthereportareprovidedbythe manufacturer,andthemanufacturertakesalltheresponsibilitiesfortheaccuracyofproductspecification. TestReport ReportNo.:PD20240042RF03 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page6of14 3TestCondition 3.1LaboratoryEnvironment Temperature Min.=20°C,Max.=30°C RelativeHumidityMin.=25%,Max.=75% GroundSystemResistance <1Ω Ambientnoiseischeckedandfoundverylowandincompliancewithrequirementofstandards. Reflectionofsurroundingobjectsisminimizedandincompliancewithrequirementofstandards. TestReport ReportNo.:PD20240042RF03 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page7of14 4RFExposureExemption 1.Per1.1307(b)(3),(i)ForsingleRFsources(i.e.,anysinglefixedRFsource,mobiledevice,orportabledevice,as definedinparagraph(b)(2)ofthissection):AsingleRFsourceisexemptif: (A)Theavailablemaximumtime-averagedpowerisnomorethan1mW,regardlessofseparationdistance.This exemptionmaynotbeusedinconjunctionwithotherexemptioncriteriaotherthanthoseinparagraph(b)(3)(ii)(A)of thissection.Medicalimplantdevicesmayonlyusethisexemptionandthatinparagraph(b)(3)(ii)(A); (B)Ortheavailablemaximumtime-averagedpoweroreffectiveradiatedpower(ERP),whicheverisgreater,isless thanorequaltothethresholdPth(mW)describedinthefollowingformula.Thismethodshallonlybeusedat separationdistances(cm)from0.5centimetersto40centimetersandatfrequenciesfrom0.3GHzto6GHz(inclusive). Pthisgivenby: (C)OrusingTable1andtheminimumseparationdistance(Rinmeters)fromthebodyofanearbypersonforthe frequency(finMHz)atwhichthesourceoperates,theERP(watts)isnomorethanthecalculatedvalueprescribedfor thatfrequency.FortheexemptioninTable1toapply,Rmustbeatleastλ/2π,whereλisthefree-spaceoperating wavelengthinmeters.IftheERPofasingleRFsourcei…

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Test Report

HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page1of41 RFTestReport Applicant:TESLAINC Address:3500DeerCreekRd,PaloAlto,CA94304USA Product:5GNRModule ModelNo.:TAG555Q-GL BrandName:TESLA FCCID:2AEIM-TAG555Q Standards: 47CFRPart22 47CFRPart24 47CFRPart27 47CFRPart90 47CFRPart96 ReportNo.:PD20240042RF02 IssueDate:2024/09/06 TestResult:PASS* * TestingperformedatHefeiPanwinTechnologyCo.,Ltd.ontheaboveequipment indicatestheproductmeetstherequirementsoftherelevantstandards. ReviewedBy:CharlieWangApprovedBy:AlecYang HefeiPanwinTechnologyCo.,Ltd. Floor1,ZoneE,Plant2#,MingzhuIndustrialPark,No.106Chuangxin Avenue,High-techZone,HefeiCity,AnhuiProvince,China TEL:+86-0551-63811775 TestReport ReportNo.:PD20240042RF02 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page2of41 RevisionHistory ReportNo.VersionDescriptionIssueDateNote PD20240042RF0201InitialReport2024/09/06Valid TestReport ReportNo.:PD20240042RF02 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page3of41 CONTENTS 1TestLaboratory....................................................................................................................................................15 1.1NotesoftheTestReport..............................................................................................................................15 1.2TestFacility..................................................................................................................................................15 1.3TestingLaboratory.......................................................................................................................................15 2GeneralDescriptionofEquipmentunderTest.................................................................................................15 2.1DetailsofApplication...................................................................................................................................15 2.2DetailsofEUT..............................................................................................................................................16 2.3FrequencyListofLow/Middle/HighChannels............................................................................................20 2.4ApplicationStandards..................................................................................................................................25 2.5MaximumConductedpowerandEmissionDesignator..............................................................................26 3TestCondition......................................................................................................................................................29 3.1TestEnvironmentalConditions....................................................................................................................29 3.2TestConfiguration........................................................................................................................................29 3.3EquipmentList.............................................................................................................................................30 3.4TestUncertainty...........................................................................................................................................31 4TestItemsDescription.........................................................................................................................................32 4.1RFOutputPower&Effective(Isotropic)RadiatedPower..........................................................................32 4.2EIRPPowerDensity....................................................................................................................................33 4.3Peak-to-AverageRatio................................................................................................................................34 4.4OccupiedBandwidth....................................................................................................................................35 4.5ConductedBandEdgeMeasurement.........................................................................................................36 4.6SpuriousEmissionsatAntennaTerminals..................................................................................................37 4.7FrequencyStability......................................................................................................................................38 4.8RadiatedSpuriousEmission.......................................................................................................................39 Appendixes..............................................................................................................................................................41 TestReport ReportNo.:PD20240042RF02 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page4of41 TestSummary NRBandn2/25 No.TestCaseFCCRulesLimitVerdict 1 RFOutputPower&Effective RadiatedPower §2.1046, §24.232(c) EIRP≤2WattPASS 2Peak-to-AverageRatio§24.232(d)≤13dBPASS 3OccupiedBandwidth§2.1049Nolimit.ReportOnly 4 ConductedBandEdge Measurement §2.1051, §24.238(a) ≤-13dBm/1%*EBW,in1 MHzbandsimmediately outsideandadjacentto thefrequencyblock. PASS 5 SpuriousEmissionsatAntenna Terminals §2.1051, §24.238(a) ≤-13dBm/1MHz,from9 kHzto10 th harmonicsbut outsideauthorized operatingfrequency ranges. PASS 6RadiatedSpuriousEmission §2.1053, §24.238(a) ≤-13dBm/1MHz.PASS 7FrequencyStability §2.1055 §24.235 Withinauthorizedbands ofoperation/frequency block. PASS TestReport ReportNo.:PD20240042RF02 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page5of41 NRBandn5/n26(824~849MHz) No.TestCaseFCCRulesLimitVerdict 1 RFOutputPower&Effective RadiatedPower §2.1046 §22.913(a)(5) ERP≤7WattPASS 2Peak-to-AverageRatio§22.913(d)≤13dBPASS 3OccupiedBandwidth§2.1049Nolimit.ReportOnly 4 ConductedBandEd…

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Test Report

HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page1of44 RFTestReport Applicant:TESLAINC Address:3500DeerCreekRd,PaloAlto,CA94304USA Product:5GNRModule ModelNo.:TAG555Q-GL BrandName:TESLA FCCID:2AEIM-TAG555Q Standards: 47CFRPart22 47CFRPart24 47CFRPart27 47CFRPart90 47CFRPart96 ReportNo.:PD20240042RF01 IssueDate:2024/09/05 TestResult:PASS* * TestingperformedatHefeiPanwinTechnologyCo.,Ltd.ontheaboveequipment indicatestheproductmeetstherequirementsoftherelevantstandards. ReviewedBy:CharlieWangApprovedBy:AlecYang HefeiPanwinTechnologyCo.,Ltd. Floor1,ZoneE,Plant2#,MingzhuIndustrialPark,No.106Chuangxin Avenue,High-techZone,HefeiCity,AnhuiProvince,China TEL:+86-0551-63811775 TestReport ReportNo.:PD20240042RF01 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page2of44 RevisionHistory ReportNo.VersionDescriptionIssueDateNote PD20240042RF0101InitialReport2024/09/05Valid TestReport ReportNo.:PD20240042RF01 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page3of44 CONTENTS 1TestLaboratory....................................................................................................................................................15 1.1NotesoftheTestReport..............................................................................................................................15 1.2TestFacility..................................................................................................................................................15 1.3TestingLaboratory.......................................................................................................................................15 2GeneralDescriptionofEquipmentunderTest.................................................................................................15 2.1DetailsofApplication...................................................................................................................................15 2.2DetailsofEUT..............................................................................................................................................16 2.3FrequencyListofLow/Middle/HighChannels............................................................................................18 2.4ApplicationStandards..................................................................................................................................29 3TestCondition......................................................................................................................................................30 3.1TestEnvironmentalConditions....................................................................................................................30 3.2TestConfiguration........................................................................................................................................30 3.3EquipmentList.............................................................................................................................................32 3.4TestUncertainty...........................................................................................................................................33 4TestItemsDescription.........................................................................................................................................34 4.1RFOutputPower&Effective(Isotropic)RadiatedPower..........................................................................34 4.2EIRPPowerDensity....................................................................................................................................35 4.3Peak-to-AverageRatio................................................................................................................................36 4.4OccupiedBandwidth....................................................................................................................................37 4.5ConductedBandEdgeMeasurement.........................................................................................................38 4.6SpuriousEmissionsatAntennaTerminals..................................................................................................39 4.7FrequencyStability......................................................................................................................................40 4.8RadiatedSpuriousEmission.......................................................................................................................41 Appendixes..............................................................................................................................................................43 TestReport ReportNo.:PD20240042RF01 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page4of44 TestSummary GSM1900/UMTSBandII/LTEBand2/25 No.TestCaseFCCRulesLimitVerdict 1 RFOutputPower&Effective RadiatedPower §2.1046, §24.232(c) EIRP≤2WattPASS 2Peak-to-AverageRatio§24.232(d)≤13dBPASS 3OccupiedBandwidth§2.1049Nolimit.ReportOnly 4 ConductedBandEdge Measurement §2.1051, §24.238(a) ≤-13dBm/1%*EBW,in1 MHzbandsimmediately outsideandadjacentto thefrequencyblock. PASS 5 SpuriousEmissionsatAntenna Terminals §2.1051, §24.238(a) ≤-13dBm/1MHz,from9 kHzto10 th harmonicsbut outsideauthorized operatingfrequency ranges. PASS 6RadiatedSpuriousEmission §2.1053, §24.238(a) ≤-13dBm/1MHz.PASS 7FrequencyStability §2.1055 §24.235 Withinauthorizedbands ofoperation/frequency block. PASS TestReport ReportNo.:PD20240042RF01 ReportVersion:01 HefeiPanwinTechnologyCo.,Ltd.Panwin/PD/039-QR-0011/Ver.2.0 Page5of44 UMTSBandIV/LTEBand4/66/LTECA_66B/LTECA_66C No.TestCaseFCCRulesLimitVerdict 1 RFOutputPower&Effective RadiatedPower §2.1046, §27.50(d)(4) EIRP≤1WattPASS 2Peak-to-AverageRatio§27.50(d)(5)≤13dBPASS 3OccupiedBandwidth§2.1049Nolimit.ReportOnly 4 ConductedBandEdge Measurement §2.1051, §27.53(h) ≤-13dBm/1%*EBW,in1 MHzbandsimmediately outsideandadj…

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Test Report

AttachmentC.1ReportNo.:PD20240042RF01 1 / 1 TestResult GSM TestMode& TestFreq.[MHz] Frequency [MHz] PK+Level [dBm] PK+Limit [dBm] PK+Margin [dB] Polarization Azimuth [deg] GSM850_CH190_Low52.844-56.98-13.0043.98V148.7 GSM850_CH190_High 1,673.000-57.67-13.0044.67H360 2,509.500-53.23-13.0040.23H360 3,346.000-47.93-13.0034.93V209.8 4,182.500-46.40-13.0033.40H286.2 5,019.000-44.98-13.0031.98V255.4 5,855.500-42.65-13.0029.65H360 6,692.000-42.13-13.0029.13H103.4 7,528.500-39.96-13.0026.96H146.7 8,366.000-53.01-13.0040.01H0 GSM1900_CH661_Low51.922-57.59-13.0044.59V104.6 GSM1900_CH661_High 3,760.000-43.18-13.0030.18V0 5,640.000-42.91-13.0029.91H0 7,520.000-39.21-13.0026.21H300.9 9,400.000-47.14-13.0034.14V0 11,280.000-46.65-13.0033.65V0 13,160.000-45.96-13.0032.96V0 15,040.000-43.14-13.0030.14V0 16,920.500-39.16-13.0026.16V0 Remark:‘Low’indicatesafrequencyrangebelow1GHz,and‘High’indicatesafrequencyrangeabove1GHz.

Test Report

AttachmentC.2ReportNo.:PD20240042RF01 1 / 1 TestResult WCDMA TestMode& TestFreq.[MHz] Frequency [MHz] PK+Lev…

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Contact Information

Applicant

Sean Lui(International Compliance Engineer, Charging)
[email protected]650-681-5000Fax: 650-681-5000

Technical Contact

SGS-CSTC Standards Technical Services Co., Ltd.Parlam Zhan
[email protected]02161915666

588 West Jindu Road, Xinqiao, Songjiang · ShangHai · China

Non-Technical Contact

SGS-CSTC Standards Technical Services Co., Ltd.Parlam Zhan
[email protected]02161915666

Test Firm

Hefei Panwin Technology Co., Ltd.Deke Sun
[email protected]+86-0551-63811775

Technical Specifications

#Rule PartsFrequency RangePower OutputEmissionTolerance
119273.75 GHz - 3.75 GHz323.60 mW97M5W7D2.5 ppm
Modular Type
Single Modular Approval
Confidentiality
Long Term
Grant Notes
Output power listed is conducted. Single Modular Approval. This device is to be used only for mobile and fixed application. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 13 cm from all persons and co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. OEM integrators must ensure that the end user has no manual instructions to remove or install this module. This device supports LTE of 1.4, 3, 5, 10, 15 and 20 MHz bandwidth modes for FDD LTE Bands 2, 4, 25 and 66; LTE of 1.4, 3, 5 and 10 MHz bandwidth modes for FDD LTE Bands 5 and 12; LTE of 5 and 10 MHz bandwidth modes for FDD LTE Bands 13, 14 and 17; LTE of 5, 10, 15 and 20 MHz bandwidth modes for FDD LTE Band 7,71 and TDD Bands 38,41,42; LTE of 1.4, 3, 5, 10 and 15 MHz bandwidth modes for FDD LTE Band 26; This device also supports LTE uplink carrier aggregation LTE CA_5B, LTE CA_7C, LTE CA_38C, LTE CA_41C, LTE CA_42C, LTE CA_66B, LTE CA_66C, LTE CA_12A_66A, LTE CA_13A_66A, LTE CA_2A_12A, LTE CA_2A_13A, LTE CA_2A_5A, LTE CA_41A_42A, LTE CA_4A_12A, LTE CA_5A_66A, LTE CA_5A_7A as described in this filing. This device also supports Frequency Range 1 5G NR modes of 5, 10, 15 and 20MHz bandwidth modes for FDD Bands n2, n5, n26, and n71; 5, 10, and 15 MHz bandwidth for FDD Band n12; 5 and 10 MHz bandwidth for FDD Band n14; 5, 10,15,20, 25, 30 and 40 MHz bandwidth for FDD Bands n7 and n25; 5, 10, 15, 20 and 40 MHz bandwidth for FDD Band n66; 20 MHz bandwidth for TDD Band n38; 20, 30, 40, 50, 60, 70, 80, 90 and 100 MHz bandwidth modes for TDD Bands n41 and n78; 20, 30, 40, 50, 60, 80, 90 and 100 MHz bandwidth modes for TDD Bands n77. Frequency Range 1 5G NR ENDC modes are supported by this device, The UL ENDC includes DC_5A_n2A; DC_12A_n2A; DC_13A_n2A; DC_14A_n2A; DC_71A_n2A; DC_2A_n5A; DC_7A_n5A; DC_66A_n5A; DC_5A_n7A; DC_12A_n7A; DC_71A_n7A; DC_2A_n12A; DC_66A_n12A; DC_12A_n25A; DC_48A_n25A; DC_71A_n38A; DC_5A_n41A; DC_26A_n41A; DC_71A_n41A; DC_5A_n66A; DC_12A_n66A; DC_13A_n66A; DC_14A_n66A; DC_48A_n66A; DC_71A_n66A; DC_2A_n71A; DC_7A_n71A; DC_66A_n71A; DC_2A_n77A; DC_5A_n77A; DC_12A_n77A; DC_13A_n77A; DC_14A_n77A; DC_26A_n77A; DC_40A_n77A; DC_41A_n77A; DC_66A_n77A; DC_2A_n78A; DC_5A_n78A; DC_7A_n78A; DC_12A_n78A; DC_26A_n78A; DC_38A_n78A; DC_40A_n78A; DC_41A_n78A; DC_66A_n78A as described in this filing.

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