A3LSME500HMobile Phone

Date: July 23, 2014 UL Verification Services Inc. 47173 Benicia Street Fremont, CA 94538, USA To whom it may concern: I, the undersigned, hereby authorize UL Verification Services Inc. to act on our behalf in all manners relating to application for equipment authorization, including signing of all documents relating to these matters. Any and all acts carried out by UL Verification Services Inc. on our behalf shall have the same effect as acts of our own. I, 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). In authorizing UL Verification Services Inc. as our representative, we still recognize that we are responsible to: comply with the relevant provisions of the certification program; a) make all necessary arrangements for the conduct of the evaluation, including provision for examining documentation and access to all areas, records (including internal audit reports) and personnel for the purposes of evaluation (e.g. testing, inspection, assessment, surveillance, reassessment) and resolution of complaints; b) make claims regarding certification only in respect of the scope for which certification has been granted; c) do not use our product certification in such a manner as to bring the Certification Division into disrepute and not make any statement regarding our product certification which the Certification Division may consider misleading or unauthorized; d) upon suspension or cancellation of certification, discontinue use of all advertising matter that contains any reference thereto and return any certification documents as required by the Certification Division; e) use certification only to indicate the products are certified as being in conformity with specified standards; f) endeavor to ensure that no certificate or report nor any part thereof is used in a misleading manner; g) ensure that any reference to our product certification in communication media such as documents, brochures or advertising, complies with the requirements of the Certification Division; h) keep a record of all complaints made known to the us relating to the product’s compliance with requirements of the relevant standard and to make these records available to the when requested; i) take appropriate action with respect to such complaints and any deficiencies found in products or services that affect compliance with the requirements for certification; j) document the actions taken. This authorization is valid until further written notice from the applicant. Sincerely Yours, CHANHO, YOUN General Manager Samsung Electronics CO. LTD TEL: +1-973-808-6362 E-mail: [email protected]

December 19, 2014 Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 Subject: Request for Confidentiality FCC ID: A3LSME500 H To Whom It May Concern: Purs uant to the provisions of Sections 0.457 and 0.459 of the Commission¶s rules (47 CFR §§ 0.457, 0.459), we are requesting the Commission to withhold the following attachments as confidential document from public disclosure indefinitely. Schematics Block Diagram Operational Description Antenna Specification Parts List Tune-Up Procedure 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. In additional to above mentioned documents, 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, while ensuring that business sensitive information remains confidential until the actual marketing of newly authorized devices. We are requesting the commission to grant short-term confidentiality request on the following attachments until 180 days External Photos Internal Photos Test Setup Photos User Manual It is our understanding that all measurement test reports, FCC ID label format and correspondence during certification review process cannot be granted as confidential documents and such information will be available for public review once the grant of equipment authorization is issued. Best Regards Sincerely, CHANHO, YOUN General Manager Samsung Electronics CO. LTD TEL: +1-973-808-6362 E-mail: [email protected]

December 10, 201 4 Federal Communications Commission 7435 Oaklan d Mills Road Colu mbia MD 2104 6 Sub ject: Attestation Letter of WLAN channels FCC ID: A3LSME500H Th e WLAN channels in USA Mode Channel Freque ncy (MHz) Ad -Hoc support or AP mode 802.11b/g/n 1-11 2412-2462 Yes (AP support as wireless hot spot when configured with WWAN module) 12, 13 2467-2472 Channels not supported on U.S.A. a. The device only uses Ch. 1-11 and FCC TX power table by default. Best Regards CHANHO, YOUN General Manager Samsung Electronics CO. LTD TEL: +1-973-808-6362 E-mail: [email protected]

Label and Location Model: SM-E500H/DS FCC ID: A3LSME500H Label: Location: Top Back of device Bottom Phone: Label is placed RQUHDURIGHYLFH Tablet : FCC ID is engraved on bottom of the device Label ָ֦ [˽̘ࣵ/̊ʵࢆऋ1]: Phone/Tablet ߾ҬԂଥкیତփΧ̛ˈΟ֞एۍࢿ SM-E500H/DS FCC ID: A3LSME500H

FCC ID: A3LSME500H Issue Date: Dec. 16, 2014 Report No. HCT CO., LTD. 74, Seoicheon-ro 578 beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea 467-811 2 of 124 HCT-A-1412-F004 TEL: +82 31 645 6300 FAX: +82 31 645 6401 Version Rev. DATE DESCRIPTION HCT-A-1412-F004 Dec. 16, 2014 First Approval Report FCC ID: A3LSME500H Issue Date: Dec. 16, 2014 Report No. HCT CO., LTD. 74, Seoicheon-ro 578 beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea 467-811 3 of 124 HCT-A-1412-F004 TEL: +82 31 645 6300 FAX: +82 31 645 6401 Table of Contents 1. INTRODUCTION .......................................................................................................................................... 2. TEST METHODOLOGY ............................................................................................................................... 3. DESCRIPTION OF DEVICE ......................................................................................................................... 4. DESCRIPTION OF TEST EQUIPMENT ...................................................................................................... 5. SAR MEASUREMENT PROCEDURE ..................................................................................................... 6. DESCRIPTION OF TEST POSITION ....................................................................................................... 7. MEASUREMENT UNCERTAINTY ........................................................................................................... 8. ANSI/ IEEE C95.1 - 1992 RF EXPOSURE LIMITS .................................................................................. 9. SAR SYSTEM VALIDATION ..................................................................................................................... 10. SYSTEM VERIFICATION ....................................................................................................................... 11. RF CONDUCTED POWER MEASUREMENT ....................................................................................... 11.6 SAR Test Exclusions Applied ................................................................................................................ 12. SAR Test configuration & Antenna Information ...................................................................................... 13. SAR TEST DATA SUMMARY ................................................................................................................. 13.1-1 Measurement Results (GSM850 Head SAR) ............................................................................ 13.1-2 Measurement Results (GSM1900 Head SAR) .......................................................................... 13.1-3 Measurement Results (WCDMA850 Head SAR) ....................................................................... 13.1-4 Measurement Results (WCDMA1900 Head SAR) ..................................................................... 13.1-5 Measurement Results (DTS Head SAR) ................................................................................... 13.2-1 Measurement Results (GSM850 Hotspot SAR) ......................................................................... 13.2-2 Measurement Results (GSM1900 Hotspot SAR) ....................................................................... 13.2-3 Measurement Results (WCDMA850 Hotspot SAR) ................................................................... 13.2-4 Measurement Results (WCDMA1900 Hotspot SAR) ................................................................. 13.2-5 Measurement Results (WLAN Hotspot SAR) ............................................................................ 13.3-1 Measurement Results (Body-worn SAR) ................................................................................... 13.4 SAR Test Notes ............................................................................................................................. 14. SAR Measurement Variability and Uncertainty ...................................................................................... 15. SAR Summation Scenario ...................................................................................................................... 16. CONCLUSION ........................................................................................................................................ 17. REFERENCES ....................................................................................................................................... Attachment 1. – SAR Test Plots ................................................................................................................... Attachment 2. – Dipole Verification Plots...................................................................................................... Attachment 3. – Probe Calibration Data ....................................................................................................... Attachment 4. – Dipole Calibration Data ................................................................................................... FCC ID: A3LSME500H Issue Date: Dec. 16, 2014 Report No. HCT CO., LTD. 74, Seoicheon-ro 578 beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea 467-811 4 of 124 HCT-A-1412-F004 TEL: +82 31 645 6300 FAX: +82 31 645 6401 1. INTRODUCTION The FCC has adopted the guidelines for evaluating the environmental effects of radio frequency radiation in ET Docket 93-62 on Aug. 6, 1996 to protect the public and workers from the potential hazards of RF emissions due to FCC-regulated portable devices. The safety limits used for the environmental evaluation measurements are based on the criteria published by the American National Standards Institute (ANSI) for localized specific absorption rate (SAR) in IEEE/ANSI C95.1-1992 Standard for Safety Levels with Respect to Human Exposure to Radio Frequency Electromagnetic Fields, 3 kHz to 300 GHz. 1992 by the Institute of Electrical …

Text truncated - open the document above for the full version.

Report No.: HCT-R-1412-F023 Model: SM-E500H/DS Page 2 of 72 Version TEST REPORT NO. DATE DESCRIPTION HCT-R-1412-F023 December 16 ,2014 - First Approval Report F-01P-02-014 (Rev.00) FCC ID: A3LSME500H HCT CO.,LTD. Report No.: HCT-R-1412-F023 Model: SM-E500H/DS Page 3 of 72 Table of Contents 1. GENERAL INFORMATION ....................................................................................................................... 4 2. EUT DESCRIPTION .................................................................................................................................. 4 3. TEST METHODOLOGY ............................................................................................................................ 5 3.1 EUT CONFIGURATION ............................................................................................................. 5 3.2 EUT EXERCISE ......................................................................................................................... 5 3.3 GENERAL TEST PROCEDURES ............................................................................................. 5 3.4 DESCRIPTION OF TEST MODES............................................................................................. 6 4. INSTRUMENT CALIBRATION .................................................................................................................. 6 5. FACILITIES AND ACCREDITATIONS ...................................................................................................... 6 5.1 FACILITIES ................................................................................................................................ 6 5.2 EQUIPMENT .............................................................................................................................. 6 6. ANTENNA REQUIREMENTS .................................................................................................................... 6 7. SUMMARY OF TEST RESULTS ............................................................................................................... 7 8. FCC PART 15.247 REQUIREMENTS ....................................................................................................... 8 8.1 PEAK POWER ........................................................................................................................... 8 8.2 BAND EDGES .......................................................................................................................... 15 8.3 FREQUENCY SEPARATION / OCCUPIED BANDWIDTH (99% BW) ................................... 23 8.4 NUMBER OF HOPPING FREQUENCY................................................................................... 32 8.5 TIME OF OCCUPANCY (DWELL TIME) ................................................................................. 36 8.6 SPURIOUS EMISSIONS .......................................................................................................... 43 8.6.1 CONDUCTED SPURIOUS EMISSIONS .......................................................................... 43 8.6.2 RADIATED SPURIOUS EMISSIONS .............................................................................. 52 8.6.3 RADIATED RESTRICTED BAND EDGES ...................................................................... 63 8.7 POWERLINE CONDUCTED EMISSIONS ............................................................................... 66 9. LIST OF TEST EQUIPMENT ................................................................................................................... 71 9.1 LIST OF TEST EQUIPMENT(Conducted Test) ..................................................................... 71 9.2 LIST OF TEST EQUIPMENT(Radiated Test) ......................................................................... 72 F-01P-02-014 (Rev.00) FCC ID: A3LSME500H HCT CO.,LTD. Report No.: HCT-R-1412-F023 Model: SM-E500H/DS Page 4 of 72 1. GENERAL INFORMATION Applicant: SAMSUNG Electronics Co., Ltd. Address: 129, Samsung-ro, Yeongtong-gu Suwon-si, Gyeonggi-do, 443-742 Rep. of Korea FCC ID: A3LSME500H EUT Type: Mobile Phone Model name(s): Additional Model name(s): SM-E500H/DS SM-E500H/DD, SM-E500H, SM-E500HQ Date(s) of Tests: December 01, 2014 ~ December 10, 2014 December 12, 2014 ~ December 15, 2014 Place of Tests: HCT Co., Ltd. 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea (IC Recognition No. : 5944A-3) 2. EUT DESCRIPTION FCC Model Name SM-E500H/DS Additional Model Name SM-E500H/DD, SM-E500H, SM-E500HQ EUT Type Mobile Phone Power Supply DC 3.8 V Battery type Li-ion Battery(Standard) Frequency Range 2402 MHz - 2480 MHz (Bluetooth) Transmit Power 10.48 dBm (11.18 mW) BT Operating Mode Normal, EDR, AFH Modulation Type GFSK(Normal), π/4DQPSK and 8DPSK(EDR) Modulation Technique FHSS Number of Channels 79Channels, Minimum 20 Channels(AFH) Antenna Specification Manufacturer: ethertronics Antenna type: Internal Antenna Peak Gain : -0.6 dBi ※ 15.247 Requirem ents for Bluetooth transmitter ▪ This Bluetooth module has been tested by a Bluetooth Qualification Lab, and we confirm the following: 1) This system is hopping pseudo-randomly. 2) Each frequency is used equally on the average by each transmitter. 3) The receiver input bandwidths that match the hopping channel bandwidths of their corresponding transmitters 4) The receiver shifts frequencies in synchronization with the transmitted signals. ▪ 15.247(g): The system, consisting of both the transmitter and the receiver, must be designed to comply with all of the regulations in this Section 15.247 should the transmitter be presented with a continuous data (or information) stream. ▪ 15.247(h): The coordination of frequency hopping systems in any other manner for the express purpose of avoiding the simultaneous occupancy of individual hopping frequencies by multiple transmitters is not permitted. F-01P-02-014 (Rev.00) FCC ID: A3LSME500H HCT CO.,LTD. Report No.: HCT-R-1412-F023 Model…

Text truncated - open the document above for the full version.

FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 TEST SETUP PHOTOGRAPHS FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ BT/WLAN/ANT+ Test Setup Photo FCC ID: A3LSME500H HCT CO., LTD 74, Seoicheon-ro 578beon-gil, Majang-myeon, Icheon-si, Gyeonggi-do, Korea TEL : + 82 31 645 6300 FAX : + 82 31 645 6401 www.hct.co.kr Page of 14 ■ Conducted Emission Test Setup Photo