
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
UBIO LABS, INC. Agent Authorization Company: UBIO LABS, INC. Address: 2821 Northup Way, Suite 250, Bellevue, WA 98004 USA Product Type: Wireless Charging Pad Model Number(s): AWC1098ABV Product Description: Wireless Charging Pad 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: 2021-05-07 Name: Jesse Li Title: Compliance Manager Company: UBIO LABS, INC.
UBIO LABS, INC. Office of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Date: 2021-05-07 Subject; Request for Confidentiality FCC ID: 2ATGY-AWC1098ABV 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 Tune-up Procedure 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 pursuantto 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: Jesse Li Title: Compliance Manager
Test Model No.: AWC1098ABV
AWC1098AB - VECTOR FOR PRODUCTION Pantone Cool Gray 11c
Test Model No.: AWC1098ABV
The results reported herein have been performed in accordance with the laboratory’s terms of accreditation. This report shall not be reproduced except in full without the written approval of the Laboratory. The results in this report apply to the test sample(s) mentioned above at the time of the testing period only and are not to be used to indicate applicability to other similar products. FCC RF EXPOSURE CERTIFICATION TEST REPORT For Wireless Charging Pad MODEL NUMBER: AWC1098ABV FCC ID: 2ATGY-AWC1098ABV REPORT NUMBER: 4789915595-1 ISSUE DATE: May 8, 2021 Prepared for UBIO LABS, INC. 2821 Northup Way, Suite 250, Bellevue, WA 98004 USA Prepared by UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch Building 10, Innovation Technology Park, No. 1, Li Bin Road, Song Shan Lake Hi- Tech Development Zone Dongguan, 523808, People’s Republic of China Tel: +86 769 22038881 Fax: +86 769 33244054 Website: www.ul.com REPORT NO.: 4789915595-1 Page 2 of 10 UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch FORM NO.: 10-SL-F0019 This report shall not be reproduced except in full, without the written approval of UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch. Revision History Rev. Issue Date Revisions Revised By V0 05/08/2021 Initial Issue REPORT NO.: 4789915595-1 Page 3 of 10 UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch FORM NO.: 10-SL-F0019 This report shall not be reproduced except in full, without the written approval of UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch. TABLE OF CONTENTS 1. ATTESTATION OF TEST RESULTS .................................................................................... 4 2. TEST METHODOLOGY ........................................................................................................ 5 3. FACILITIES AND ACCREDITATION .................................................................................... 5 4. DESCRIPTION OF EUT ........................................................................................................ 6 5. REQUIREMENT .................................................................................................................... 7 APPENDIX I: PHOTOGRAPHS OF TEST CONFIGURATION .................................................. 10 REPORT NO.: 4789915595-1 Page 4 of 10 UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch FORM NO.: 10-SL-F0019 This report shall not be reproduced except in full, without the written approval of UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch. 1. ATTESTATION OF TEST RESULTS Applicant Information Company Name: UBIO LABS, INC. Address: 2821 Northup Way, Suite 250, Bellevue, WA 98004 USA Manufacturer Information Company Name: UBIO LABS, INC. Address: 2821 Northup Way, Suite 250, Bellevue, WA 98004 USA EUT Information EUT Name: Wireless Charging Pad Model: AWC1098ABV Brand: / Sample Received Date: May 7, 2021 Sample Status: Normal Sample ID: 3863097 Date of Tested: May 8, 2021 APPLICABLE STANDARDS STANDARD TEST RESULTS FCC 47CFR§1.1307 PASS FCC 47CFR§1.1310 PASS FCC 47CFR§2.1093 PASS FCC 47CFR§2.1091 PASS Prepared By: Checked By: Denny Huang Shawn Wen Project Engineer Laboratory Leader Approved By: Stephen Guo Laboratory Manager REPORT NO.: 4789915595-1 Page 5 of 10 UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch FORM NO.: 10-SL-F0019 This report shall not be reproduced except in full, without the written approval of UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch. 2. TEST METHODOLOGY The tests documented in this report were performed in accordance with FCC 47CFR§1.1307(b)(1), FCC 47CFR§1.1310, FCC 47CFR§2.1093, KDB 680106 D01 RF Exposure Wireless Charging App v03r01. 3. FACILITIES AND ACCREDITATION Accreditation Certificate A2LA (Certificate No.: 4102.01) UL Verification Services (Guangzhou) Co., Ltd. Song Shan Lake Branch. has been assessed and proved to be in compliance with A2LA. FCC (FCC Designation No.: CN1187) UL Verification Services (Guangzhou) Co., Ltd. Song Shan Lake Branch. Has been recognized to perform compliance testing on equipment subject to the Commission's Delcaration of Conformity (DoC) and Certification rules ISED (Company No.: 21320) UL Verification Services (Guangzhou) Co., Ltd. Song Shan Lake Branch. has been registered and fully described in a report filed with ISED. The Company Number is 21320 and the test lab Conformity Assessment Body Identifier (CABID) is CN0046. VCCI (Registration No.: G-20019, R-20004, C-20012 and T-20011) UL Verification Services (Guangzhou) Co., Ltd. Song Shan Lake Branch. has been assessed and proved to be in compliance with VCCI, the Membership No. is 3793. Facility Name: Chamber D, the VCCI registration No. is G-20019 and R-20004 Shielding Room B , the VCCI registration No. is C-20012 and T-20011 Note: All tests measurement facilities use to collect the measurement data are located at Building 10, Innovation Technology Park, Song Shan Lake Hi tech Development Zone, Dongguan, 523808, China REPORT NO.: 4789915595-1 Page 6 of 10 UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch FORM NO.: 10-SL-F0019 This report shall not be reproduced except in full, without the written approval of UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch. 4. DESCRIPTION OF EUT EUT Name Wireless Charging Pad Model AWC1098ABV Product Description Operation Frequency 111.5 ~ 148 kHz Rated Output Power 15 W Maximum Antenna type Coil Input DC 15 V, 3.5 A REPORT NO.: 4789915595-1 Page 7 of 10 UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch FORM NO.: 10-SL-F0019 This report shall not be reproduced except in full, without the written approval of UL Verification Services (Guangzhou) Co., Ltd, Song Shan Lake Branch. 5. REQUIREMENT LIMIT Frequency Range (MHz) E-field Strength (E) (V/m) Magnetic Field Strength (H) (A/m) Power Density (S) (mW/cm 2 ) Averaging…
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Global United Technology Services Co., Ltd. Report No.: GTS202104000149F01 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 19 TEST REPORT Applicant: UBIO LABS, INC. Address of Applicant: 2821 Northup Way, Suite 250, Bellevue, WA 98004 USA Manufacturer: UBIO LABS, INC. Address of Manufacturer: 2821 Northup Way, Suite 250, Bellevue, WA 98004 USA Factory: 1. Shenzhen Aquilstar Technology Co., Ltd. 2. AQUILSTAR TECHNOLOGY (VIET NAM) CO.,LTD Address of Factory: 1. 1-3F, Building A of Chuangye park and 2-3F,Building A of aquilstar industrial park,No.4 of Teng Feng 3rd Rd,FuYong Town,Bao'an District,Shenzhen City,China 2. Hamlet Ve, Dong Tam Commune, Ninh Giang District, Hai Duong Province, Viet Nam. Equipment Under Test (EUT) Product Name: Wireless Charging Pad Model No.: AWC1098ABV Trade Mark: ubiolabs FCC ID: 2ATGY-AWC1098ABV Applicable standards: FCC CFR Title 47 Part 15 Subpart C Date of sample receipt: April 14, 2021 Date of Test: April 15, 2021-May 07, 2021 Date of report issued: May 07, 2021 Test Result : PASS * * In the configuration tested, the EUT complied with the standards specified above. Report No.: GTS202104000149F01 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 19 2 Version Version No. Date Description 00 May 07, 2021 Original Prepared By: Date: May 07, 2021 Project Engineer Check By: Date: May 07, 2021 Reviewer Report No.: GTS202104000149F01 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 19 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 DEVIATION FROM STANDARDS ............................................................................................................. 6 5.5 ABNORMALITIES FROM STANDARD CONDITIONS ................................................................................... 6 5.6 TEST FACILITY .................................................................................................................................... 6 5.7 TEST LOCATION ................................................................................................................................. 6 5.8 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 RADIATED EMISSION METHOD ........................................................................................................... 13 7.4 20DB OCCUPY BANDWIDTH .............................................................................................................. 18 8 TEST SETUP PHOTO ............................................................................................................................ 19 9 EUT CONSTRUCTIONAL DETAILS ..................................................................................................... 19 Report No.: GTS202104000149F01 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 19 4 Test Summary Test Item Section in CFR 47 Result Antenna requirement 15.203 Pass AC Power Line Conducted Emission 15.207 Pass Radiated Emission 15.209 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) Ra…
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Test Model No.: AWC1098ABV Radiated Emission Conducted Emission
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 0.1115 MHz - 0.148 MHz | - |

Wireless Charging Stand
Equipment Class
DCD - Part 15 Low Power Transmitter Below 1705 kHz
Power Bank
Equipment Class
DXX - Part 15 Low Power Communication Device Transmitter
Wireless Charging Stand
Equipment Class
DCD - Part 15 Low Power Transmitter Below 1705 kHz
Wireless Charging Pad
Equipment Class
DCD - Part 15 Low Power Transmitter Below 1705 kHz
Wireless Charging Stand
Equipment Class
DCD - Part 15 Low Power Transmitter Below 1705 kHz