NB5-CSCAN8500-CScanner

Appendix E. Block Diagram Report no. ETLE120810.0950, Page E1 of E1 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C

SCS-F18: Project and Product Certification Representative Authorization Letter Page 2 of 2 Rev 2.0 August 28, 2012 To: SIEMIC, INC. 775 Montague Expressway Milpitas , CA 95035 USA Dear Sir/Madam, Re: Project and Product Certification Representative Authorization Letter We, Chatsworth Data hereby authorize SIEMIC, INC. to act as a Certification Body for certifying for the following project(s): Scanner / cSCAN8500-C (FCC ID: NB5-CSCAN8500-C) We affirm that between SIEMIC and Chatsworth Data, any difference in understanding, including test plan, measurement methods, applicable standards and relevant procedures and processes have been resolved prior to commencement of testing activities. Sincerely, Armando Ponce / Vice President Chatsworth Data 9735 Lurline Avenue, Chatsworth, CA 91311, USA

775 Montague Expressway , Milpitas , CA 95035 USA Tel: +1(408) 526 1188, Fax: +1(408) 526 1088, Email: [email protected], URL: www.siemic.com August 29, 2012 To: FCC From: SIEMIC, INC. RE: Applicant: Chatsworth Data., NB5-CSCAN8500-C, Request for supercede of test report exhibits Per customer’s request, Device manufacture’s address has been changed. We are asking to kindly replace the test report with revised copies. You can find the changes on page 1 of the revised test report, Thank you, Annie Jiang SIEMIC, INC. 775 Montague Expressway Milpitas, CA 95035 Tel: 408-526-1188 Ext 209 Fax: 408-526-1088

Appendix C. External Photographs Report no. ETLE120810.0950, Page C1 of C6 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Front view of EUT Front side view of EUT Appendix C. External Photographs Report no. ETLE120810.0950, Page C2 of C6 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Rear view of EUT Rear side view of EUT Appendix C. External Photographs Report no. ETLE120810.0950, Page C3 of C6 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C View of port Appendix C. External Photographs Report no. ETLE120810.0950, Page C4 of C6 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C View of Adapter Appendix C. External Photographs Report no. ETLE120810.0950, Page C5 of C6 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C View of Adapter label Appendix C. External Photographs Report no. ETLE120810.0950, Page C6 of C6 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C View of cable

Appendix A. FCC ID Label and Location Report no. ETLE120810.0950, Page A1 of A1 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Product Label Sample with FCC Label information Following is a sample copy of the label that will be placed on the rear cabinet of the product. The FCC ID Label and compliance statement are marked in the product label. The warning statement and Information to the User are described in the user manual. Chatsworth Data Scanner FCC ID : NB5-CSCAN8500-C Model No. : cSCAN8500-C POWER : Power supply from the AC/DC Adapter Input: AC 100 V – 240 V; 47 Hz – 63 Hz; 1.4 A Max Output: DC 24 V; 2.7 A Serial No. : NONE This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) This device must accept any interference received, including interference that may cause undesired operation. Manufacturer: WITEK SYSTEM INC. Made in Korea Label Location The label shown shall be permanently affixed at a conspicuous location on the device and be readily visible to the user at the time purchase.(Labeling requirements per 2.925) Label here

Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D1 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Inside view of EUT #1 Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D2 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Inside view of EUT #2 Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D3 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Top side view of main board Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D4 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Bottom side view of main board Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D5 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Top side view of connect board Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D6 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Bottom side view of connect board Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D7 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Top side view of sensor board #1 Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D8 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Bottom side view of sensor board #1 Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D9 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Top side view of sensor board #2 Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D10 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Bottom side view of sensor board #2 Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D11 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Top side view of sensor board #3 Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D12 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Bottom side view of sensor board #3 Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D13 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Top side view of scanner module Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D14 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Bottom side view of scanner module Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D15 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C View of motor Appendix D. Internal Photographs Report no. ETLE120810.0950, Page D16 of D16 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C View of motor label

Report no. ETLE120810.0950, Page 2 of 19 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC TEST REPORT FCC ID: NB5-CSCAN8500-C Table of Contents FCC Measurement Report 1. Introduction 2. Product Information 3. Description of Tests 4. Test Condition 5. Test Results 5.1 Summary of Test Results 5.2 Conducted Emissions Measurement 5.3 Radiated Emissions Measurement 6. Sample Calculation 7. List of test Equipment used for Measurement Appendix A. FCC Label and Location Appendix B. Test Setup Photographs Appendix C. External Photographs Appendix D. Internal Photographs Appendix E. Block Diagram Appendix F. User Manual Report no. ETLE120810.0950, Page 3 of 19 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC TEST REPORT FCC ID: NB5-CSCAN8500-C FCC MEASUREMENT REPORT Scope – Measurement and determination of electromagnetic emission(EME) of radio frequency devices including intentional radiators and/or unintentional radiators for compliance with the technical rules and regulations of the U.S Federal Communications Commission(FCC) General Information  EUT Type : Scanner  Model Number : cSCAN8500-C  S/N : -  Frequency Range : OSC  24.000 MHz  Rule Part(s) : FCC Part 15 Subpart B  Test Procedure : ANSI C63.4-2003  FCC Classification : Class B Personal computers and peripherals  Dates of Tests : August 16, 2012 to August 17, 2012  Place of Tests : ETL Inc. Testing Lab. (FCC Designation Number : KR0022) Radiated Emission test; #499-1, Sagot-ri, Seosin-myeon, Hwaseong-si, Gyeonggi-do, 445-882, Korea Conducted Emission test; ETL Inc. Testing Lab. (FCC Designation Number : KR0022) 371-51, Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea  Test Report No. : ETLE120810.0950 Applicant Name : Chatsworth Data Address : 9735 Lurline Avenue, Chatsworth, CA 91311, USA Attention : Armando Ponce / Vice President Report no. ETLE120810.0950, Page 4 of 19 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC TEST REPORT FCC ID: NB5-CSCAN8500-C 1. INTRODUCTION The measurement tests for radiated and conducted emission test were conducted at the ETL Inc. The site is constructed in conformance with the requirements of the ANSI C63.4-2003 and CISPR Publication 16. The ETL has site descriptions on file with the FCC for 3 m and 10 m site configurations. Detailed description of test facility was found to be in compliance with the requirements of Section 2.948 FCC Rules according to the ANSI C63.4-2003 and registered to the Federal Communications Commission (FCC Designation Number : KR0022). The measurement procedure described in American National Standard for Method of Measurement of Radio- Noise Emission from Low-Voltage Electrical and Electronic Equipment in the Range of 9 kHz to 40 GHz (ANSI C63.4-2003) was used in determining radiated and conducted emissions from the Chatsworth Data, Model: cSCAN8500-C. Report no. ETLE120810.0950, Page 5 of 19 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC TEST REPORT FCC ID: NB5-CSCAN8500-C 2. PRODUCT INFORMATION 2.1 Equipment Description The Equipment Under Test (EUT) is the Scanner (model: cSCAN8500-C). 2.2 General Specification Paper Path: The cSCAN8500-C Reader has a paper path that is easily accessible for clearing jams and cleaning the optic head. A simple hinged connection allows the upper assembly to open for complete access to the paper path Communication Interface: USB 1.1, USB 2.0 Driver-Windows, Linux Scan Resolution: 200 dpi x 200 dpi Scan Light Source: Visible 660 nm red light, Dual row illumination for wrinkle removal Feed Method: Manual insertion with powered transport feed through, software controlled, eject front or eject rear Scanning Speed: Up to 17.7 Inches (45 cm) per second Throughput: Approx. (25 - 35) slips per minute Form Size: From 3.25” x 3.00” to 8.50” x 32.90” Paper Weight: 18 lb to 100 lb bond, ledger, index or OCR - .004 Inches to .010 Inches thick Optional Duplex Scanning: Dual scan heads at 200 dpi to scan both sides of a form in a single pass Optional thermal brander: 1” thermal brander (right-top side) Data Output: Bit map image file – 256 gray scale, Black & white From Marking (Visible Red): #2 Pencil Blue or black ball point pen Blue or black felt-tip pen Pre-printed marks Read Technique: 8.5”, 200 dpi high speed CIS (Contact Image Sensor) using red LED (660 nm) illumination Power: Universal power adapter (100 – 240) VAC input, 24 VDC @ 2.7 A output Operating Conditions: (77 ± 36) °F (25 ± 20) °C (55 ± 25) % R.H., non-condensing Weight: 3.6 kg (8 lb) Dimensions: (without exit tray) 11.75” (W) x 5.85” (H) x 6.00” (D) 29.85 cm (W) x 14.86 cm (H) x 15.24 cm (D) (with exit tray) 11.75” (W) x 5.85” (H) x 13.00” (D) 29.85 cm (W) x 14.86 cm (H) x 33.00 cm (D) Report no. ETLE120810.0950, Page 6 of 19 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC TEST REPORT FCC ID: NB5-CSCAN8500-C 3. DESCRIPTION OF TESTS 3.1 Conducted Emission Measurement Conducted emissions measurements were made in accordance with section 11, "Measurement of Information Technology Equipment" of ANSI C63.4-2003. The measurements were performed over the frequency range of 0.15 MHz to 30 MHz using a 50 Ω/50 μH LISN as the input transducer to a Spectrum Analyzer or a Test Receiver. The measurements were made with the detector set for "Peak" amplitude within a bandwidth of 9 kHz or for "quasi-peak" within a bandwidth of 9 kHz. The line-conducted emission test is conducted inside a shielded anechoic chamber room with 1 m x 1.5 m x 0.8 m wooden table which is placed 40 cm away from the vertical wall and 1.5 m away from the side wall of the chamber room. Two LISN are bonded to the shielded room. Th…

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Appendix B. Test Setup Photographs Report no. ETLE120810.0950, Page B1 of B3 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Conducted Emission Test Setup Appendix B. Test Setup Photographs Report no. ETLE120810.0950, Page B2 of B3 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Radiated Emission Test Setup (Below 1 GHz) Appendix B. Test Setup Photographs Report no. ETLE120810.0950, Page B3 of B3 Head Office: # 371-51 Gasan-dong, Geumcheon-gu, Seoul, 153-803, Korea Tel : 82-2-858-0786 Fax : 82-2-858-0788 ETLQP-21-F22-0 FCC ID: NB5-CSCAN8500-C Radiated Emission Test Setup (Above 1 GHz)