A3LSHVE210SPCS GSM/WCDMA Phone with WLAN, Bluetooth and RFID

SAMSUNG ELECTRONICS AMERICA, INC. American QA Lab 19 Chapin Rd, Building D. Pine Brook, NJ 07058 Date: May 14, 2012 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road, Columbia, MD 21046 RE: Request of Confidentiality for FCC ID: A3LSHVE210S To Whom It May Concern: Pursuant to Sections 0.457 and 0.459 of the Commission’s Rules (CFR 47), and Section 552 (b) (4) of the Freedom of Information Act, SAMSUNG ELECTRONICS CO.,LTD. hereby requests confidentiality and treatment of certain information accompanying this application. The materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these matters might be harmful to the Applicant and provide unjustified benefits to its competitors. We are also hereby request Short-Term Confidentiality for 180 days after the grant as outlined in Public Notice DA 04-1705. This provision will give SAMSUNG ELECTRONICS CO.,LTD. temporary confidentiality of commercially sensitive information prior to product release. The requested Permanent and Short-Term Confidential exhibits are listed as follows: PERMANENT AND SHORT-TERM CONFIDENTIAL LIST Exhibit Description 1 Block Diagram 2 Operational Description PERMANENT 3 Schematics 4 External Photos 5 Internal Photos 6 Test-Setup Photos SHORT-TERM 7 Users Manual The Applicant understands that pursuant to Rule 0.457, disclosure of this application and all accompanying documentations, where applicable, will not be made public before the date of the Grant for this application. Sincerely, Peter Ra General Manager American QA Lab SAMSUNG Electronics America INC.

SAMSUNG ELECTRONICS CO., LTD 416,Maetan-3dong,Yeongtong-gu Suwon-si,Gyeonggi-do, 443-742 Korea May 14, 2012 Federal Communications Commission 7435 Oakland Mills Roaad Columbia, MD 21046 SUBJECT : Label Statement FCC ID : A3LSHVE210S Gentlemen: We hereby provide the label statement letter for the above-mentioned device by a new label statement policy instituted at the September 12, 2006, TCB-FCC Teleconference. The label statement is as follows: The FCC ID shown in the FCC ID label page will be readily visible at the time of purchase because the device will be marketed without the battery installed. The label is permanently attached by acrylic glue and not easily removed from the device. This statement could not be included in the label. So we inform you of it through this letter. Should you have any questions or comments concerning the above, please contact the undersigned. Sincerely Yours, Seoung Ho Park Senior Manager SAMSUNG ELECTRONICS CO.,LTD Telecommunication Network Business Mobile Communication Division Regulatory Compliance Group.

Label and Location Samsung Phone Model: SHV-E210S FCC ID: A3LSHVE210S Label: Location: Top Back plate of device Bottom Label is placed inside of the battery compartment. Label

FCC ID: A3LSHVE210S Report Number: FJ-104-S1 Page : 1 of 47 SAMSUNG Electronics Co. LTD EUT Type: 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Issue Date : Jun.06, 2012 SAMSUNG ELECTRONICS Co., Ltd., Regulatory Compliance Group IT R&D Center 416, Maetan-3dong, Yeongtong-gu, Suwon-si, Gyeonggi-do, Korea 443-742 TEST REPORT ON SAR Model Tested: SHV-E210S FCC ID (Requested): A3LSHVE210S Job No: FJ-104 Report No: FJ-104-S1 - Abstract - This document reports on SAR Tests carried out in accordance with FCC/OET Bulletin 65, Supplement C(June 2001). Prepared By BH JEON - Test Engineer Authorized By JD JANG - Technical Manager FCC ID: A3LSHVE210S Report Number: FJ-104-S1 Page : 2 of 47 SAMSUNG Electronics Co. LTD EUT Type: 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Issue Date : Jun.06, 2012 Contents 1. GENERAL INFORMATION ........................................................................................................ 3 2. DESCRIPTION OF DEVICE ...................................................................................................... 3 3. DESCRIPTION OF TEST EQUIPMENT .................................................................................... 4 3.1 SAR Measurement Setup ................................................................................................................................................. 4 3.2 E-field Probe ..................................................................................................................................................................... 5 3.3 Phantom ........................................................................................................................................................................... 7 3.4 Brain Simulating Mixture Characterization ........................................................................................................................ 8 3.5 Device Holder for Transmitters.......................................................................................................................................... 9 3.6 Validation Dipole ............................................................................................................................................................... 9 3.7 Equipment Calibration ..................................................................................................................................................... 10 4. SAR MEASUREMENT PROCEDURE ..................................................................................... 11 5. DESCRIPTION OF TEST POSITION ...................................................................................... 12 5.1 SAM Phantom Shape ..................................................................................................................................................... 12 5.2 “cheek” Position .............................................................................................................................................................. 12 5.3 “tilted” Position ................................................................................................................................................................ 14 5.4 Body Holster/Belt Clip Configurations ............................................................................................................................. 15 5.5 FCC Personal Wireless Router Configurations ............................................................................................................... 16 5.6 Near Fiel Communications (NFC) Antenna ..................................................................................................................... 17 6. MEASUREMENT UNCERTAINTY ........................................................................................... 18 7. SYSTEM VERIFICATION ........................................................................................................ 21 7.1 Tissue Verification ........................................................................................................................................................... 21 7.2 Test System Validation .................................................................................................................................................... 22 8. SAR MEASUREMENT RESULTS ........................................................................................... 23 8.1 SAR DATA Summay ........................................................................................................................................................ 32 8.2 SAR Note ........................................................................................................................................................................ 37 8.3 Simultaneous Transmission ............................................................................................................................................ 39 9. CONCLUSION ......................................................................................................................... 45 10. REFERENCES ....................................................................................................................... 46 FCC ID: A3LSHVE210S Report Number: FJ-104-S1 Page : 3 of 47 SAMSUNG Electronics Co. LTD EUT Type: 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Issue Date : Jun.06, 2012 1. GENERAL INFORMATION Test Dates : Apr.19, 2012 ~ Apr.26, 2012 Manufacturer : SAMSUNG ELECTRONICS Co., Ltd. Address : 416 Maetan3-Dong, Suwon City, Korea Test Standard : §2.1093; FCC/OET Bulletin 65, Supplement C(June 2001) FCC Classification : Licensed Portable Transmitter Held to Ear (PCE) Digital Transmitter System (DTS) Unlicensed National Information Infrastructure Tx (UNII) Tested for : FCC/TCB Certification 2. DESCRIPTION OF DEVICE Test Sample : 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bl…

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APPENDIX F Probe Calibration APPENDIX G Calibration of The Validation Dipole

Report Number:F690501/RF-RTL005514-2Page:2of75 The results shown in this test report refer only to the sample(s) tested unless otherwise stated. This test report cannot be reproduced, except in full, without prior written permission of the Company. SGSKoreaCo.,Ltd.(GunpoLaboratory) 18-34, Sanbon-dong, Gunpo-si, Gyeonggi-do, Korea, 435-040 Tel. +82 31 428 5700 / Fax. +82 31 427 2371 www.ee.sgs.com/korea INDEX Table of contents 1. General information --------------------------------------------------------------------------------------3 2. Transmitter radiated spurious emissions and conducted spurious emission --------------7 3. 6㏈bandwidth ------------------------------------------------------------------------------------------- 39 4. Maximum peak output power --------------------------------------------------------------------------50 5. Power Spectral Density ---------------------------------------------------------------------------------59 6. Transmitter AC Power Line Conducted Emission-------------------------------------------------70 7. Antenna Requirement -----------------------------------------------------------------------------------75 Report Number:F690501/RF-RTL005514-2Page:3of75 The results shown in this test report refer only to the sample(s) tested unless otherwise stated. This test report cannot be reproduced, except in full, without prior written permission of the Company. SGSKoreaCo.,Ltd.(GunpoLaboratory) 18-34, Sanbon-dong, Gunpo-si, Gyeonggi-do, Korea, 435-040 Tel. +82 31 428 5700 / Fax. +82 31 427 2371 www.ee.sgs.com/korea 1. General Information 1.1. Testing Laboratory SGS Korea Co., Ltd. -705, Dongchun-Dong Sooji-Gu, Yongin-Shi, Kyungki-Do, South Korea. -Wireless Div. 2FL, 18-34, Sanbon-dong, Gunpo-si, Gyeonggi-do, Korea 435-040 www.ee.sgs.com/korea Telephone:+82 31 428 5700 FAX:+82 31 427 2371 1.2. Details of Applicant Applicant: SAMSUNG ELECTRONICS CO., LTD. Address: 94-1, Imsoo-dong, Gumi, Gyeongbuk, Korea Contact Person: Lee, Ji-Young Phone No.: +82 54 479 5806 1.3. Description of EUT Kind of ProductMobile Phone Model Name SHV-E210S(Alt : SHV-E210K) Serial Number N/A Power Supply DC 3.8 V Frequency Range 2 412㎒~ 2 462㎒(11b/g/n_HT20), 5 745㎒~ 5 825㎒(11a/n_HT20), 5 755㎒~ 5 795㎒(11n_HT40), 5 180㎒~ 5 240㎒(11a/n_ HT20 – Non DFS), 5 190㎒~ 5 230㎒(11n_ HT40 – Non DFS), 5 260㎒~ 5 320㎒(11a/n_ HT20 – DFS), 5 270㎒~ 5 310㎒(11n_ HT40 – DFS), 5 500㎒~ 5 700㎒(11a/n_ HT20 – DFS), 5 510㎒~ 5 670㎒(11n_ HT40 – DFS) Modulation Technique DSSS, OFDM Number of Channels 11 channel (11b/g/n_HT20), 5 channel (11a/n_HT20), 2 channel (11n_HT40), 4 channel (11a/n_HT20–Non DFS), 2 channel (11n_HT40 – Non DFS), 15 channel (11a/n_HT20 – DFS), 7 channel (11n_HT40 – DFS) Antenna TypeInternal type (SISO) Antenna Gain 2 412㎒~ 2 462㎒: -1.45㏈i 5 180㎒~ 5 320㎒-1.39㏈i 5 500㎒~ 5 700㎒: -3.53㏈i 5 745㎒~ 5 805㎒: -3.53㏈i 1.4. Declaration by the manufacturer - WLAN & BT con not transmit simultaneously. Report Number:F690501/RF-RTL005514-2Page:4of75 The results shown in this test report refer only to the sample(s) tested unless otherwise stated. This test report cannot be reproduced, except in full, without prior written permission of the Company. SGSKoreaCo.,Ltd.(GunpoLaboratory) 18-34, Sanbon-dong, Gunpo-si, Gyeonggi-do, Korea, 435-040 Tel. +82 31 428 5700 / Fax. +82 31 427 2371 www.ee.sgs.com/korea 1.5. Test Equipment List EquipmentManufacturerModelS/NCal Date Cal Interval Cal Due. Signal GeneratorR&S SMR40100272 Jul. 15, 2011AnnualJul. 15, 2012 Spectrum AnalyzerAgilent N9030AUS51350132 Oct. 28, 2011AnnualOct. 28, 2012 Spectrum AnalyzerAgilent E4440AMY43362142Mar. 29, 2012 AnnualMar. 29, 2013 Spectrum AnalyzerR&SFSV30100768Mar. 29, 2012AnnualMar. 29, 2013 Power DividerWainschel15751537Sep. 27, 2011 Annual Sep. 27, 2012 AttenuatorAgilent8490D50449Jan. 11, 2011 Annual Jan. 11, 2012 Low Pass FilterMini-Circuits NLP-1200+ V8979400903-1Jul. 11, 2011 Annual Jul. 11, 2012 High Pass FilterWainwrightWHK3.0/18G-10SS344 Jul. 07, 2011AnnualJul. 07, 2012 High Pass FilterWainwrightWHK6.0/18G-10SS11 Jul. 07, 2011 Annual Jul. 07, 2012 DC Power SupplyAgilentU8002AMY50020026Mar. 29, 2012 Annual Mar. 29, 2013 PreamplifierH.P.8447F2944A03909Jul. 04, 2011AnnualJul. 04, 2012 PreamplifierR&SSCU1810117Jan. 12, 2012 Annual Jan. 12, 2013 PreamplifierMITEQ Inc.JS44-18004000-35-8P1546891Jul. 04, 2011 Annual Jul. 04, 2012 Test ReceiverR&SESU26100109Feb. 21, 2012 Annual Feb. 21, 2013 Bilog Antenna SCHWARZBECK MESSELEKTRONIK VULB9163396May. 12, 2011BiennialMay. 12, 2013 Horn AntennaR&SHF906 100326Nov. 23, 2010BiennialNov. 23, 2012 Horn Antenna SCHWARZBECK MESSELEKTRONIK BBHA9170BBHA9170223Jun. 30, 2010BiennialJun. 30, 2012 Antenna MasterINNCOMM4000 N/AN/AN/AN.C.R. Turn TableINNCODS 1200S N/AN/AN/AN.C.R. Anechoic ChamberSY Corporation L × W × H (6.5 m × 3.5 m × 3.5 m) N/AN/AN/AN.C.R. EMI Test ReceiverR&SESHSI0863365/018Jul. 07, 2011AnnualJul. 07, 2012 Two-Line V-NetworkR&SENV216100190Jan. 09, 2011BiennialJan. 09, 2013 Anechoic ChamberSY Corporation L × W × H (9.6 m × 6.4 m × 6.4 m) N/AN/AN/AN.C.R. ▶Support equipment DescriptionManufacturerModelSerial Number N/A--- Report Number:F690501/RF-RTL005514-2Page:5of75 The results shown in this test report refer only to the sample(s) tested unless otherwise stated. This test report cannot be reproduced, except in full, without prior written permission of the Company. SGSKoreaCo.,Ltd.(GunpoLaboratory) 18-34, Sanbon-dong, Gunpo-si, Gyeonggi-do, Korea, 435-040 Tel. +82 31 428 5700 / Fax. +82 31 427 2371 www.ee.sgs.com/korea 1.6. Summary of Test Results The EUT has been tested according to the following specifications: APPLIED STANDARD: FCC Part15 Subpart C § 15.247 FCC Part Section(s)Test Item(s)Result 15.205 15.209 15.247(d) Transmitter Radiated Spurious Emissions Conducted Spurious Emission Complied 15.247(a)(2) 6㏈Bandwidth Complied 15.247(b)(3)Maximum Peak Output PowerComplied 15.247(e)Power Spectral DensityComplied 15.207Transmitter AC Power Line Conducted EmissionComplied 1.7. Test Procedure(s) T…

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Test Setup Photographs © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Left Cheek © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Left Tilt © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Right Cheek © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Right Tilt © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Left Cheek © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Right Cheek © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Back 10mm © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Back with headset 10mm © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Front 10mm © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Bottom 10mm © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Left 10mm © 2012 SAMSUNG ELECTRONICS Co., Ltd SAMSUNG FCC ID:A3LSHVE210S 1900 GSM/GPRS/WCDMA/HSPA Mobile Phone with WLAN and Bluetooth Right 10mm

Test setup photos of EUT A. Photo of Field Strength & Spurious Emission Test for WLAN B. Photo of Field Strength & Spurious Emission Test for Bluetooth C. Photo of Field Strength & Spurious Emission Test for NFC D. Photo of Field Strength & Spurious Emission Test BT LE E. Photos of conducted power line test for WLAN F. Photos of conducted power line test for Bluetooth G. photos of conducted power line test for NFC H. photos of conducted power line test for BT LE