PPQ-SS3351X1 802.11b/g/n-BT4.0 Combo PCIe MoB Module

Date: 2014/8/5 Federal Communications Commission 7435 Oakland Mills Rd Columbia MD 21046-1609 Subject: Product Certification Representative Authorization Letter FCC ID: PPQ-SS335 To whom it may concern: We the undersigned, hereby authorize following person to act as our agent in the preparation of an application for equipment authorization o the FCC Rules and Regulations. International Certification Corp. Address : No.3-1, Lane 6, Wen San 3rd St. Kwei Shan Hsiang, Tao Yuan Hsein 333, Taiwan (R.O.C.) Name : Gary Chang Job Title : Manager e-mail : [email protected] Webs We further certifies that neither the applicant nor any party to this application, as defined in 47 CFR Ch. 1.2002(b), is subject to a denial to Federal benefits, that include FCC benefits, pursuant to section 5301 of the Anti-Drug Abuse Act of 1998, 21 U.S.C. 835(a). This appointment also includes the authority to complete FCC Form 731 on our behalf and sign the application as an authorized agent. ---------------------------------------------------------------------- Name: TC Wu / Deputy Director(R & D Division) Company name: Lite-On Technology Corp. TEL.: +886-2-2222-6181 ext.8331 E-mail: [email protected]

Date: August 5, 2014 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Rd Columbia MD 21046-1609 Subject: Request for confidentiality FCC ID: PPQ-SS335 To whom it may concern: Short-term confidentiality Pursuant to DA 04-1705 of the Commission’s public notice, in order to comply with the marketing regulations in 47CFR §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 for 180 days. ☒ Internal Photographs ☒ External Photographs ☒ User's manual ☒ Test Set up photo Permanent confidentiality Pursuant to Sections 0.457 and 0.459 of the Commission’s Rules, the Applicant Hereby requests confidential treatment of information accompanying this Application As outlined below: ☒ Block Diagram ☒ Schematics ☒ Operation description The above materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these materials may be harmful to the applicant and provide unjustified benefits to its competitors. The applicant understands that pursuant to Section 0.457 of the Rules, disclosure of this application and all accompanying documentation will not be made before the date of the Grant for this application. Should you require any further information, please contact the undersigned. Thank you for your consideration in this matter. ------------------------------------------------------ Name: TC Wu / Deputy Director(R & D Division) Company name: Lite-On Technology Corp. TEL.: +886-2-2222-6181 ext.8331 E-mail: [email protected]

Date: August 5, 2014 Subject: Ad Hoc Mode Function Declaration To whom it may concern, We, Lite-On Technology Corp. declare that the device does not support any non-US channels and country code selection in all the operational mode(s) for the following product. FCC ID: PPQ-SS335 Regards, ---------------------------------------------------------------------- Name: TC Wu / Deputy Director(R & D Division) Company name: Lite-On Technology Corp. TEL.: +886-2-2222-6181 ext.8331 E-mail: [email protected]

RF_734_00, Issue 1 Modular Approval Request FCC (per DA 00-1407) FCC ID: PPQ-SS335 Items to be covered Answer from applicant 1. The modular transmitter must have its own RF shielding. The modular has a shielding Case. Please refer to EUT Photo. 2. The modular transmitter must have buffered modulation/data inputs (if such inputs are provided) to ensure that the module will comply with Part 15 requirements under conditions of excessive data rates or over-modulation. The component number is QCA9565-BR4A 3. The modular transmitter must have its own power supply regulation. The component number is QCA9565-BR4A 4. The modular transmitter must comply with the antenna requirements of Section 15.203 and 15.204(c). The antenna must either be permanently attached or employ a “unique” antenna coupler (at all connections between the module and the antenna, including the cable).. Antenna connector is ufl. And no external amplifier will be used with this modular. 5. The modular transmitter must be tested in a stand-alone configuration, i.e., the module must not be inside another device during testing. This is intended to demonstrate that the module is capable of complying with Part 15 emission limits regardless of the device into which it is eventually installed. This modular is tested under stand-alone configuration. Please refer to Test setup photo. 6. The modular transmitter must be labeled with its own FCC ID number, and, if the FCC ID is not visible when the module is installed inside another device, then the outside of the device into which the module is installed must also display a label referring to the enclosed module. This exterior label can use wording such as the following: “Contains Transmitter Module FCC ID: XYZMODEL1” or “Contains FCC ID: XYZMODEL1.” Any similar wording that expresses the same meaning may be used. The Grantee may either provide such a label, an example of which must be included in the application for equipment authorization, or, must provide adequate instructions along with the module which explain this requirement. In the latter case, a copy of these instructions must be included in the application for equipment authorization. The modular transmitter is labelled with its own FCC ID number. Please refer to label sample and label location. 7. The modular transmitter must comply with any specific rule or operating requirements applicable to the transmitter and the manufacturer must provide adequate instructions along with the module to explain any such requirements. A copy of these instructions must be included in the application for equipment authorization. For example, there are very strict operational and timing requirements that must be met before a transmitter is authorized for operation under Section 15.231. For instance, data transmission is prohibited, except for operation under Section 15.231(e), in which case there are separate field strength level and timing requirements. Compliance with these requirements must be assured. The modular complies with this requirement. Please refer to user manual. 8. The modular transmitter must comply with any applicable RF exposure requirements. For example, FCC Rules in Sections 2.1091, 2.1093 and specific Sections of Part 15, including 15.319(i), 15.407(f), 15.253(f) and 15.255(g), require that Unlicensed PCS, UNII and millimeter wave devices perform routine environmental evaluation for RF Exposure to demonstrate compliance. In addition, spread spectrum transmitters operating under Section 15.247 are required to address RF Exposure compliance in accordance with Section 15.247(b)(4). Modular transmitters approved under other Sections of Part 15, when necessary, may also need to address certain RF Exposure concerns, typically by providing specific installation and operating instructions for users, installers and other interested parties to ensure compliance. The device complies with this requirement. Please refer to RF exposure report. Note: If compliance with one or more of the numbered requirements, listed above, cannot be demonstrated, it may be possible to obtain a “Limited Modular Approval” (LMA). Name and surname of applicant (or authorized representative): __________________ Date: ___12 August 2014____ Signature: ___________________________

Report No. : EP472403 SPORTON International Inc. Page No. : 1 of 8 TEL : 886-3-327-3456 FAX : 886-3-327-0973 Photographs of EUT Report No. : EP472403 SPORTON International Inc. Page No. : 2 of 8 TEL : 886-3-327-3456 FAX : 886-3-327-0973 Report No. : EP472403 SPORTON International Inc. Page No. : 3 of 8 TEL : 886-3-327-3456 FAX : 886-3-327-0973 Report No. : EP472403 SPORTON International Inc. Page No. : 4 of 8 TEL : 886-3-327-3456 FAX : 886-3-327-0973 Report No. : EP472403 SPORTON International Inc. Page No. : 5 of 8 TEL : 886-3-327-3456 FAX : 886-3-327-0973 Report No. : EP472403 SPORTON International Inc. Page No. : 6 of 8 TEL : 886-3-327-3456 FAX : 886-3-327-0973

From Shielded case Label location

Report No. : EP472403 SPORTON International Inc. Page No. : 7 of 8 TEL : 886-3-327-3456 FAX : 886-3-327-0973 Report No. : EP472403 SPORTON International Inc. Page No. : 8 of 8 TEL : 886-3-327-3456 FAX : 886-3-327-0973

FCC Test Report Report No. : FR472403AD SPORTON INTERNATIONAL INC. Page No. : 1 of 45 TEL : 886-3-3273456 Report Version : Rev. 02 FAX : 886-3-3270973 FCC Test Report Equipment : 1X1 802.11b/g/n-BT4.0 Combo PCIe MoB Module Brand Name : LITE-ON Model No. : SS335 FCC ID : PPQ-SS335 Standard : 47 CFR FCC Part 15.247 Operating Band : 2400 MHz – 2483.5 MHz FCC Classification : DSS Applicant : Lite-On Technology Corp. 4F, 90, Chien 1 Road, Chung Ho,New Taipei City 23585, Taiwan, R.O.C. The product sample received on Jul. 24, 2014 and completely tested on Aug. 04, 2014. We, SPORTON, would like to declare that the tested sample has been evaluated in accordance with the procedures given in ANSI C63.10-2009 and shown compliance with the applicable technical standards. The test results in this report apply exclusively to the tested model / sample. Without written approval of SPORTON INTERNATIONAL INC., the test report shall not be reproduced except in full. Reviewed by: James Fan / Assistant Manager Tested by: XXXX / Engineer FCC Test Report Report No. : FR472403AD SPORTON INTERNATIONAL INC. Page No. : 2 of 45 TEL : 886-3-3273456 Report Version : Rev. 02 FAX : 886-3-3270973 Table of Contents 1 GENERAL DESCRIPTION .................................................................................................................... 5 1.1 Information .............................................................................................................................................. 5 1.2 Accessories and Support Equipment ..................................................................................................... 7 1.3 Testing Applied Standards ..................................................................................................................... 7 1.4 Testing Location Information .................................................................................................................. 7 1.5 Measurement Uncertainty ...................................................................................................................... 8 2 TEST CONFIGURATION OF EUT......................................................................................................... 9 2.1 The Worst Case Modulation Configuration ............................................................................................ 9 2.2 The Worst Case Power Setting Parameter ............................................................................................ 9 2.3 The Worst Case Measurement Configuration ...................................................................................... 10 2.4 Test Setup Diagram ............................................................................................................................. 11 3 TRANSMITTER TEST RESULT .......................................................................................................... 12 3.1 AC Power-line Conducted Emissions .................................................................................................. 12 3.2 20dB Bandwidth and Carrier Frequency Separation............................................................................ 15 3.3 Number of Hopping Frequencies ......................................................................................................... 17 3.4 Time of Occupancy (Dwell Time) ......................................................................................................... 19 3.5 RF Output Power .................................................................................................................................. 21 3.6 Emissions in non-restricted frequency bands ...................................................................................... 23 3.7 Transmitter Radiated Unwanted Emissions ......................................................................................... 28 4 TEST EQUIPMENT AND CALIBRATION DATA ................................................................................ 45 FCC Test Report Report No. : FR472403AD SPORTON INTERNATIONAL INC. Page No. : 3 of 45 TEL : 886-3-3273456 Report Version : Rev. 02 FAX : 886-3-3270973 Summary of Test Result Conformance Test Specifications Report Clause Ref. Std. Clause Description Measured Limit Result 1.1.2 15.203 Antenna Requirement Antenna connector mechanism complied FCC 15.203 Complied 3.1 15.207 AC Power-line Conducted Emissions [dBuV]:0.151MHz 39.12 (Margin 16.84dB) - AV 47.01 (Margin 18.95dB) - QP FCC 15.207 Complied 3.2 15.247(a) 20dB Bandwidth BR:0.9391 MHz EDR:1.2826 MHz N/A Complied 3.2 15.247(a) Carrier Frequency Separation (ChS) BR:1.0029 MHz EDR:1.0029 MHz ChS ≥ BW 20dB x2/3. Complied 3.3 15.247(a) Number of Hopping Frequencies (N) 79 N ≥ 15 Complied 3.4 15.247(a) Time of Occupancy (Dwell Time) EDR:0.314 sec 0.4 s within 0.4 x N Complied 3.5 15.247(b) RF Output Power (Maximum Peak Conducted Output Power) Power [dBm] BR:4.31 EDR:7.43 Power [dBm] BR:21 EDR:21 Complied 3.6 15.247(c) Emissions in non-restricted frequency bands Out-of -band emissions are 20dB below the highest power Non-Restricted Bands: > 20 dBc Restricted Bands: FCC 15.209 Complied 3.7 15.247(c) Transmitter Unwanted Emissions Restricted Bands [dBuV/m at 3m]: 298.69MHz 44.83 (Margin 1.17dB) - QP Non-Restricted Bands: > 20 dBc Restricted Bands: FCC 15.209 Complied FCC Test Report Report No. : FR472403AD SPORTON INTERNATIONAL INC. Page No. : 4 of 45 TEL : 886-3-3273456 Report Version : Rev. 02 FAX : 886-3-3270973 Revision History Report No. Version Description Issued Date FR472403AD Rev. 01 Initial issue of report Aug. 12, 2014 FR472403AD Rev. 02 Add extended coax cable information (page 5) Aug. 15, 2014 2500-2690 FCC Test Report Report No. : FR472403AD SPORTON INTERNATIONAL INC. Page No. : 5 of 45 TEL : 886-3-3273456 Report Version : Rev. 02 FAX : 886-3-3270973 1 General Description 1.1 Information 1.1.1 RF General Information RF General Information Frequency Range (MHz) Bluetooth Mode…

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Test Photos Report No. : FR472403 SPORTON INTERNATIONAL INC. Page No. : 1 of 4 TEL : 886-3-327-3456 Report Version : Rev. 01 FAX : 886-3-327-0973 TEST PHOTOS 1 Photographs of Conducted Emissions Test Configuration FRONT VIEW REAR VIEW Test Photos Report No. : FR472403 SPORTON INTERNATIONAL INC. Page No. : 2 of 4 TEL : 886-3-327-3456 Report Version : Rev. 01 FAX : 886-3-327-0973 EUT Antenna Test Photos Report No. : FR472403 SPORTON INTERNATIONAL INC. Page No. : 3 of 4 TEL : 886-3-327-3456 Report Version : Rev. 01 FAX : 886-3-327-0973 2 Photographs of Radiated Emissions Test Configuration FRONT VIEW REAR VIEW Test Photos Report No. : FR472403 SPORTON INTERNATIONAL INC. Page No. : 4 of 4 TEL : 886-3-327-3456 Report Version : Rev. 01 FAX : 886-3-327-0973 EUT Antenna