Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
Salland Engineering (Europe) B.V. Boerendanserdijk 39 8024 AE Zwolle The Netherlands T +31 38 454 7702 | E [email protected] | I www.salland.com | Bank: Rabobank | IBAN: NL05 RABO 0143 5625 84 BIC/SWIFT: RABONL2U | VAT ID: NL8074.08.049.B01 | Chamber of Commerce: 05062593 U.S. Agent Designation for Service of Process (Applicant and U.S. Agent are Separate Parties) TO: Kiwa Nederland B.V. Wilmersdorf 50 7327 AC Apeldoorn Postbus 137 7300 AC Apeldoorn Netherlands ATTENTION: FCC Certification – Section 2.911(d)(7) Information Designated U.S. Agent Company name: FRN: Contact person name: Street address: ZIP/City/State Telephone number: Email address: Signature: Date: This letter is to confirm that we (“the Designated U.S. Agent) have accepted the responsibility to act as the Designated U.S. Agent for Service of Process as required by section 47 CFR 2.911(d)(7) on behalf of the Applicant noted below. The Applicant acknowledges that they must maintain an agent for no less than one year after terminating all marketing and importation OR the conclusion of any Commission- related proceeding involving the equipment. The applicant further acknowledges their responsibility to inform the FCC whenever the Designated U.S. Agent information above changes. Applicant Company name: Salland Engineering (Europe) B.V. FCC ID: 2BDQ2-EK810PS1 Contact person name: Erik Kloekke Street address: Boerendanserdijk 39 ZIP/City/State/Country 8024 AE Zwolle, Overijssel, The Netherlands Telephone number: +31 38 454 7702 Email address: [email protected] Signature: Date: September 12, 2024 FCC US Agent, LLC 0033402884 Tim Payne 3722 Illinois Avenue Saint Charles, IL, 60174, USA 708-571-3148 [email protected]
Salland Engineering (Europe) B.V. Boerendanserdijk 39 8024 AE Zwolle The Netherlands T +31 38 454 7702 | E [email protected] | I www.salland.com | Bank: Rabobank | IBAN: NL05 RABO 0143 5625 84 BIC/SWIFT: RABONL2U | VAT ID: NL8074.08.049.B01 | Chamber of Commerce: 05062593 Certification Application Attestation Statements Salland Engineering (Europe) B.V. Boerendanserdijk 39 8024 AE Zwolle, The Netherlands Subject: FCC ID: 2BDQ2-EK810PS1 To Whom It May Concern: Statement for 47 CFR section 2.911(d)(5)(i) Salland Engineering (Europe) B.V. certifies that as of the date of the application the equipment for which authorization is sought is not “covered” equipment 1 prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. If the equipment for which the applicant seeks authorization is produced by any of the entities identified on the current Covered List, including affiliates or subsidiaries of the named companies, the applicant must include an explanation on why the equipment is not “covered” equipment. Additional Explanation: <N/A> Statement for 47 CFR section 2.911(d)(5)(ii) Salland Engineering (Europe) B.V. (“the applicant”) certifies that, as of the date of the filing of this application, the applicant - is / - is not (3) identified on the Covered List as an entity producing “covered” equipment. Date: 12 September 2024 City: Zwolle Name (2) : Erik Kloekke Function: Director Instruments Telephone number: +31 38 454 7702 Email address: [email protected] Signature: Revision Record Sheet: 1 - The Commission’s Covered List is published by the Public Safety and Homeland Security Bureau and posted on the Commission’s website. This Covered List, which is periodically updated, identifies particular equipment, produced by particular entities, that constitutes “covered” equipment. https://www.fcc.gov/supplychain/coveredlist . (2): For FCC it must be the Grantee Code “owner” or the authorized agent. (3): double click on the appropriate box and select ‘’checked” then “OK”
Salland Engineering (Europe) B.V. Boerendanserdijk 39 8024 AE Zwolle The Netherlands T +31 38 454 7702 | E [email protected] | I www.salland.com | Bank: Rabobank | IBAN: NL05 RABO 0143 5625 84 BIC/SWIFT: RABONL2U | VAT ID: NL8074.08.049.B01 | Chamber of Commerce: 05062593 Declaration of Authorization We Name: Salland Engineering (Europe) B.V. Address: Boerendanserdijk 39 City: Zwolle, Overijssel Country: The Netherlands Declare that: Name Representative of agent: Erik Kloekke (1) Agent Company name: Salland Engineering (Europe) B.V. Address: Boerendanserdijk 39 City: Zwolle, Overijssel Country The Netherlands is authorized to apply for Certification of the following product(s): Product description: SiConic / PSV-box Type designation: Model EK810PS1 Trademark: Advantest Validity/expiry date For lifetime on our behalf. Date: 7 Oct. 2024 City: Zwolle Name: Gerwin Veltink (2) Function: Director Instruments Signature: . Notes: (1): Required for FCC application (2): For FCC it must be the Grantee Code “owner” or the authorized agent.
Salland Engineering (Europe) B.V. Boerendanserdijk 39 8024 AE Zwolle The Netherlands T +31 38 454 7702 | E [email protected] | I www.salland.com | Bank: Rabobank | IBAN: NL05 RABO 0143 5625 84 BIC/SWIFT: RABONL2U | VAT ID: NL8074.08.049.B01 | Chamber of Commerce: 05062593 Company Name: Salland Engineering (Europe) B.V. Address: Boerendanserdijk 39 City: 8024 AE Zwolle Country: The Netherlands To: Kiwa Netherlands B.V., Dept. FCC TCB Wilmersdorf 50 7327 AC Apeldoorn The Netherlands Subject: Request for confidentiality FCC ID: 2BDQ2-EK810PS1 Reference number: 0034525139 Dear FCC TCB, 1. Long-Term Confidentiality Pursuant to 47 CFR Section 0.459(a) & (b), we hereby requests non-disclosure and confidential treatment of the following materials submitted in support of FCC certification application: Bill(s) of Material Block Diagrams Operational Description Schematic Diagrams Tune-up Procedure Above materials contain secrets, proprietary and technical information, which would customarily be guarded from competitors under 47 CFR, section 0.457(d)(2). Disclosure or publication or any portion of this company confidential material to other parties could cause substantial competitive harm and provide unjustified benefits for competitors. 2. Short-Term Confidentiality (STC) Pursuant to Public Notice DA 04-1705 of the Commission’s policy, in order to comply with the marketing regulations in 47 CFR §2.803 and the importation rules in 47 CFR §2.1204, applicant hereby requests Short-Term Confidential treatment of the following materials (See notes below): Internal Photos User’s Manual Test Set-up Photos External Photos Justification: None trained users are not supposed to open the instrument. Date: 12-9-2024 Name and signature of applicant: Erik Kloekke Notes: 1) A document or type of document can only have ONE type of confidentiality! 2) Short-Term confidentiality is in principle for 45 days from date of grant; it can be extended max 3 times (total time 180 days max.)! The planned date should state in the RF731 application form. 3) FCC must be informed when marketing begins earlier. 4) Release takes place automatically thus extension must be requested in time. Telefication does not remind you of this! 5) Request for extension or for release must be received by Kiwa NL B.V. at least 7 days before date of actual marketing or before expiration of the STC period
Status : Draft Version : V004 Page 50 Date : 11 September 2024 Confidential Information 10 Data plate & markings SiConic / PSV-box / Model EK810PS1 data plate SiConic / PSV-box / Model EK810PS1 Front panel identification
Kiwa Nederland B.V. Test report for 47 CFR Part 15 Subpart B ICES-Gen, ICES-003 Product name : PSV-Box sample Applicant : Advantest Europe GmbH FCC ID : 2BDQ2-EK810PS1 IC : Not applicable Test report No. : P000380782 001 Ver 1.0 Report number: P000380782 001 Ver 1.0 Kiwa Nederland B.V. Page 1 of 34 Laboratory information Accreditation Kiwa Nederland B.V. complies with the accreditation criteria for test laboratories as laid down in ISO/IEC 17025:2017. The accreditation covers the quality system of the laboratory as well as the specific activities as described in the authorized annex bearing the accreditation number L248 and is granted by the Dutch Council For Accreditation (RvA: Raad voor Accreditatie). Kiwa Nederland B.V. is designated by the FCC as an Accredited Test Firm for compliance testing of equipment subject to Certification under Parts 15 & 18. The Designation number is: NL0001. Kiwa Nederland B.V. is a Wireless Device Testing laboratory recognized by Innovation, Science and Economic Development Canada to test to Canadian radio equipment requirements. The Industry Canada company number for Kiwa Nederland B.V. is: 4173A. The CABID is NL0001. Kiwa Nederland B.V. is a registered Conformity Assessment body (CAB) under the Japan-EC MRA (Agreement on Mutual Recognition between Japan and the European Community). The registration number is: 201. Documentation The test report must always be reproduced in full; reproduction of an excerpt only is subject to written approval of the testing laboratory. The documentation of the testing performed on the tested devices is archived for 10 years at Kiwa Nederland B.V. Testing Location Test Site Kiwa Nederland B.V. Test Site location Wilmersdorf 50 7327 AC Apeldoorn The Netherlands Tel. +31 88998 3393 Test Site FCC NL0001 CABID NL0001 Report number: P000380782 001 Ver 1.0 Kiwa Nederland B.V. Page 2 of 34 Revision History Version Date Remarks By v0.5 09-09-2024 First draft PvW v1.0 17-09-2024 Final release PvW Report number: P000380782 001 Ver 1.0 Kiwa Nederland B.V. Page 3 of 34 Table of Contents Revision History ............................................................................................................................................... 2 Summary of Test results .................................................................................................................................. 5 1 General Description ................................................................................................................................. 6 1.1 Applicant ............................................................................................................................................... 6 1.2 Manufacturer ........................................................................................................................................ 6 1.3 Tested Equipment Under Test (EUT) ..................................................................................................... 6 1.4 Product specifications of Equipment under test ................................................................................... 8 1.5 Environmental conditions ..................................................................................................................... 8 1.6 Measurement standards ....................................................................................................................... 8 1.7 Applicable standards ............................................................................................................................. 8 1.8 Observation and remarks ...................................................................................................................... 8 1.9 Conclusions ........................................................................................................................................... 9 2 Test configuration of the Equipment Under Test .................................................................................... 10 2.1 Test mode ........................................................................................................................................... 10 2.2 Test setups .......................................................................................................................................... 10 2.2.1 Radiated emissions test setup 30 MHz - 1 GHz .............................................................................. 10 2.2.2 Radiated emissions test setup above 1 GHz ................................................................................... 10 2.2.3 AC Power line conducted emissions test setup .............................................................................. 11 2.3 Test methodology. .............................................................................................................................. 13 2.4 Equipment modifications. ................................................................................................................... 13 2.5 Equipment used in the test configuration .......................................................................................... 14 2.6 Sample calculations ............................................................................................................................. 14 3 Test results ............................................................................................................................................. 15 3.1 Radiated spurious emissions ............................................................................................................... 15 3.1.1 Limit ................................................................................................................................................ 15 3.1.2 Measurement instruments ............................................................................................................. 15 3.1.3 Test setup ............................…
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Boerendanserdijk 39 · Netherlands
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15B | - | - |