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Attestation Statements (May. 19, 2023) TO: Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046, USA RE: Attestation Statements Part 2.911(d)(7) request for (FCC ID:2BA89SD-1072 ) (Shenzhen Bomite Technology Co., Ltd), the undersigned, hereby authorize (GSS SERVICE INC) to act as our designated U.S. agent for service of process, (Shenzhen Bomite Technology Co., Ltd) accepts to maintain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. (GSS SERVICE INC) accepts the responsibility to act as designated U.S. agent for service of process, provides an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. Applicant Information: Company name: Shenzhen Bomite Technology Co., Ltd Contact Name: Pan Ren Address: 4th Floor, Building d, Qingchuangcheng, Minkang Road, Minzhi Street, Longhua District, Shenzhen Telephone No: 13538214502 Email: [email protected] U.S. Agent Information: Company Name: GSS SERVICE INC Address: 6547 N Academy Blvd #2266 Colorado Springs Co 80918 USA Contact Name: Michoux Logan Telephone No: 001-949-2990192 or 001-515-7158284 Email: [email protected] FRN: 0033402082 Applicant Signature: Agent Signature: Applicant printed name: Pan Ren Agent printed name: Michoux Logan
Shenzhen Bomite Technology Co., Ltd (2023.05.17) Eurofins Electrical and Electronic Testing NA, Inc. 914 West Patapsco Avenue Baltimore, MD 21230 RE: CONFIDENTIALITY REQUEST FOR (Car phone wireless cup holder / SD- 1072 / FCC ID: 2BA89SD-1072) To Whom It May Concern: This letter serves as an official request for confidentiality under sections 0.457 and 0.459 of CFR 47. We have requested that the Exhibits Long-Term Confidentiality Short-Term Confidentiality NOTE 2 ID Label/Location No No Attestation Statement No No External Photos No ☐ Block Diagram ☒ ☐ Schematics ☒ ☐ Test Report No No Test Setup Photos No ☐ User’s Manual ☐ NOTE 1 ☒ Internal Photos ☐ NOTE 1 ☒ Parts List / Tune Up ☐ ☐ RF Exposure Info No No Operational Description ☒ ☐ Cover Letter(s) No No SDR Software / Security Info ☐ No required to be submitted with this application be permanently withheld from public review. Above mentioned document contains detailed system and equipment description are considered as proprietary information in operation of the equipment. The public disclosure of above documents might be harmful to our company and would give competitor an unfair advantage in the market. Please contact me if there is any information you may need. Sincerely, Signature: Name: Pan Ren Title: General manager
Shenzhen Bomite Technology Co., Ltd (2023.05.17) Eurofins Electrical and Electronic Testing NA, Inc. 914 West Patapsco Avenue Baltimore, MD 21230 RE: LETTER OF AGENT AUTHORIZATION To Whom It May Concern: We, the undersigned, hereby authorize (Shenzhen CTB Testing Technology Co., Ltd.) to act on our behalf in all matters relating to application for equipment authorization, including the signing of all documents relating to these matters. We also hereby certify that no party to the application authorized hereunder is subject to the denial of benefits, including FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C.853(a). This agreement expires one year from the current date. Sincerely, Signature: Name: Pan Ren Title: General manager
External Photos
FCC ID LABEL: Label Location: FCC ID: 2BA89SD-1072 Model No.: SD-1072
Internal Photos ANT
Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB230515007RFX EMF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page1 of 7 RF EXPOSURE REPORT Compiled by: Reviewed by: Approved by: Arron Liu Bin Mei Rita Xiao / Director Note: If there is any objection to the inspection results in this report, please submit a written report to the company within 15 days from the date of receiving the report. The test report is effective only with both signature and specialized stamp. This result(s) shown in this report refer only to the sample(s) tested. Without written approval of Shenzhen CTB Testing Technology Co., Ltd. this report can’t be reproduced except in full. The tested sample(s) and the sample information are provided by the client. “*” indicates the testing items were fulfilled by subcontracted lab. “#” indicates the items are not in CNAS accreditation scope. Product Name: Car phone wireless cup holder FCC ID: 2BA89SD-1072 Trademark: THIS HILL Model Number: SD-1072 Prepared For: Shenzhen Bomite Technology Co., Ltd Address: 4th Floor, Building d, Qingchuangcheng, Minkang Road, Minzhi Street, Longhua District, Shenzhen Manufacturer: Shenzhen Bomite Technology Co., Ltd Address: 4th Floor, Building d, Qingchuangcheng, Minkang Road, Minzhi Street, Longhua District, Shenzhen Prepared By: Shenzhen CTB Testing Technology Co., Ltd. Address: 1&2/F., Building A, No.26, Xinhe Road, Xinqiao, Xinqiao Street, Bao'an District, Shenzhen, Guangdong, China Sample Received Date: May. 10, 2023 Sample tested Date: May. 10, 2023 to May. 15, 2023 Issue Date: May. 15, 2023 Report No.: CTB230515007RFX Test Standards FCC CFR 47 part1, 1.1307(b), 1.1310, 47 CFR§2.1091; KDB 680106 D01 RF Exposure Wireless Charging App v03r01 Test Results PASS Remark: This is wireless charger EMF report. Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB230515007RFX EMF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page2 of 7 Table of Contents Page 1 . GENERAL INFORMATION 3 1.1 . Independent Operation Mode 3 1.2 . Test Supporting System 3 2 .LIST OF TEST AND MEASUREMENT INSTRUMENTS 4 2.1 . For conducted emission at the mains terminals test 4 3. METHOD OF MEASUREMENT 5 3. 1.Applicable Standard 5 4. TEST RESULT 5 4.1. Conducted Emission at the Mains Terminals Test 5 4.2. Equipment Approval Considerations: 6 4.3. E and H field Strength 6 Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB230515007RFX EMF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page3 of 7 1. GENERAL INFORMATION 1.1. Independent Operation Mode The basic operation mode is: 1.1.1. wireless charger power: 15W 1.2. Test Supporting System Adapter Description : Adapter Model No. : HP18A-0902000-AU Power Input : AC100-240V~ 1.0A 50/60Hz Output: 9V 2.0A DC Line : Unshielded, Detachable 1.2m Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB230515007RFX EMF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page4 of 7 2.LIST OF TEST AND MEASUREMENT INSTRUMENTS 2.1. For conducted emission at the mains terminals test Item Equipment Brand Model No. Serial No. Last calibration Calibrated until 1 EMF TESTER Wavecontrol SMP160 19SN0989 2021.08.20 2023.08.29 Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB230515007RFX EMF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page5 of 7 3. METHOD OF MEASUREMENT 3. 1.Applicable Standard According to §1.1307(b)(1), systems operating under the provisions of this section shall be operated in a manner that ensures that the public is not exposed to radio frequency energy level in excess of the Commission’s guidelines. According to §1.1310 and §2.1091 RF exposure is calculated. According KDB680106 D01: RF Exposure Wireless Charging Apps v 03r01. 4. TEST RESULT 4.1. Conducted Emission at the Mains Terminals Test Note: Measurements should be made from all sides and the top of the primary/client pair, with the 15 cm measured from the center of the probe(s) to the edge of the device Test Procedure: a) The RF exposure test was performed on 360 degree turn table in anechoic chamber. b) The measurement probe was placed at test distance (15cm) which is between the edge of the charger and the geometric centre of probe. c) The turn table was rotated 360d degree to search of highest strength. d) The highest emission level was recorded and compared with limit as soon as measurement of each points were completed. e) The EUT were measured according to the dictates of KDB 680106v03r01. Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB230515007RFX EMF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page6 of 7 4.2. Equipment Approval Considerations: The EUT does comply with item 5(b) of KDB 680106 V03R01 1) Power transfer frequency is less than 1MHz Yes, the device operate in the frequency range from 110KHz to 205KHz 2) Output power from each primary coil is less than or equal to 15 watts. Yes, the maximum output power of the primary coil is 15000mW. 3) The transfer system includes only single primary and secondary coils. This includes charging systems that may have multiple primary coils and clients that able to detect and allow coupling onlybetween individual pair of coils. Yes, the transfer system includes only single primary and secondary coils. 4) Client device is inserted in or placed directly in contact with the transmitter. Yes, client device is placed directly in contact with the transmitter. 5) Mobile exposure conditions only (portable exposure conditions are not covered by this exclusion). Yes, the EUT is a Mobile Wireless Charger 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. Yes, the EUT field strength levels are less 50% x MPE limit. 4.3. E and H field Strength Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB230515007RFX EMF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page7 of 7 E-Field Strength at 15 cm surroundi…
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ANT PHTOT L W H 39mm±0.2 39mm±0.2 0.2mm±0.1 All measurements were performed radiated and therefore additional antenna gain documentation is not required.
Shenzhen CTB Testing Technology Co., Ltd. Report No.:CTB230515005RFX Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page 1 of 18 TEST REPORT Compiled by: Reviewed by: Approved by: Arron Liu Bin Mei Rita Xiao / Director Note: If there is any objection to the inspection results in this report, please submit a written report to the company within 15 days from the date of receiving the report. The test report is effective only with both signature and specialized stamp. This result(s) shown in this report refer only to the sample(s) tested. Without written approval of Shenzhen CTB Testing Technology Co., Ltd. this report can’t be reproduced except in full. The tested sample(s) and the sample information are provided by the client. “*” indicates the testing items were fulfilled by subcontracted lab. “#” indicates the items are not in CNAS accreditation scope. Product Name: Car phone wireless cup holder FCC ID: 2BA89SD-1072 Trademark: THIS HILL Model Number: SD-1072 Prepared For: Shenzhen Bomite Technology Co., Ltd Address: 4th Floor, Building d, Qingchuangcheng, Minkang Road, Minzhi Street, Longhua District, Shenzhen Manufacturer: Shenzhen Bomite Technology Co., Ltd Address: 4th Floor, Building d, Qingchuangcheng, Minkang Road, Minzhi Street, Longhua District, Shenzhen Prepared By: Shenzhen CTB Testing Technology Co., Ltd. Address: 1&2/F., Building A, No.26, Xinhe Road, Xinqiao, Xinqiao Street, Bao'an District, Shenzhen, Guangdong, China Sample Received Date: May. 10, 2023 Sample tested Date: May. 10, 2023 to May. 15, 2023 Issue Date: May. 15, 2023 Report No.: CTB230515005RFX Test Standards FCC Part 15 C Test Results PASS Remark: This is wireless charger radio test report. Shenzhen CTB Testing Technology Co., Ltd. Report No.:CTB230515005RFX Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page 2 of 18 TABLE OF CONTENTS 1. GENERAL INFORMATION ........................................................................................................................ 3 1.1. Report information ................................................................................................................................. 3 1.2. Measurement Uncertainty ..................................................................................................................... 3 1.3. Test Facility ........................................................................................................................................... 3 1.4. Test Uncertainty .................................................................................................................................... 4 2. PRODUCT DESCRIPTION ......................................................................................................................... 5 2.1. EUT Description .................................................................................................................................... 5 2.2. Block Diagram of EUT Configuration ..................................................................................................... 5 2.3. Test Conditions ..................................................................................................................................... 5 2.4. DescriptionOfSupport Units (Conducted Mode) .................................................................................... 6 3. TEST RESULTS SUMMARY ...................................................................................................................... 6 4. TEST EQUIPMENT USED .......................................................................................................................... 7 4.1. MEASUREMENT INSTRUMENTS LIST ............................................................................................... 7 5. CONDUCTED EMISSION TEST ................................................................................................................. 9 5.1. Block Diagram of Test Setup ................................................................................................................. 9 5.2. Test Standard ........................................................................................................................................ 9 5.3. Conducted Emission Limit ..................................................................................................................... 9 5.4. EUT Configuration on Test .................................................................................................................... 9 5.5. Operating Condition of EUT ................................................................................................................ 10 5.6. Test Procedure .................................................................................................................................... 10 5.7. Test Result .......................................................................................................................................... 10 6. RADIATED EMISSION MEASUREMENT ................................................................................................ 11 6.1. Block Diagram of Test Setup ............................................................................................................... 11 6.2. Test Standard ...................................................................................................................................... 12 6.3. EMI Test Receiver Setup..................................................................................................................... 12 6.4. Test Procedure .................................................................................................................................... 12 6.5. Test Result .......................................................................................................................................... 12 7. OCCUPIED BANDWIDTH ..........................................................................…
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Radiated Emission 9KHz-30MHz 30MHz-1GHz
4th Floor, Building d, Qingchuangcheng, · Shenzhen · China
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 0.11 MHz - 0.205 MHz | - |