2AFOICBMSHLR5Shut Off Actuator

RF_160_05 Declaration of Authorisation Date of issue 02-01-2023 (Triple Plus Ltd., 5 Hamada street, Yokneam 2069200, Israel) Declaration of Authorization We Name: Triple Plus Address: 5 Hamada street . City: Yokneam 2069200. Country: Israel . Declare that: Name Representative of agent: Mrs. Svetlana Peysahov Sheynin (1) Agent Company name: Hermon Laboratories Ltd. Address: Harakevet Industrial Zone City: Binyamina 30500 Country: Israel . is authorized to apply for Certification of the following product(s): Product description:  Shutoff Actuator . Type designation: CBM-SHAMAP-5-26 CBM-SHAMAP-5-20 CBM-SHAMAP-5-21 CBM-SHAMAP-5-25 Trademark:  WASENS. Validity/ expiry date May 20, 2025 on our behalf. Date:  May 20, 2025.. City: Yokneam .. Name: Oren Niv .. (2) Function: ...... CTO................... Signature:  . Notes: (1): Required for FCC application (2): For FCC it must be the Grantee Code “owner” or the authorized agent. Revision Record Sheet: Revision Section number Page number Date Remark(s) issued by 02 1 02-01-2023 History sheet added AG Issued/modified by : Axel Gase Function : Quality Manager Revision : 02 Date : 02-01-2023 Verified by : Willem Jan Jong Function : Team Lead Date : 02-01-2023 Released by : Axel Gase Function : Manager Quality Assurance Date of release: : 02-01-2023

TriplePlus Phone: +972-72-2211370 | Addr: 5 Hamada st. Yokneam, 2069200, Israel saving systems-Innovative leak prevention and water Appendix A The 'Shutoff Actuator' is a smart device that can open and close valve following smart algorithm or by receiving open or close command from the controller. The actuator has two powered options: 1. 4x disposable batteries only. 2. Power plug as main power and the same 4x disposable batteries as backup. The 'Shutoff Actuator' has an external communication connector that is connected to a Water flow meter or other 3 rd party device. The 'Shutoff Actuator' has subset products which are listed in this document. Each subset product has the same enclosure and the same electronic card as its superset products but for each subset product certain components are removed from the electronic card compared to the corresponding superset product. The components that are removed are not changing the radio functions. The reason for removing these components is to save the price for functions that are not required for certain applications. The following equipment: Brand/Item Type/Model Short Product description Shutoff Actuator – Full configuration CBM-SHAMAP-5-26 Shutoff Actuator with Flow Meter and with power plug is a Superset to the following equipment (including Software/Hardware version(s)): Brand/Item Type/Model Short Product description Shutoff Actuator CBM-SHAMAP-5-20 Shutoff Actuator without Flow Meter and without power plug Shutoff Actuator – AC power CBM-SHAMAP-5-21 Shutoff Actuator without Flow Meter and with power plug Shutoff Actuator – Flow Meter CBM-SHAMAP-5-25 Shutoff Actuator with Flow Meter and without power plug TriplePlus Phone: +972-72-2211370 | Addr: 5 Hamada st. Yokneam, 2069200, Israel saving systems-Innovative leak prevention and water Appendix B Appendix B, provides external and internal photos of each HVIN (Model) CBM-SHAMAP-5-26 – Shutoff Actuator full configuration. Full assembly with all power plug option and external connector for flow meter or other 3 rd party device. RF connectivity to controller with 915MHz radio. TriplePlus Phone: +972-72-2211370 | Addr: 5 Hamada st. Yokneam, 2069200, Israel saving systems-Innovative leak prevention and water CBM-SHAMAP-5-20 – Shutoff Actuator partial configuration. Partial assembly without power plug and without external connector for flow meter or other 3 rd party device. RF connectivity to controller with 915MHz radio. TriplePlus Phone: +972-72-2211370 | Addr: 5 Hamada st. Yokneam, 2069200, Israel saving systems-Innovative leak prevention and water CBM-SHAMAP-5-21 – Shutoff Actuator partial configuration. Partial assembly with power plug and without external connector for flow meter or other 3 rd party device. RF connectivity to controller with 915MHz radio. CBM-SHAMAP-5-25 – Shutoff Actuator partial configuration. Partial assembly without power plug and with external connector for flow meter or other 3 rd party device. RF connectivity to controller with 915MHz radio.

Triple Plus Ltd. FCC ID: 2AFOICBMSHLR5 IC: 20798-CBMSHLR5 Page 1 of 3 EXTERNAL PHOTOGRAPHS This document contains 2 photographs Triple Plus Ltd. FCC ID: 2AFOICBMSHLR5 IC: 20798-CBMSHLR5 Page 2 of 3 Photograph No.1 Shut Off Actuator unit front view Triple Plus Ltd. FCC ID: 2AFOICBMSHLR5 IC: 20798-CBMSHLR5 Page 3 of 3 Photograph No.2 Shut Off Actuator unit bottom view

Tripleplus Ltd. | 5 Hamada St., High Tech Park, Yoqneam, 2069200, Israel | +972-(0)72-2211370 | [email protected] | www.tripleplus.io Tripleplus Shutoff Actuator Label Models Product Name: Shutoff Actuator Model: CBM-SHAMAP-5 Brand/Item Type/Model Short Product description Product Label Shutoff Actuator Full configuration CBM-SHAMAP-5-26 Shutoff Actuator With Flow Meter With Power Plug Shutoff Actuator CBM-SHAMAP-5-20 Shutoff Actuator without Power Plug without Flow Meter Shutoff Actuator AC power CBM-SHAMAP-5-21 Shutoff Actuator with Power Plug without Flow Meter Shutoff Actuator Flow Meter CBM-SHAMAP-5-25 Shutoff Actuator with Flow Meter without Power Plug

TriplePlus FCC ID: 2AFOICBMSHLR5 Environmental evaluation and exposure limit according to FCC CFR 47part 1, §1.1307, §1.1310 The Shut Off Actuator is classified as a mobile device. The Shut Off Actuator include 915MHz transmitter. The FCC limit for power density for general population/uncontrolled exposure is f/1500 mW/cm 2 for 300 – 1500 MHz frequency range: P = 912.75/1500 = 0.61 mW/cm 2 The power density P (mW/cm 2 ) = P T / 4 r 2 PT is the transmitted power, which is equal to the peak transmitter output power 13.75dBm plus maximum antenna gain (-2)dBi, the maximum equivalent isotopically radiated power EIRP is P T = 13.75dBm +(-2)dBi = 11.75dBm = 14.96mW The power density at 20 cm (minimum safe distance, required for mobile devices), calculated as follows: Compliance with FCC limit: 14.96 mW / 4 (20 cm) 2 = 0.002 mW/cm 2 << 0.61 mW/cm 2 General public cannot be exposed to dangerous RF level.

Tripleplus Ltd. | 5 Hamada St., High Tech Park, Yoqneam, 2069200, Israel | +972-(0)72-2211370 | [email protected] | www.tripleplus.io Tripleplus Shutoff Actuator – Antenna information Antenna information Tripleplus CBM (Cloud Building Management) Shutoff Actuator devices are all using the same Antenna, as described below. ISM Antenna: 1. Antenna Type: Helical 2. Manufacturer: TriplePlus production 3. Frequency range: 902-928 MHz 4. Gain: -2 dBi 5. Input impedance: 50 Ohm Note: 1. Material: Phosphor Bronze wire 2. Plating: 15-micron min. Nickel electroless

Report ID: TRIRAD_FCC.53212_Actuator.docx Date of Issue: 19-May-24 Page 1 of 49 TEST REPORT ACCORDING TO: FCC 47CFR part 15 subpart C §15.247 (FHSS) and subpart B, RSS-247 Issue 3:2023, RSS-Gen Issue 5, ICES-003 Issue 7:2020 FOR: TriplePlus Shut Off Actuator Model: CBM-SHAMAP-5-26, CBM-SHAMAP-5-20, CBM-SHAMAP-5-21, CBM-SHAMAP-5-25 FCC ID: 2AFOICBMSHLR5 IC: 20798-CBMSHLR5 This report is in conformity with ISO/ IEC 17025. The "A2LA Accredited" symbol endorsement applies only to the tests and calibrations that are listed in the scope of Hermon Laboratories accreditation. The test results relate only to the items tested. This test report shall not be reproduced in any form except in full with the written approval of Hermon Laboratories Ltd. Report ID: TRIRAD_FCC.53212_Actuator.docx Date of Issue: 19-May-24 Page 2 of 49 Table of contents 1 Applicant information ..................................................................................................................................................... 3 2 Equipment under test attributes .................................................................................................................................... 3 3 Manufacturer information .............................................................................................................................................. 3 4 Test details .................................................................................................................................................................... 3 5 Tests summary .............................................................................................................................................................. 4 6 EUT description ............................................................................................................................................................. 5 6.1 General information ....................................................................................................................................................... 5 6.2 Test configuration .......................................................................................................................................................... 5 6.3 Changes made in EUT .................................................................................................................................................. 5 6.4 Transmitter characteristics ............................................................................................................................................ 6 7 Transmitter tests according to 47CFR part 15 subpart C and RSS-247 requirements .................................................. 7 7.1 20 dB bandwidth ........................................................................................................................................................... 7 7.2 Carrier frequency separation ....................................................................................................................................... 10 7.3 Number of hopping frequencies .................................................................................................................................. 12 7.4 Average time of occupancy ......................................................................................................................................... 14 7.5 Peak output power ...................................................................................................................................................... 17 7.6 Field strength of spurious emissions ........................................................................................................................... 22 7.7 Band edge radiated emissions .................................................................................................................................... 35 7.8 Antenna requirements ................................................................................................................................................. 39 8 APPENDIX A Test equipment and ancillaries used for tests ....................................................................................... 40 9 APPENDIX B Test equipment correction factors ......................................................................................................... 41 10 APPENDIX C Test laboratory description ................................................................................................................... 44 11 APPENDIX D Measurement uncertainties .................................................................................................................. 45 12 APPENDIX E Specification references........................................................................................................................ 46 13 APPENDIX F Abbreviations and acronyms ................................................................................................................. 47 14 APPENDIX G Manufacturer’s declaration ................................................................................................................... 48 Report ID: TRIRAD_FCC.53212_Actuator.docx Date of Issue: 19-May-24 Page 3 of 49 1 Applicant information Client name: TriplePlus Address: 5 Hamada street, Yokneam 2069200, Israel Telephone: +972-72-22-11-370 Fax: +972-4-959-3991 E-mail: [email protected] Contact name: Mr. Oren Niv 2 Equipment under test attributes Product name: Shut off Actuator Product type: Transceiver Model(s): CBM-SHAMAP-5-26*, CBM-SHAMAP-5-20, CBM-SHAMAP-5-21, CBM-SHAMAP-5-25 Serial number: NA Hardware version: V3.2 Software release: 7.40.00.77 Receipt date 07-Feb-24 *According to manufacturer’s declaration provided in Appendix G of the test report model CBM-SHAMAP-5-26 (Super Set product). All others model variants have an identical enclosure and the identical electronic card and differ only in c…

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