Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
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 SM LNS Address 501, 33, Gangnam-daero 112-gil, Gangnam-gu, Seoul, Republic of Korea FRN 0035606482 Grantee Code 2BHRF FCC ID 2BHRF-SM-ETEE100 Authorized Contact Name Lim, Seungmo Contact Email [email protected] Contact Phone 82-10-6254-9309 I, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare; a)in accordance with 47CFR2.911(d), al l 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 in 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 m anufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure 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 software 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: https://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 SM LNS (“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. SM LNS (“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: 2024-07-22 Print Name: Lim, Seung-mo Title: CEO *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database
V02072023 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA Date: 07/22/2024 Ref: Attestation Statement Part 2.911(d)(7) Filing FCC ID: 2BHRF-SM-ETEE100 SM LNS certifies that, as of the dates of this application, Americas Compliance Consulting LLC dba iCertifi “iCertifi” is our designated U.S. agent for service of process for the above referenced FCC ID. SM LNS 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. iCertifi accepts, as of the date of the filing of the application, the obligation of the designated U.S. agent for service process for the above referenced FCC ID. Designated U.S. Agent Information: Name: Americas Compliance consulting, LLC dba iCertifi FCC FRN: 0033399411 Address: 2445 NE Division Street, Suite 202 Bend, Oregon 97703 USA Contact Person: Paul Preston Tel: 866-885-4575 Email: [email protected] Sincerely, SM LNS FRN: 0035606482 Americas Compliance Consulting LLC dba iCertifi Lim, Seung-mo Paul Preston Signature
Date: 2024-07-22 TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: 2BHRF-SM-ETEE100 To whom it may concern: We, the undersigned, hereby authorize SGS Korea Co., Ltd. to act on our behalf in all manners relating to application for equipment authorization with respect to the FCC ID above, including signing of all documents relating to these matters. Any and all acts carried out by the agent on our behalf shall have the same effect as acts of 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 SM LNS. This authorization is valid until further written notice from the applicant. Title: CEO Name (Printed): Lim Seungmo Signature: On behalf of Company: CEO Telephone: +82-10-6254-9309
To: SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia United States From: SM LNS 501, 33, Gangnam-daero 112-gil, Gangnam-gu, Seoul, Republic of Korea Regarding: Confidentiality Request regarding application for FCC ID: 2BHRF-SM-ETEE100 LONG TERM CONFIDENTIALITY Pursuant to 47 CFR Section 0.459 and 0.457 of the commission’s rules, the applicant hereby request confidential treatment of the documents listed below, associated with the certification application referenced above. Schematic(s) Block Diagrams Operational Descriptions The documents above contain proprietary information not released to the public. Public disclosure of this information may prove harmful to the business of the applicant. SHORT TERM CONFIDENTIALITY Additionally, the applicant requests the following documents be held confidential until the device is marketed or 180 days from the grant date, whichever is less. If the device is marketed within 180 days of the Grant Date, the applicant will notify the TCB per FCC KDB 726920 D01 Confidentiality Request Procedures. External Photos Internal Photos Test Setup Photos User manual(s) Sincerely, Printed Name: Lim, Seung-mo Title: CEO Company Name: SM LNS Date: 2024-07-22
Product Name: Cradle(ETEE Hybrid Toothbrush) Model name: SM-ETEE100 Input voltage: 5 V Manufacturer's name: SM LNS Country of Manufacture: South Korea Manufacturer Address: 501, 33, Gangnam-daero 112-gil, Ga ngnam-gu, Seoul, Republic of Korea Date of Manufacture: Aug. 2023 Warranty contact : 02-543-9333 FCC ID: 2BHRF-SM-ETEE100 Label <Label Location> Bottom view of EUT
<WPC> Item Contents Antenna Type Coil Antenna Antenna peak gain - ㏈i Manufacturer FINE ELECTRONICS INDUSTRIAL(HK) LIMITED / Sijia Industrial Zone, Shijie Town, Dongguan City, CHINA Model name N/A Test laboratory - Size Information Length : 2.2 cm / Width : 2.2 cm Antenna Information 2.2cm 2.2 cm Coil Antenna
EMH7081-01A(2024.03.13)(2) A4(210mm*297mm) Test Report No. : F690501-RF-EMC002469_1 Page : 2 of 20 Contents 1. Test Laboratory .................................................................................................................... 4 1.1 General information ....................................................................................................... 4 2. General Information of E.U.T. .............................................................................................. 5 2.1 Applicant Information .................................................................................................... 5 2.2 General Information of E.U.T. ....................................................................................... 5 2.3 Configurations of E.U.T ................................................................................................. 5 3. E.U.T. Operation and Test Configuration ............................................................................. 6 3.1 Peripheral Equipments .................................................................................................. 6 3.2 Cable List ...................................................................................................................... 6 3.3 Operating Modes and Conditions .................................................................................. 6 3.4 Test System Layout ...................................................................................................... 6 3.5 Modifications to the test items during testing ................................................................. 7 4. Test Results ......................................................................................................................... 8 4.1 Summary ...................................................................................................................... 8 4.2 Note .............................................................................................................................. 8 5. Emission Test ...................................................................................................................... 9 5.1 Test Method and Limits ................................................................................................. 9 5.2 Test Limits..................................................................................................................... 9 5.3 Conducted Emission ................................................................................................... 11 5.3.1 Test Equipments ................................................................................................ 11 5.3.2 Environment Conditions ..................................................................................... 11 5.3.3 Test Results ....................................................................................................... 12 5.4 Radiated Emission ...................................................................................................... 14 5.4.1 Test Equipments ................................................................................................ 14 5.4.2 Environment Conditions ..................................................................................... 14 5.4.3 Test Result ........................................................................................................ 15 Appendix A: Measurement Uncertainty ............................................................................. 18 EMH7081-01A(2024.03.13)(2) A4(210mm*297mm) Test Report No. : F690501-RF-EMC002469_1 Page : 3 of 20 Revision History Revision Report Number Description 0 F690501-RF-EMC002469 Initial 1 F690501-RF-EMC002469_1 FCC ID changed. EMH7081-01A(2024.03.13)(2) A4(210mm*297mm) Test Report No. : F690501-RF-EMC002469_1 Page : 4 of 20 1. Test Laboratory 1.1 General information Name SGS Korea Co., Ltd. - Branch Site 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Republic of Korea Tel. 82 31 428 5700 Fax. 82 31 427 5370 - Branch Site-3 35, Giheungdanji-ro 121beon-gil, Giheung-gu, Yongin-si, Gyeonggi-do, Republic of Korea Tel. 82 31 548 0710 Fax. 82 31 548 0719 - Branch Site-4 12, Dongtansandan 10-gil, Hwaseong-si, Gyeonggi-do, 18487, Republic of Korea Tel. 82 31 8007 5302 Fax. 82 31 427 2370 Website http://www.sgsgroup.kr/ee SGS Korea Co., Ltd. has been accredited by the agencies listed in the following table; Accreditation Accreditation bodies Accreditation No. KC MSIT- RRA KR0150 FCC FCC (MRA) IC IC (MRA) Vietnam-MIC Vietnam-MIC Japan EMI VCCI C-14102, T-11156, R-13662, G-20037 KOLAS KATS - KOLAS Testing No.123 CBTL IECEE TL 146 SDPPI SDPPI - EMH7081-01A(2024.03.13)(2) A4(210mm*297mm) Test Report No. : F690501-RF-EMC002469_1 Page : 5 of 20 2. General Information of E.U.T. 2.1 Applicant Information Applicant SM LNS Applicant Address 501, 33, Gangnam-daero 112-gil, Gangnam-gu, Seoul, Republic of Korea Manufacturer SM LNS Manufacturer Address 501, 33, Gangnam-daero 112-gil, Gangnam-gu, Seoul, Republic of Korea 2.2 General Information of E.U.T. Classification Description Product Name Cradle(ETEE Hybrid Toothbrush) Model Name SM-ETEE100 Alt. Model Name - Model Differences - Serial No. - EMI Classification Class B Internal Clock Frequency 16 ㎒ Rated Power 5 Vd.c. Tested Power Operating : 5 Vd.c. Charging : 120 V~, 60 ㎐ F/W Version 2.0 S/W Version 3.1 Port USB A-Type Components Toothbrush Body, Charging Cradle, Toothbrush Head(3 type) Function Electric Toothbrush 2.3 Configurations of E.U.T Description Model Serial No. Manufacturer Note Main Board GY-H1 REV:V3 - - - Battery 14650-1100mAh - Shenzhen Shenchao New Energy Technology Co.,Ltd - Motor - - - - Cradle Board JGY-H1 charg REV2 - - - Cradle_Coil - - - - EMH7081-01A(2024.03.13)(2) A4(210mm*297mm) Test Report No. : F690501-RF-EMC002469_1 Page : 6 of 20 3. E.U.T. Operation and Test Configuration 3.1 Peripheral Equipments Description Model Serial No. Manufacturer Note. Travel…
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4, LS-ro, 182 beon-gil · Gunpo-si, Gyeonggi-do · South Korea
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15B | - | - |