O76-T4SG0910ALow Power Transmitter for Soap Dispenser (LTX Model)

! Warning (In according to FCC part 15.19): 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. ! Caution (Pertaining to FCC part 15.21): Modifications to this equipment not expressly approved by GOJO Industries, Inc. could void the user's authority to operate the equipment. This unit is certified to FCC Part 15 Part C for intentional unlicensed radiators. FCC ID O76-T4SG0910A LTX TM Activity Monitoring System transmitter module installation procedure 1. Press the LTX door latches inward to release the door. 2. Pull the top of the door forward. 3. Use a flathead screwdriver to lift the slot cover away from the cabinet. 4. Remove and discard the slot cover. 5. Remove the LTX trans- mitter module from the packaging and straighten the antenna wire. 6. Align the transmitter module base into the fitting in the door, and feed the antenna wire up through the retainierslots. Antenna wire retainer slots 7. With the antenna wire in place, swing the top of the module down and snap into place to secure the module. 10. Remove the battery tab to apply power to the LTX dispenser. 8. Check to ensure that the battery tab is present. If the battery tab is not present, place a battery tab into the slot before proceeding to the next step. 9. Insert the module cable into the jack on the front of the pump house, and press in firmly to secure the plug. 11. Load the dispenser with an appropriate product refill if needed. Close the dispenser door and watch for the green light to start flashing after a few seconds. If the light flashes red, or does not flash at all, reopen the door and check for problems. Status light Battery tab

DATE: 4/21/2014 SUBJECT: Reply to TIMCO-TCB/Request for additional information RE: Gojo Industries, Inc. - FCC ID: O76-T4SG0910A - JOB #: 582UC14 This letter requests modular approval including an itemized list documenting compliance with the FCC modular approval requirements in the Section 15.212 rules for unlicensed modules. NOTE: As stated our submission is for a Limited Modular Approval for use in Gojo Industries, Inc. touch-free Dispenser types LTX-7 and LTX-12 only – referred to as Host in this document. Dear Timco: Below is BOLD is Gojo response documenting compliance with the modular approval requirements in Section 15.212 rules for unlicensed modules: 1. The radio elements must have the radio frequency circuitry shielded. Physical components and tuning capacitor(s) may be located external to the shield, but must be on the module assembly; The module does not comply with this requirement as it is a Limited Module that can only be used in the Host LTX dispenser. The module meets the all emission requirements in the Host dispenser – see Gojo LTX FCC Test Report and therefore the module does not need a shield. 2. The module must have buffered modulation/data inputs to ensure that the device will comply with Part 15 requirements with any type of input signal; The module does not comply with this requirement as it is a Limited Module that can only be used in the Host LTX dispenser. Because it can only be used in the Host, no buffering of data inputs is required for proper operation or compliance to the emission requirements. 3. The module must contain power supply regulation on the module; Although the module does have its own series 3.3VDC regulator for providing regulated power to the module, the module does not need to comply with this requirement as it is a Limited Module that can only be used in the Host LTX dispenser. No power supply regulation is required for proper operation or compliance to the emission requirements. He regulation is provided to safe guard the module circuitry incase the Host batteries are not installed properly. 4. The module must contain a permanently attached antenna, or contain a unique antenna connector, and be marketed and operated only with specific antenna(s), per Sections 15.203, 15.204(b), 15.204(c), 15.212(a), 2.929(b); The module does comply with this requirement as the antenna is a simple 22AWG wire and that wire is soldered directly to the printed circuit board of the module. 5. The module must demonstrate compliance in a stand-alone configuration; The module does not comply with this requirement as it is a Limited Module that can only be used in the Host LTX dispenser. Because it can only be used in the Host it therefore cannot be used in a stand-alone or in any other configuration. 6. The module must be labelled with its permanently affixed FCC ID label, or use an electronic display (See KDB Publication 784748 about labelling requirements); The module does comply with this requirement as FCC ID label is fixed to the modules – see photos of label location. 7. The module must comply with all specific rules applicable to the transmitter including all the conditions provided in the integration instructions by the grantee; The module complies with this requirement and an installation manual is provided to Gojo licensed distributors containing instructions of how to install the module into the Host dispenser. See Install Manual provided. 8. The module must comply with RF exposure requirements; The module does not comply with this requirement as it is a Limited Module that can only be used in the Host LTX dispenser. The host dispenser is a 15.249 device that does have RF Exposure requirements – therefore this test was not performed.

Type: LTX AMS S/N:XXXXXXX ❙❘ ❙ ❘❘ ❚❘ ❘❙❙ ❚❘❘❙ ❘❚❙❙ ❘ ❙❙❚ ❚ ❘❙❙❘ ❙❘❘ P/N: 1930-513-910 Rev: ABC FCC ID: O76-T4SG0910A IC: ####-###### GOJO Indus tries, In c. Type: LTX AMS S/N:XXXXXXX ❙❘ ❙ ❘❘ ❚❘ ❘❙❙ ❚❘❘❙ ❘❚❙❙ ❘ ❙❙❚ ❚ ❘❙❙❘ ❙❘❘ P/N: 1930-513-910 Rev: ABC FCC ID: O76-T4SG0910A IC: ####-###### GOJO Indus tries, In c. A B C D 4321 4321 TITLE: STATE: CONFIDENTIAL ©2013 GOJO Industries, Inc. All Rights Reserved. ONE GOJO PLAZA, SUITE 500 AKRON, OH 44311 AND IS LOANED UPON CONDITION THAT IT IS NOT TO BE REPRODUCED OR COPIED IN WHOLE OR PART, OR USED FOR FURNISHING INFORMATION TO OTHERS OR FOR ANY OTHER PURPOSE DETRIMENTAL TO THE INTEREST OF GOJO INDUSTRIES, INC. AND WILL BE RETURNED UPON REQUEST GOJO INDUSTRIES, INC. THIS DRAWING IS THE PROPERTY OF DRAWN BY: M. BULLOCK DATE: 7/25/13 CHKD BY: DATE: SCALE 1:1 DO NOT SCALE SIZE B DWG. NO. SHEET 1 of 1 REV TOLERANCES: DECIMALS: X.X = 0.1 .X.XX = 0.01 .X.XXX = 0.005 FRACTIONS: X/XX = 1/32 ANGLES: X.X = 0.5 X.XX = 0.50 INTERPRET DRAWING PER ASME Y14.100 UNLESS OTHERWISE SPECIFIED DIMENSIONS ARE IN INCHES THIRD ANGLE PROJECTION REVECO ECRREVISIONAPRVD. BYDATE APPROVAL SIGNATURES ON FILE DWG. NO. 1960-013 1 FCC LABEL, LTX AMS Developmental 1960-013 A B C D 1.5 in. 0.75 in. SCALE 1:1 NOTES: 1. MATERIAL: FASSON 77113 COLOR: WHITE FACESTOCK: 0.7 MIL CLEAR BOPP ADHESIVE: S2001 LINER: 1.2 MIL PET 2. OVAL BOXED DIMENSIONS ARE CRITICAL. 3. BARCODE TO BE TYPE 128 TO CONTAIN SERIAL NUMBER 3. PART TO BE FREE OF DIRT, GREASE, OIL OR ANY FOREIGN MATERIAL 4. SHIPPING REQUIREMENTS: CAREFULLY PACKED TO AVOID DAMAGE IN QUANTITIES, IN UNIFORM SIZED SHIPPING CONTAINERS ON UNIFORM SIZED PALLET (48"LENGTH X 40"WIDTH X 66" TALL) CARTONS TO BE MARKED CLEARLY IN 1" HIGH MINIMUM LETTERS. WITH QUANTITY, GOJO PART, LOT, AND P.O. NUMBER. TYPE: TRANSMITTER GOJO Industries, Inc. ❙❘ ❙ ❘❘ ❚❘ ❘❙❙ ❚❘❘❙ ❘❚❙❙ ❘ ❙❙❚ ❚ ❘❙❙❘ ❙❘❘ P/N: 1960-501-WHT Rev. 004 FCC ID: O76-T4SG0910A SN: XXXXXXX - OR -

This report shall not be reproduced, except in full, without the written approval of DTT, Inc. and must not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. 9 of [# + data charts] D D I I V V E E R R S S I I F F I I E E D D T.E.S.T. TECHNOLOGIES, INC. February 15, 2014 Mr. Brad Lightner GOJO Industries 1 GOJO Plaza-Suite 500 Akron, OH 44311 Dear Mr. Lightner: Enclosed is the test report for the GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1960-513-910 Rev. ABC in the host where the host is the Smartlink Ready LTX-7 13XX-##-YYY dispenser which was tested at our facility located at 4675 Burr Drive in Liverpool, NY. This facility is on file with the Federal Communications Commission (FCC) per 47 CFR 2.948. (Site File Registration Number: 306552) Please see attached annex for information on the Limited Approval Wireless Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC. As narrated in the report, the product configuration meets the requirements of the FCC per CFR 47 Part 15.249 Class C for Intentional Radiators. Additionally, all spurious emissions signals are greater than 20 dB below the limit of FCC Part 15.209 and are not reported. Therefore, the unit under test meets the FCC Part 15.209 requirements. The plots indicated ambient scans. Thank you for selecting Diversified T.E.S.T. Technologies, Inc. for your testing needs. We look forward to working with you on future projects. Should you have any questions or concerns regarding this report, contact me at 315-457-0245. Please feel free to visit our website at www.dttlab.com. Sincerely, Michael McElroy Technical Associate 4675 Burr Drive ● Liverpool, NY 13088 ● 1-800-724-6452 ● FAX: 315-457-0428 ● 315-457-0245 DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-7 13XX-##-YYY Dispenser Project Number: 6425 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 1 Table of Contents Emissions Testing Documentation Table of Contents 1 Test Report 2 Test Regulations 3 Test Conditions 4 Test Operation Mode 5 Test Results 6 Test Setup Photographs 7 Test Datasheets-Harmonics 8 Test Datasheets-Bandwidth 9 Measurement Protocol 10 Annex 11-13 DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-7 13XX-##-YYY Dispenser Project Number: 6425 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 2 Test Report Laboratory Diversified TEST Technologies, Inc. 4675 Burr Drive Liverpool, NY 13088 315-457-0245 Manufacturer GOJO Industries 1 GOJO Plaza, Suite 500 Akron, OH. 44311 Report Issue Date: February 15, 2014 Project Number: 6425 Report Number: 6425-070913 (Edition 2) FCCC LTX7 with Limited Approval Wireless Transmitter Module Date Received: June 24, 2013 Date Tested: June 24, 2013 – June 26, 2013 Model Numbers: Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-7 13XX-##-YYY Dispenser FCC ID: O76-T4SG0910A Traceability: Reference standards of measurement have been calibrated by a competent body using standards traceable to NIST. The testing performed by Diversified TEST Technologies, Inc. has shown that the product referenced above complies with the electromagnetic compatibility requirements according to the standard(s) specified on page 3 of the test report. The results in this test report apply only to the product denoted above. The manufacturer is responsible for ensuring that additional units are manufactured with identical mechanical and electrical characteristics. The equipment listed above conforms to the specified requirements of the test standards listed on page 3 of this report. Complied by: Signature: _____________________________ Date: February 15, 2014 Michael McElroy Technical Associate Reviewed by: Signature: _____________________________ Date: February 15, 2014 Annelle Frierson Vice- President DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-7 13XX-##-YYY Dispenser Project Number: 6425 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 3 Emissions Test Regulations The emissions tests were performed according to the following regulations: EN 50081-1:1992 EN 50081-2:1995 EN 55011:1998 / A1:1999 / A2:2001 Group 1 Group 2 Class A Class B EN 55013:1990 / A12:1994 / A13:1996 / A14:1999 EN 55014:1993 / A1: 1997 Household appliances and similar Portable tools Semiconductor devices EN 55022:1998 Class A Class B FCC Part 15.249 Class A Class B Class C Certification Verification Declaration of Conformity DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-7 13XX-##-YYY Dispenser Project Number: 6425 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 4 Emissions Test Conditions: FCC PART 15.249 CLASS C The Harmonics, Bandwidth, and Spurious Emissions measurements were tested in a horizontal and vertical polarization at the following test location: Diversified TEST Technologies, Inc. Open Area Test Site Diversified TEST Technologies, Inc. Lab at a test distance of: 1 meter 3 meters 30 meters Test equipment used: Manufacturer Model Description Serial # Cal. Cal. Due Hewlett Packard 8593EM Spectrum Analyzer 3536A00139 6/19/13 6/19/14 Electro-Metrics RGA60 Ridge Horn Antenna 2981 8/25/12 8/25/1…

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This report shall not be reproduced, except in full, without the written approval of DTT, Inc. and must not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. 9 of [# + data charts] D D I I V V E E R R S S I I F F I I E E D D T.E.S.T. TECHNOLOGIES, INC. February 15, 2014 Mr. Brad Lightner GOJO Industries 1 GOJO Plaza-Suite 500 Akron, OH 44311 Dear Mr. Lightner: Enclosed is the test report for the GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is the Smartlink Ready LTX-12 19XX-##-YYY dispenser which was tested at our facility located at 4675 Burr Drive in Liverpool, NY. This facility is on file with the Federal Communications Commission (FCC) per 47 CFR 2.948. (Site File Registration Number: 306552) Please see attached annex for information on the Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev.ABC. As narrated in the report, the product configuration meets the requirements of the FCC per CFR 47 Part 15.249 Class C for Intentional Radiators. Additionally, all spurious emissions signals are greater than 20 dB below the limit of FCC Part 15.209 and are not reported. Therefore, the unit under test meets the FCC Part 15.209 requirements. The plots indicated ambient scans. Thank you for selecting Diversified T.E.S.T. Technologies, Inc. for your testing needs. We look forward to working with you on future projects. Should you have any questions or concerns regarding this report, contact me at 315-457-0245. Please feel free to visit our website at www.dttlab.com. Sincerely, Michael McElroy Technical Associate 4675 Burr Drive ● Liverpool, NY 13088 ● 1-800-724-6452 ● FAX: 315-457-0428 ● 315-457-0245 DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-12 19XX-##-YYY Dispenser Project Number: 6425 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 1 Table of Contents Emissions Testing Documentation Table of Contents 1 Test Report 2 Test Regulations 3 Test Conditions 4 Test Operation Mode 5 Test Results 6 Test Setup Photographs 7 Test Datasheets-Harmonics 8 Test Datasheets-Bandwidth 9 Measurement Protocol 10 Annex 11-13 DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-12 19XX-##-YYY Dispenser Project Number: 6425 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 2 Test Report Laboratory Diversified TEST Technologies, Inc. 4675 Burr Drive Liverpool, NY 13088 315-457-0245 Manufacturer GOJO Industries 1 GOJO Plaza, Suite 500 Akron, OH. 44311 Report Issue Date: February 14, 2014 Project Number: 6425 Report Number: 6425-070913 (Edition 2) FCCC LTX 12 with Limited Approval Wireless Transmitter Module Date Received: June 24, 2013 Date Tested: June 24, 2013 – June 26, 2013 Model Numbers: Limited Approval Wireless Transmitter Module 1960-501-WHT and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-12 19XX-##-YYY Dispenser. FCC ID: O76-T4SG0910A Traceability: Reference standards of measurement have been calibrated by a competent body using standards traceable to NIST. The testing performed by Diversified TEST Technologies, Inc. has shown that the product referenced above complies with the electromagnetic compatibility requirements according to the standard(s) specified on page 3 of the test report. The results in this test report apply only to the product denoted above. The manufacturer is responsible for ensuring that additional units are manufactured with identical mechanical and electrical characteristics. The equipment listed above conforms to the specified requirements of the test standards listed on page 3 of this report. Complied by: Signature: _____________________________ Date: February 15, 2014 Michael McElroy Technical Associate Reviewed by: Signature: _____________________________ Date: February 15, 2014 Annelle Frierson Vice- President DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-12 19XX-##-YYY Dispenser Project Number: 6425 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 3 Emissions Test Regulations The emissions tests were performed according to the following regulations: EN 50081-1:1992 EN 50081-2:1995 EN 55011:1998 / A1:1999 / A2:2001 Group 1 Group 2 Class A Class B EN 55013:1990 / A12:1994 / A13:1996 / A14:1999 EN 55014:1993 / A1: 1997 Household appliances and similar Portable tools Semiconductor devices EN 55022:1998 Class A Class B FCC Part 15.249 Class A Class B Class C Certification Verification Declaration of Conformity DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Limited Approval Wireless Transmitter Module 1960-501-WHT Rev. 004 and 1930-513-910 Rev. ABC in the host where the host is Smartlink Ready LTX-12 19XX-##-YYY Dispenser Project Number: 6425 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 4 Emissions Test Conditions: FCC PART 15.249 CLASS C The Harmonics, Bandwidth, and Spurious Emissions measurements were tested in a horizontal and vertical polarization at the following test location: Diversified TEST Technologies, Inc. Open Area Test Site Diversified TEST Technologies, Inc. Lab at a test distance of: 1 meter 3 meters 30 meters Test equipment used: Manufacturer Model Description Serial # Cal. Cal. Due Hewlett Packard 8593EM Spectrum Analyzer 3536A00139 6/19/13 6/19/14 Electro-Metrics RGA60 Ridge Horn Antenna 2981 8/2…

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