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A3LSMS911JPNPortable Handset

Samsung Electronics Co Ltd
Portable Handset - FCC ID A3LSMS911JPN - Samsung Electronics Co Ltd
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Application Details

Equipment Class
NII - Unlicensed National Information Infrastructure TX
Date of Grant
Mar 01, 2023
Application Purpose
Original Equipment
Date of Application
Feb 08, 2023
Equipment Note
Portable Handset
Frequency Range
5815.00000000 - 5815.00000000
Company
Samsung Electronics Co Ltd
Country
United States

Documents & Files

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Users Manual

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Attestation Statements

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Cover Letter(s)

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External Photos

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ID Label/Location Info

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Internal Photos

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RF Exposure Info

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Test Report

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Test Setup Photos

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Document Text

Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.

Users Manual

Quick Reference Guide (Terms an d Conditions) SC-51D SCG19 Read this document before operating the mobile device, accessories, or software (defined collectively and individually as the “Product”) and keep it for future reference. This document contains important Terms and Conditions. Electronic acceptance, opening the packaging, use, or retention of the Product constitutes acceptance of these Terms and Conditions. Visit www.samsung.com/us to view device information, the user manual, and more. You may incur additional charges for accessing the Internet. Device Layout To turn on the device, pr ess and hold th e Side key for a few seconds. The charger should remain close to the electric socket and easily accessible while charging. Installing a nano-SIM card Nano- SIM cards are sold separately. Contact us Questions? Visit us.community.samsung.com Get Support Call 1.800.SAMSUNG Service locations Find a service location near you at Samsung.com/us/support/service/locations Switching made simple Whether you are coming from an iOS or Android platform, you can easily transfer your data with Smart Switch. Back up your old phone Back up your old phone using your favorite back-up app. Samsung Smart Switch 1. From your new Galaxy device, tap Settings > Accounts and backup > Smart Switch. 2. Tap Receive data. 3. Select your old device type. 4. Tap Cable (Android) or Wireless (Android and iOS) and follow the prompts to connect your phones. Customize Tap Settings to personalize your phone. Flight mode This disables all wireless functions on your devic e. You can use only non- network services On the setting screen, tap Flight mode. Important l egal information Arbitration Agreement - This Product is subject to a binding arbit ration agreement between you and SAMSUNG ELECTRONICS AMERICA, INC. (“Samsung”). You can opt out of t he agreement within 30 calendar days of the first consumer purchase by emailing [email protected] or calling 1-800-SAMSUNG (726-7864) and providing the applicable information. The full Arbitration Agreement, Standard One-year Limited Warranty, End User License Agreement (EU LA), and Health & Safety Information for your device are available online: •English: www.samsung.com/us/Legal/Phone-HSGuide •Spanish: www.samsung.com/us/Legal/Phone-HSGuide-SP This information can also be found on the device in the “About device” or “About phone” or “About tablet” section, for example: •Settings > About phone or About device or About tablet > Legal information > Samsung legal •Or,Search “Legal” If your device required Federal Communications Commission (FCC) appr oval, you can view the FCC certification by opening Settings > About phone or About device or About tablet> Status information. Health and Safety WARNING! To avoid electri c shock and damage to your device, do not charge device while it is wet or in an area where it co uld get wet. Do not handle device, c harger or cords with wet hands while charging. Maint aining dust and water resistance The device is not impervious to dust and water damage in any situation. It is important that all c ompartments are closed tightly. Follow these tips carefully to prevent damage to the device and maintain dust and water resistance performance: •Water resistant based on IP68 rating, which tests submersion in fresh water deeper than 1.5 meters or keep it submerged for more than 30 minutes. If device is exposed to fresh water, dry it thoroughly with a clean, soft cloth; if exposed to liquid other than fresh water, rinse with fresh water and dry as directed. •Any device which uses accessible compar tments or por ts that can be opened should have these se aled or closed tightly to prevent liquid from entering th e system. •If the device has been immersed i n water or the microphone or speaker is wet, sound may not be heard clearly during a call. After wiping the device with a dry cloth, dry it thoroughly before using it. •Do not expose the device to water at high pressure. •If the device is dropped or receives an impact, the water and dust resistant features of the device may be damaged. Note: Liquid other than fresh water may enter the device fa ster. Failure to rinse the device in fresh water and dry it as instructed may cause the device to suffer from operability or cosmetic issues. Samsung Knox Samsung Knox is Samsung’s security platf orm. Additional licensing fees may be required for enterprise use. For more information about Knox, pl ease refer to: www.samsung.com/us/knox Specific Absorption Rate (SAR) certification information For information about SAR, visit : •https://www.fcc.gov/general/radio-frequency-safety-0 •www.fcc.gov/encyclopedia/ speci fic -absorption-rate-sar-cellular-telephones •www.samsung.com/sar Body-worn operations are restricted to belt-clips, holsters or similar accessories that have no metallic component in the assembly and must provide at least 1.5cm separation between the device and the user's body. Samsung Wireless Power Sharing feature allows device -to -device charging without the need for a charger. If your device supports the wireless power sharing function, this equipment should be operated with a minimum distance of 20 cm between the device and your body. Note: Foldable devices can be stored in an environment with ambient temperatures of -10°C / 14.0°F to 50°C / 122°F safely; prolonged exposure to temperatures outside these recommended temperatures can pose a high risk of damage to the device. Samsung mobile products and recycling WARNING! Never dispose of batteries in a fire because they may explode. Do not disassemble, crush, puncture, heat, burn or reuse. F or battery and cell phone recycling, go to call2re cycle. org or call 1- 800-822-8837. F or more recycling information, go to our website: www.samsung.com/re cycling or call 1-800-S AMSUNG. Your location Location-based information on that can be used to determine the approximate location of a mobile device. If you use applic ations that require location-based info…

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Attestation Statements

Samsung Electronics America, Inc 19 Chapin Rd, Building D. Pine Brook, NJ 07058 Date: January 16, 2023 FCC ID: A3LSMS911JPN To whom it may concern: We, the undersigned, hereby authorize Element Washington DC LLC, to act on our behalf in all matters relating to applications for equipment authorization, including the signing of all documents relating to these matters. Any and all acts carried out by Element Washington DC LLC. on our behalf shall have the same effect as acts of our own. We also hereby certify that no party to any application is subject to a denial of benefits, including FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S. C. 862. Sincerely, Jenni Chun / General Manager Samsung Electronics America, Inc. Address: 19 Chapin Rd., Building D Pine Brook, NJ 07058 Tel: 1-973-808-6375

Attestation Statements

SAMSUNG ELECTRONICS CO., LTD 129, Samsung-ro, Yeongtong-gu Suwon-si, Gyeonggi-do, 443-742 Korea January 14, 2023 Federal Communic ations Commission 7435 Oakland Mills Road Columbia, MD 21046 SUBJECT : Label Statement FCC ID : A3LSMS911JPN To whom i t may concern We hereby provide the following attestations according to CFR 2.935 and FCC KDB 784748 D02: At the time of purchase, the FCC ID is readily and physically visible to the purchaser on the exterior package per CFR 2.935(f). The FCC ID will be readily legible without the aid of magnification according to CFR 2.935(d). The literature in the package describes how to access the electronic display to find the FCC ID per CRF 2.935(b) and FCC KDB 784748. Per CFR 2.935(c), the user will be able to access this information within a maximum of 3 steps. The user will be able to access this information without a SIM card, special accessories or supplemental plug-ins. Per CFR 2.935(e), We, Samsung have programmed the e-label and it is not able to be modified by any third party. Per CFR 2.935(f), the FCC ID will be able to survive normal shipping and handling so it is visible for inspection at the time of import. Should y ou have any questions or comments concerning the above, please contact the undersigned. Sinc erely Yours, Jenni Chun/ General Manager Samsung Electronics America. Inc Address: 19 Chapin Rd., Building D Pine Brook, NJ 07058 Tel: 1-973-808-6375

Attestation Statements

Samsung Electronics Co., LTD. 129, Samsung-ro, Yeongtong-gu Suwon-City, Gyeonggi-do, 16677, Korea Date: Jan. 11, 2023 ELEMENT TCB/CB Element Materials Technology Washington DC LLC. 7185 Oakland Mills Road Columbia, MD 21046 USA To Whom it May Concern Subject: Samsung Electronics Co., Ltd. FCC ID: A3LSMS911JPN We attest the following: 1.This device will not connect directly to another client device using 5.850-5.895 GHz frequencies. Hotspot Mode, ad-hoc and any other P2P service is disabled for U-NII-4 operations in the 5.850- 5.895 GHz band. 2. For U-NII-4 operations in the 5.850-5.895 GHz band, this device will only associate and connect with an indoor AP or indoor Subordinate. 3. For U-NII-4 operations in the 5.850-5.895 GHz band, this device will always be under the control of an indoor AP. However, there may exist situations where this device may transmit brief messages, prior to being under the control of an AP, to join an AP network. But these brief messages will only occur if this device has detected a signal confirming that an AP is operating on a particular channel. These brief messages will have a time-out mechanism if it does not receive a response from an AP. Should you have any questions or comments concerning the above, please contact the undersi gned. Sinc erely, Jenni Chun/ General Manager Samsung Electronics America, Inc. Address: 19 Chapin Rd., Building D Pine Brook, NJ 07058 TEL: +1-973-808-6375

Attestation Statements

47 CFR §2.903 and §2.911 (d)(5) Attestation Date: 02-20-2023 FCC ID: A3LSMS911JPN To: Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA 1. Samsung Electronics Co., Ltd. (“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. 2. Samsung Electronics Co., Ltd. (“the applicant”) certifies that, as of the date of the filing of the application, the applicant is not identified on the Covered List as an entity producing “covered” equipment and is not an affiliate or subsidiary of an entity identified on the Covered List. Sincerely yours, Name: Ms. Jenni Chun Job Title: Head of Regulatory & Environmental Affairs Company Name: Samsung Electronics Co., Ltd.

Attestation Statements

47 CFR §2.911 (d)(7) Agent Designation Attestation Date: 02‐20‐2023 FCC ID: A3LSMS911JPN To: Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Samsung Electronics Co., Ltd. (“the applicant”) as required by section 2.911(d)(7), designates the following agent, located in the United States, for purposes of acting as the applicant’s agent for service of process. The applicant acknowledges that they will 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. The applicant further acknowledges their responsibility to inform the FCC whenever the agent information changes. U. S. Agent Information: Contact Person : Ms. Jenni Chun Company Name : Samsung Electronics Co., Ltd. Company Address : 19 Chapin Rd., Building D, Pine Brook, NJ 07058, USA Email : [email protected] FRN: 0027908797 Sincerely yours, Name: Ms. Jenni Chun Job Title: Head of Regulatory & Environmental Affairs Company Name: Samsung Electronics Co., Ltd.

Cover Letter(s)

SAMSUNG ELECTRONICS AMERICA, INC. American QA Lab 19 Chapin Rd, Building D. Pine Brook, NJ 07058 Date: January 16, 2023 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road, Columbia, MD 21046 RE:Request of Confidentiality for FCC ID: A3LSMS911JPN 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 th e 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 ExhibitDescription PERMANENT 1 Block Diagram 2 Operational Description 3 Schematics SHORT-TERM 4 External Photos 5 Internal Photos 6 Test-Setup Photos 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, Jenni Chun / General Manager Samsung Electronics America, Inc. Address: 19 Chapin Rd., Building D Pine Brook, NJ 07058 Tel: 1-973-808-6375

External Photos

FCC ID: A3LSMS911JPN External Photographs FCC ID: A3LSMS911JPN External Photographs FCC ID: A3LSMS911JPN External Photographs FCC ID: A3LSMS911JPN External Photographs FCC ID: A3LSMS911JPN External Photographs FCC ID: A3LSMS911JPN External Photographs

ID Label/Location Info

Description of E-label on the A3LSMS911JPN Date: January 14, 2023 FCC ID: A3LSMS911JPN This model is applied E-label, please find description of E-label below. 1. FCC ID (E-label): Setting > About Phone > Status information FCC certification FCC ID: A3LSMS911JPN <Device Display Screen> 2.FCC ID on the Quick Start Guide The FCC has granted an Equipment Authorization for this model device based on the compliance of all reported SAR levels with the FCC RF exposure guide lines. This device has a FCC ID number A3LSMS911JPN [Model Number: SC-51D, SCG19] and the specific SAR levels for this device can be found at the following. FCC website: www.fcc.gov/oet/ea/ The SAR information for this device can be found on Samsung’s website: www.samsung.com/sar

Internal Photos

FCC ID : A3LSMS911JPN Internal Photographs FCC ID : A3LSMS911JPN Internal Photographs FCC ID : A3LSMS911JPN Internal Photographs FCC ID : A3LSMS911JPN Internal Photographs FCC ID : A3LSMS911JPN Internal Photographs FCC ID : A3LSMS911JPN Internal Photographs FCC ID : A3LSMS911JPN Internal Photographs FCC ID : A3LSMS911JPN Internal Photographs

RF Exposure Info

A P P E N D I X A : S A R T E S T P L O T S A1 ELEMENT DUT: A3LSMS911JPN; Type: Portable Handset; Serial: 1060M Communication System: UID 0, GSM; Frequency: 848.8 MHz; Duty Cycle: 1:8.3 Medium: 835 Head; Medium parameters used (interpolated): f = 848.8 MHz; σ = 0.874 S/m; ε r = 41.141; ρ = 1000 kg/m 3 Phantom section: Right Section; Test Date: 12/19/2022; Ambient Temp: 21.1°C; Tissue Temp: 19.4°C Probe: EX3DV4 - SN7491; ConvF(9.85, 9.85, 9.85) @ 848.8 MHz; Calibrated: 6/29/2022 Sensor-Surface: 1.4mm (Mechanical Surface Detection) Electronics: DAE4 Sn1532; Calibrated: 6/14/2022 Phantom: Twin-SAM V5.0; Type: QD 000 P40 CD; Serial: 1626 Measurement SW: DASY52, Version 52.10 (4);SEMCAD X Version 14.6.14 (7501) Mode: GSM 850, Right Head, Cheek, High.ch Area Scan (9x14x1): Measurement grid: dx=15mm, dy=15mm Zoom Scan (5x5x7)/Cube 0: Measurement grid: dx=8mm, dy=8mm, dz=5mm Reference Value = 13.19 V/m; Power Drift = 0.05 dB Peak SAR (extrapolated) = 0.182 W/kg SAR(1 g) = 0.145 W/kg Smallest distance from peaks to all points 3 dB below: Larger than measurement grid (> 16 mm) Ratio of SAR at M2 to SAR at M1 = 80.5% 0 dB = 0.170 W/kg = -7.70 dBW/kg A2 ELEMENT DUT: A3LSMS911JPN; Type: Portable Handset; Serial: 1046M Communication System: UID:10021 - DAC, GSM; MAIA: Y; Frequency: 1850.2 MHz Medium: 1900 Head; Medium parameters used: f = 1850.2 MHz; cond = 1.40 S/m; perm = 41.4; density = 1000 kg/m3 Phantom Section: LeftHead; Space: 0.00 mm Test Date: 12/19/2022; Ambient Temp: 18.8°C; Tissue Temp: 21.9°C Probe: EX3DV4 - SN7409; ConvF:(8.13,8.13,8.13); Calibrated: 2022-06-16 Sensor-Surface: 1.4mm (VMS + 6p) Electronics: DAE4 Sn1334; Calibrated: 2022-06-14 Phantom: Twin-SAM V5.0; Serial: 1792 Measurement SW: DASY Module SAR V16.2.0.1425 Mode: GSM 1900, Left Head, Cheek, Low Ch. Area Scan (120.0 x 210.0): Measurement grid: dx=15.0 mm, dy=15.0 mm Zoom Scan (30.0 x 30.0 x 30.0): Measurement grid: dx=6.0 mm, dy=6.0 mm, dz=1.5 mm; Graded Ratio: 1.5 Reference Value = 0.06 W/kg; Power Drift = 0.05 dB Peak SAR (extrapolated) = 0.094 W/kg SAR(1 g) = 0.063 W/kg Smallest distance from peaks to all points 3 dB below is 13.4 mm Ratio of SAR at M2 to SAR at M1 = 88.8 % A3 ELEMENT DUT: A3LSMS911JPN; Type: Portable Handset; Serial: 1060M Communication System: UID 0, UMTS; Frequency: 826.4 MHz; Duty Cycle: 1:1 Medium: 835 Head; Medium parameters used (interpolated): f = 826.4 MHz; σ = 0.911 S/m; ε r = 42.157; ρ = 1000 kg/m 3 Phantom section: Right Section; Test Date: 01/03/2023; Ambient Temp: 21.5°C; Tissue Temp: 22.5°C Probe: EX3DV4 - SN7491; ConvF(9.85, 9.85, 9.85) @ 826.4 MHz; Calibrated: 6/29/2022 Sensor-Surface: 1.4mm (Mechanical Surface Detection) Electronics: DAE4 Sn1532; Calibrated: 6/14/2022 Phantom: Twin-SAM V5.0; Type: QD 000 P40 CD; Serial: 1626 Measurement SW: DASY52, Version 52.10 (4);SEMCAD X Version 14.6.14 (7501) Mode: UMTS 850, Right Head, Cheek, Low.ch Area Scan (9x14x1): Measurement grid: dx=15mm, dy=15mm Zoom Scan (5x5x7)/Cube 0: Measurement grid: dx=8mm, dy=8mm, dz=5mm Reference Value = 17.87 V/m; Power Drift = 0.05 dB Peak SAR (extrapolated) = 0.353 W/kg SAR(1 g) = 0.280 W/kg Smallest distance from peaks to all points 3 dB below: Larger than measurement grid (> 16 mm) Ratio of SAR at M2 to SAR at M1 = 80.3% 0 dB = 0.329 W/kg = -4.83 dBW/kg A4 ELEMENT DUT: A3LSMS911JPN; Type: Portable Handset; Serial: 1060M Communication System: UID 0, LTE Band 12; Frequency: 707.5 MHz; Duty Cycle: 1:1 Medium: 750 Head; Medium parameters used (interpolated): f = 707.5 MHz; σ = 0.872 S/m; ε r = 41.922; ρ = 1000 kg/m 3 Phantom section: Right Section; Test Date: 12/20/2022; Ambient Temp: 22.3°C; Tissue Temp: 21.3°C Probe: EX3DV4 - SN7491; ConvF(10.11, 10.11, 10.11) @ 707.5 MHz; Calibrated: 6/29/2022 Sensor-Surface: 1.4mm (Mechanical Surface Detection) Electronics: DAE4 Sn1532; Calibrated: 6/14/2022 Phantom: Twin-SAM V5.0; Type: QD 000 P40 CD; Serial: 1626 Measurement SW: DASY52, Version 52.10 (4);SEMCAD X Version 14.6.14 (7501) Mode: LTE Band 12, Right Head, Cheek, Mid.ch, 10 MHz Bandwidth, QPSK, 1 RB, 49 RB Offset Area Scan (9x14x1): Measurement grid: dx=15mm, dy=15mm Zoom Scan (5x5x7)/Cube 0: Measurement grid: dx=8mm, dy=8mm, dz=5mm Reference Value = 13.43 V/m; Power Drift = 0.08 dB Peak SAR (extrapolated) = 0.179 W/kg SAR(1 g) = 0.145 W/kg Smallest distance from peaks to all points 3 dB below: Larger than measurement grid (> 16 mm) Ratio of SAR at M2 to SAR at M1 = 81.2% 0 dB = 0.166 W/kg = -7.80 dBW/kg A5 ELEMENT DUT: A3LSMS911JPN; Type: Portable Handset; Serial: 1060M Communication System: UID 0, LTE Band 13; Frequency: 782 MHz; Duty Cycle: 1:1 Medium: 750 Head; Medium parameters used (interpolated): f = 782 MHz; σ = 0.897 S/m; ε r = 41.713; ρ = 1000 kg/m 3 Phantom section: Right Section; Test Date: 12/20/2022; Ambient Temp: 22.3°C; Tissue Temp: 21.3°C Probe: EX3DV4 - SN7491; ConvF(10.11, 10.11, 10.11) @ 782 MHz; Calibrated: 6/29/2022 Sensor-Surface: 1.4mm (Mechanical Surface Detection) Electronics: DAE4 Sn1532; Calibrated: 6/14/2022 Phantom: Twin-SAM V5.0; Type: QD 000 P40 CD; Serial: 1626 Measurement SW: DASY52, Version 52.10 (4);SEMCAD X Version 14.6.14 (7501) Mode: LTE Band 13, Right Head, Cheek, Mid.ch, 10 MHz Bandwidth, QPSK, 1 RB, 0 RB Offset Area Scan (9x14x1): Measurement grid: dx=15mm, dy=15mm Zoom Scan (5x5x7)/Cube 0: Measurement grid: dx=8mm, dy=8mm, dz=5mm Reference Value = 18.01 V/m; Power Drift = 0.03 dB Peak SAR (extrapolated) = 0.361 W/kg SAR(1 g) = 0.284 W/kg Smallest distance from peaks to all points 3 dB below = 23.7 mm Ratio of SAR at M2 to SAR at M1 = 79.6% 0 dB = 0.336 W/kg = -4.74 dBW/kg A6 ELEMENT DUT: A3LSMS911JPN; Type: Portable Handset; Serial: 1060M Communication System: UID 0, LTE Band 26; Frequency: 831.5 MHz; Duty Cycle: 1:1 Medium: 835 Head; Medium parameters used (interpolated): f = 831.5 MHz; σ = 0.867 S/m; ε r = 41.184; ρ = 1000 kg/m 3 Phantom section: Right Section; Test Date: 12/19/2022; Ambient Temp: 21.1°C; Tissue Temp: 19.4°C Probe: EX3DV4 - SN7491; ConvF(9.85, 9.85, 9.85…

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RF Exposure Info

A P P E N D I X B : S A R D I P O L E V E R I F I C A T I O N P L O T S B1 ELEMENT DUT: Dipole 13.0 MHz; Type: CLA-13 - SN1002 Communication System: UID: 0, CW; Frequency: 13.0 MHz Medium: 30 Head; Medium parameters used: f = 13.0 MHz; cond = 0.719 S/m; perm = 53.0; density = 1000 kg/m3 Phantom Section: Flat; Space: 0 mm Test Date: 01/18/2023; Ambient Temp: 22.6°C; Tissue Temp: 22.0°C Probe: EX3DV4 - SN7527; ConvF:(17.78,17.78,17.78); Calibrated: 2022-03-21 Sensor-Surface: 1.4mm (VMS + 6p) Electronics: DAE4 Sn1272; Calibrated: 2022-03-16 Phantom: ELI V8.0; Serial: 2077 Measurement SW: DASY Module SAR V16.2.0.1425 13.0 MHz System Verification at 30.0 dBm (1W) Area Scan (40.0 x 90.0): Measurement grid: dx=10.0 mm, dy=15.0 mm Zoom Scan (30.0 x 30.0 x 30.0): Measurement grid: dx=6.0 mm, dy=6.0 mm, dz=1.5 mm; Graded Ratio: 1.5 Peak SAR (extrapolated) = 1.03 W/kg SAR(1 g) = 0.513 W/kg; SAR(10 g) = 0.318 W/kg Deviation (1 g) = -7.90%; Deviation (10 g) = -8.09% B2 ELEMENT DUT: Dipole 750 MHz; Type: D750V3 - SN:1046 Communication System: UID 0, CW; Frequency: 750 MHz; Duty Cycle: 1:1 Medium: 750 Head Medium parameters used: f = 750 MHz; σ = 0.885 S/m; ε r = 41.781; ρ = 1000 kg/m 3 Phantom section: Flat Section; Space: 1.5 cm Test Date: 12/20/2022; Ambient Temp: 22.3°C; Tissue Temp: 21.3°C Probe: EX3DV4 - SN7491; ConvF(10.11, 10.11, 10.11) @ 750 MHz; Calibrated: 6/29/2022 Sensor-Surface: 1.4mm (Mechanical Surface Detection) Electronics: DAE4 Sn1532; Calibrated: 6/14/2022 Phantom: Twin-SAM V5.0; Type: QD 000 P40 CD; Serial: 1626 Measurement SW: DASY52, Version 52.10 (4);SEMCAD X Version 14.6.14 (7501) 750 MHz System Verification at 23.0 dBm (200 mW) Area Scan (7x15x1): Measurement grid: dx=15mm, dy=15mm Scan (5x5x7)/Cube 0: Measurement grid: dx=8mm, dy=8mm, dz=5mm Reference Value = 44.84 V/m; Power Drift = -0.02 dB Peak SAR (extrapolated) = 2.61 W/kg SAR(1 g) = 1.69 W/kg; SAR(10 g) = 1.11 W/kg Deviation(1 g) = -1.05%; Deviation(10 g) = -1.07% 0 dB = 2.29 W/kg = 3.60 dBW/kg B3 ELEMENT DUT: Dipole 835 MHz; Type: D835V2 - SN:4d180 Communication System: UID 0, CW; Frequency: 835 MHz; Duty Cycle: 1:1 Medium: 835 Head Medium parameters used: f = 835 MHz; σ = 0.868 S/m; ε r = 41.173; ρ = 1000 kg/m 3 Phantom section: Flat Section; Space: 15 mm Test Date: 12/19/2022; Ambient Temp: 21.1°C; Tissue Temp: 19.4°C Probe: EX3DV4 - SN7491; ConvF(9.85, 9.85, 9.85) @ 835 MHz; Calibrated: 6/29/2022 Sensor-Surface: 1.4mm (Mechanical Surface Detection) Electronics: DAE4 Sn1532; Calibrated: 6/14/2022 Phantom: Twin-SAM V5.0; Type: QD 000 P40 CD; Serial: 1626 Measurement SW: DASY52, Version 52.10 (4);SEMCAD X Version 14.6.14 (7501) 835 MHz System Verification at 23.0 dBm (200 mW) Area Scan (7x14x1): Measurement grid: dx=15mm, dy=15mm Zoom Scan (5x5x7)/Cube 0: Measurement grid: dx=8mm, dy=8mm, dz=5mm Peak SAR (extrapolated) = 3.05 W/kg SAR(1 g) = 2.05 W/kg; SAR(10 g) = 1.36 W/kg Deviation(1 g) = 5.13%; Deviation(10 g) = 6.75% 0 dB = 2.72 W/kg = 4.35 dBW/kg B4 ELEMENT DUT: Dipole 835 MHz D835V2; Type: D835V2 - SN:4d180 Communication System: UID 0, CW; Frequency: 835 MHz; Duty Cycle: 1:1 Medium: 835 Head Medium parameters used: f = 835 MHz; σ = 0.914 S/m; ε r = 42.132; ρ = 1000 kg/m 3 Phantom section: Flat Section; Space: 15 mm Test Date: 01/03/2023; Ambient Temp: 21.5°C; Tissue Temp: 22.5°C Probe: EX3DV4 - SN7491; ConvF(9.85, 9.85, 9.85) @ 835 MHz; Calibrated: 6/29/2022 Sensor-Surface: 1.4mm (Mechanical Surface Detection) Electronics: DAE4 Sn1532; Calibrated: 6/14/2022 Phantom: Twin-SAM V5.0; Type: QD 000 P40 CD; Serial: 1626 Measurement SW: DASY52, Version 52.10 (4);SEMCAD X Version 14.6.14 (7501) 835 MHz System Verification at 23.0 dBm (200 mW) Area Scan (7x14x1): Measurement grid: dx=15mm, dy=15mm Zoom Scan (5x5x7)/Cube 0: Measurement grid: dx=8mm, dy=8mm, dz=5mm Peak SAR (extrapolated) = 2.95 W/kg SAR(1 g) = 1.99 W/kg; SAR(10 g) = 1.32 W/kg Deviation(1 g) = 2.05%; Deviation(10 g) = 3.61% 0 dB = 2.64 W/kg = 4.22 dBW/kg B5 ELEMENT DUT: Dipole 835.0 MHz; Type: D835V2 - SN4d132 Communication System: UID: 0, CW; Frequency: 835.0 MHz Medium: 835 Head; Medium parameters used: f = 835.0 MHz; cond = 0.905 S/m; perm = 41.6; density = 1000 kg/m3 Phantom Section: Flat; Space: 15 mm Test Date: 01/16/2023; Ambient Temp: 22.5°C; Tissue Temp: 21.0°C Probe: EX3DV4 - SN7488; ConvF:(10.11,10.11,10.11); Calibrated: 2022-02-21 Sensor-Surface: 1.4mm (VMS + 6p) Electronics: DAE4 Sn1415; Calibrated: 2022-02-23 Phantom: Twin-SAM V8.0; Serial: 2065 Measurement SW: DASY Module SAR V16.2.0.1425 835 MHz System Verification at 23 dBm (200 mW) Area Scan (40.0 x 90.0): Measurement grid: dx=10.0 mm, dy=15.0 mm Zoom Scan (30.0 x 30.0 x 30.0): Measurement grid: dx=6.0 mm, dy=6.0 mm, dz=1.5 mm; Graded Ratio: 1.5 Peak SAR (extrapolated) = 2.97 W/kg SAR(1 g) = 1.93 W/kg; SAR(10 g) = 1.27 W/kg Deviation (1 g) = -0.10%; Deviation (10 g) = 1.28% B6 ELEMENT DUT: Dipole 1750.0 MHz; Type: D1750V2 - SN1150 Communication System: UID: 0, CW; Frequency: 1750.0 MHz Medium: 1750 Head; Medium parameters used: f = 1750.0 MHz; cond = 1.39 S/m; perm = 40.1; density = 1000 kg/m3 Phantom Section: Flat; Space: 10 mm Test Date: 12/27/2022; Ambient Temp: 21.0°C; Tissue Temp: 21.0°C Probe: EX3DV4 - SN7406; ConvF:(8.37,8.37,8.37); Calibrated: 2022-07-18 Sensor-Surface: 1.4mm (VMS + 6p) Electronics: DAE4 Sn1677; Calibrated: 2022-07-18 Phantom: Twin-SAM V8.0; Serial: 2064 Measurement SW: DASY Module SAR V16.2.0.1425 1750 MHz System Verification at 20 dBm (100 mW) Area Scan (40.0 x 90.0): Measurement grid: dx=10.0 mm, dy=15.0 mm Zoom Scan (30.0 x 30.0 x 30.0): Measurement grid: dx=6.0 mm, dy=6.0 mm, dz=1.5 mm; Graded Ratio: 1.5 Peak SAR (extrapolated) = 7.62 W/kg SAR(1 g) = 3.78 W/kg; SAR(10 g) = 1.92 W/kg Deviation (1 g) = 2.44%; Deviation (10 g) = -1.03% B7 ELEMENT DUT: Dipole 1900.0 MHz; Type: D1900V2 - SN5d148 Communication System: UID: 0, CW; Frequency: 1900.0 MHz Medium: 1900 Head; Medium parameters used: f = 1900.0 MHz; cond = 1.45 S/m; perm = 41.3; density = 1000 kg/m3 Phanto…

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RF Exposure Info

A P P E N D I X C : P R O B E A N D D I P O L E C A L I B R A T I O N C E R T I F I C A T E S Object: Date Issued: Page 1 of 4 D835V2 – SN: 4d132 01/21/2022 Certification of Calibration Object D835V2 – SN: 4d132 Calibration procedure(s) Procedure for Calibration Extension for SAR Dipoles. Extension Calibration date: 01/21/2022 Description: SAR Validation Dipole at 835 MHz. Calibration Equipment used: Measurement Uncertainty = ±23% (k=2) Name Function Signature Calibrated By: Brodie Halbfoster Test Engineer Approved By: Kaitlin O’Keefe Senior Technical Manager Ma nufa cture r Mode l De scription Ca l Da te Ca l Inte rva l Ca l Due Se ria l Numbe r Agilent N5182A MXG Vector Signal Generator 6/21/2021 Annual 6/21/2022MY47420603 Amplifier Research 15S1G6 Amplifier CBTN/A CBT343971 Anritsu MA2411B Pulse Power Sensor 3/8/2021 Annual 3/8/20221339007 Anritsu MA2411B Pulse Power Sensor 3/9/2021 Annual 3/9/20221207470 Anritsu ML2496A Power Meter 3/3/2021 Annual 3/3/20221306009 Anritsu ML2496A Power Meter 4/21/2021 Annual 4/21/20221351001 Control Company 4040Therm./ Clock/ Humidity Monitor 3/6/2020 Biennial 3/6/2022200170289 Control Company 4352Ultra Long Stem Thermometer 3/ 2/ 2021 Annual 3/2/2022160508122 Control Company 4353Long Stem Thermometer 10/28/2020 Biennial 10/28/2022200670653 Mini‐Circuits BW‐N20W5+ DC to 18 GHz Precision Fixed 20 dB Attenuator CBTN/A CBTN/A Mini‐Circuits NLP‐1200+ Low Pass Filter DC to 1000 MHz CBTN/A CBTN/A Narda 4772‐3 Attenuator (3dB) CBTN/A CBT9406 Pasternack NC‐100 Torque Wrench 8/4/2020 Biennial 8/4/2022N/A Mini‐CircuitsZHDC‐16‐63 ‐S+Coupler CBTN/A CBTN/A Rohde & Schwarz ZND Vector Network Analyzer 3/18/2020 Biennial 3/18/2022100465 SPEAG DAK‐3.5 Dielectric Assessment Kit 5/12/2021 Annual 5/12/20221070 Keysight Technologie s85033EStandard Mechanical Calibration Kit (DC to 9GHz, 3.5mm)9/27/2021 Annual 9/27/2022MY53401181 SPEAG DAE4 Dasy Data Acquisition Electronics 11/10/2021 Annual 11/10/20221681 SPEAG EX3DV4 SAR Probe 11/16/2021 Annual 11/16/20227538 SPEAG DAE4 Dasy Data Acquisition Electronics 6/22/2021 Annual 6/22/20221677 SPEAG EX3DV4 SAR Probe 6/28/2021 Annual 6/28/20227660 PCTEST 7185 Oakland Mills Road, Columbia, MD 21046 USA Tel. +1.410.290.6652 / Fax +1.410.290.6654 http://www.pctest.com Object: Date Issued: Page 2 of 4 D835V2 – SN: 4d132 01/21/2022 DIPOLE CALIBRATION EXTENSION Per KDB 865664 D01, calibration intervals of up to three years may be considered for reference dipoles when it is demonstrated that the SAR target, impedance and return loss of a dipole have remained stable according to the following requirements: 1. The measured SAR does not deviate more than 10% from the target on the calibration certifi cate. 2. The return‐loss does not deviate more than 20% from the previous measurement and meets the required 20dB minimum return‐loss requirement. 3. The measurement of real or imaginary parts of impedance does not deviate more than 5Ω from the previous measurement. The following dipole was chec ked to pa ss the above 3 requirements to have 2‐year calibration period from the calibration date: Calibration Date Extension Date Certificate Electrical Delay (ns ) Certificate SAR Target Head (1g) W/kg @ 23.0 dBm Measured Head SAR (1g) W/kg @ 23.0 dBm Deviation 1g (%) Certificate SAR Target Head (10g) W/kg @ 23.0 …

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Contact Information

Applicant

Jenni Chun(General Manager)
[email protected]973-808-6375Fax: 973-808-6361

Test Firm

Element Materials Technology Washington DC LLCZach Keyser
[email protected]1111111111

Technical Specifications

#Rule PartsFrequency RangePower Output
915E5.82 GHz - 5.82 GHz107.00 mW
Confidentiality
Long Term
Grant Notes
Output power listed is conducted for frequencies below 5850 MHz and EIRP for frequencies above 5850 MHz. SAR compliance for body-worn operations is limited to the specific configurations tested for this filing. Body-worn operations are restricted to belt-clips, holsters or similar accessories that have no metallic component in the assembly and must provide at least 1.5 cm separation between the device and the user's body. End-users must be informed of the body-worn operating requirements for satisfying RF exposure. Device is a 2 x 2 MIMO configuration, enabled for 5 GHz operations as described in this filing. For frequencies above 5850 MHz, device operation is intended for indoor use only. This device supports 20, 40, 80, and 160 MHz BW modes. Device operations in NII bands are MIMO only. The highest reported SAR for simultaneous transmission exposure conditions is 1.59 W/kg.

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