QGH-ZBMG0XB1803 Module

EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 1 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 2 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 3 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 4 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 5 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 6 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 7 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 8 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 9 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 10 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 11 of 12 EXTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 12 of 12

Model: 0XB18031003CC01 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18031002CC03 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18031003CZ05 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18031002CZ07 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18031000CZ09 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18032233CC11 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18032231CC13 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18032223CC15 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18032221CC17 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18033113CC19 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY Model: 0XB18033111CC21 FCC ID: QGH - ZBMG IC: 2473A - ZBMG MM/DD/YY

INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 1 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 2 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 3 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 4 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 5 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 6 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 7 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 8 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 9 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 10 of 11 INTERNAL PHOTOS Company Name Leviton Manufacturing Co., Inc. Page 11 of 11

A Company: Leviton Manufacturing Co., Inc. Page 1 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 C Model: 0XB1803 Module, Zigbee protocol Job: C-2856 Serial: Engineering Samples Test Report # 317328 C Equipment Under Test: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Test Date(s): 2/25/19 Prepared for: Dmitriy Moskovkin Leviton Manufacturing Co., Inc. Energy Management, Controls and Automation (EMC&A) 20497 SW Teton Avenue Tualatin, OR 97062 Report Issued by: Shane Dock, EMC Engineer Signature: Date: 11/4/2019 Report Reviewed by: Adam Alger, Quality Manager Signature: Date: 3/22/2019 Report Constructed by: Shane Dock, EMC Engineer Signature: Date: 8/7/2019 This test report may not be reproduced, except in full, without written approval of Laird Technologies, Inc. Company: Leviton Manufacturing Co., Inc. Page 2 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 C Model: 0XB1803 Module, Zigbee protocol Job: C-2856 Serial: Engineering Samples CONTENTS Contents ............................................................................................................................................2 Laird Technologies Test Services in Review .......................................................................................3 1 Test Report Summary ..................................................................................................................4 2 Client Information .......................................................................................................................5 2.1 Equipment Under Test (EUT) Information..............................................................................5 2.2 Product Description .............................................................................................................5 2.3 Modifications Incorporated for Compliance...........................................................................5 2.4 Deviations and Exclusions from Test Specifications ................................................................5 2.5 Additional Information .........................................................................................................5 2.6 Channels Tested ..................................................................................................................5 3 References ..................................................................................................................................6 4 Uncertainty Summary ..................................................................................................................7 5 Test Data ....................................................................................................................................8 5.1 Antenna Port Conducted Emissions.......................................................................................8 6 Exclusion Calculation ................................................................................................................. 13 6.1 FCC ................................................................................................................................... 13 6.2 ISED Canada ...................................................................................................................... 14 7 Revision History ........................................................................................................................ 15 Company: Leviton Manufacturing Co., Inc. Page 3 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 C Model: 0XB1803 Module, Zigbee protocol Job: C-2856 Serial: Engineering Samples Laird Technologies Test Services in Review The Laird Technologies, Inc. laboratory located at W66 N220 Commerce Court Cedarburg, Wisconsin, 53012 USA is recognized through the following organizations: A2LA – American Association for Laboratory Accreditation Accreditation based on ISO/IEC 17025: 2005 with Electrical (EMC) Scope A2LA Certificate Number: 1255.01 Scope of accreditation includes all test methods listed herein, unless otherwise noted. Federal Communications Commission (FCC) – USA Accredited recognition of two 3 meter Semi-Anechoic Chambers Accredited Test Firm Registration Number: 953492 Innovation, Science and Economic Development Canada ISED Site listing of two 3 meter Semi-Anechoic Chambers based on RSS-GEN – Issue 4 File Number: IC 3088A-2 File Number: IC 3088A-3 Company: Leviton Manufacturing Co., Inc. Page 4 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 C Model: 0XB1803 Module, Zigbee protocol Job: C-2856 Serial: Engineering Samples 1 TEST REPORT SUMMARY During 2/25/19 the Equipment Under Test (EUT), Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx, as provided by Leviton Manufacturing Co., Inc. was tested to the following requirements: Requirement Description Specification Method Result FCC Part 1.1307, 2.1091, 2.1093 RF Exposure and equipment authorization requirements Reported FCC KDB 447498 Reported ISED Canada RSS-102 Radio Frequency Radiation Exposure Evaluation Reported RSS-102 Section 2.5.2 Reported Notice: The results relate only to the item tested and described in this report. Any modifications made to the equipment under test after the specified test date(s) may invalidate the data herein. If the resulting measurement margin is seen to be within the uncertainty value, as listed in this report, the possibility exists that this unit may not meet the required limit specification if subsequently tested. Company: Leviton Manufacturing Co., Inc. Page 5 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 C Model: 0XB1803 Module, Zigbee protocol Job: C-2856 Serial: Engineering Samples 2 CLIENT INFORMATION Company Name Leviton Manufacturing Co., Inc. Contact Person Dmitriy Moskovkin Address 20497 SW Teton A…

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A Company: Leviton Manufacturing Co., Inc. Page 1 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 B Model: 0XB1803 Module, Bluetooth LE protocol Job: C-2856 Serial: Engineering Sample Test Report # 317328 D Equipment Under Test: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Test Date(s): 4/10/19 Prepared for: Dmitriy Moskovkin Leviton Manufacturing Co., Inc. Energy Management, Controls and Automation (EMC&A) 20497 SW Teton Avenue Tualatin, OR 97062 Report Issued by: Shane Dock, EMC Engineer Signature: Date: 11/4/2019 Report Reviewed by: Adam Alger, Quality Manager Signature: Date: 3/22/2019 Report Constructed by: Shane Dock, EMC Engineer Signature: Date: 4/10/2019 This test report may not be reproduced, except in full, without written approval of Laird Technologies, Inc. Company: Leviton Manufacturing Co., Inc. Page 2 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 B Model: 0XB1803 Module, Bluetooth LE protocol Job: C-2856 Serial: Engineering Sample CONTENTS Contents ............................................................................................................................................2 Laird Technologies Test Services in Review .......................................................................................3 1 Test Report Summary ..................................................................................................................4 2 Client Information .......................................................................................................................5 2.1 Equipment Under Test (EUT) Information..............................................................................5 2.2 Product Description .............................................................................................................5 2.3 Modifications Incorporated for Compliance...........................................................................5 2.4 Deviations and Exclusions from Test Specifications ................................................................5 2.5 Additional Information .........................................................................................................5 2.6 Channels Tested ..................................................................................................................5 3 References ..................................................................................................................................6 4 Uncertainty Summary ..................................................................................................................7 5 Test Data ....................................................................................................................................8 5.1 Antenna Port Conducted Emissions.......................................................................................8 6 Exclusion Calculation ................................................................................................................. 13 6.1 FCC ................................................................................................................................... 13 6.2 ISED Canada ...................................................................................................................... 14 7 Revision History ........................................................................................................................ 15 Company: Leviton Manufacturing Co., Inc. Page 3 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 B Model: 0XB1803 Module, Bluetooth LE protocol Job: C-2856 Serial: Engineering Sample Laird Technologies Test Services in Review The Laird Technologies, Inc. laboratory located at W66 N220 Commerce Court Cedarburg, Wisconsin, 53012 USA is recognized through the following organizations: A2LA – American Association for Laboratory Accreditation Accreditation based on ISO/IEC 17025:2017 with Electrical (EMC) Scope A2LA Certificate Number: 1255.01 Scope of accreditation includes all test methods listed herein unless otherwise noted Federal Communications Commission (FCC) – USA Accredited Test Firm Registration Number: 953492 Recognition of two 3 meter Semi-Anechoic Chambers Innovation, Science and Economic Development Canada Accredited U.S. Identification Number: US0218 Recognition of two 3 meter Semi-Anechoic Chambers Company: Leviton Manufacturing Co., Inc. Page 4 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 B Model: 0XB1803 Module, Bluetooth LE protocol Job: C-2856 Serial: Engineering Sample 1 TEST REPORT SUMMARY During 4/10/19 the Equipment Under Test (EUT), ), Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx, as provided by Leviton Manufacturing Co., Inc. was tested to the following requirements: Requirement Description Specification Method Result FCC Part 1.1307, 2.1091, 2.1093 RF Exposure and equipment authorization requirements Reported FCC KDB 447498 Reported ISED Canada RSS-102 Radiofrequency Radiation Exposure Evaluation Reported RSS-102 Section 2.5.2 Reported Notice: The results relate only to the item tested and described in this report. Any modifications made to the equipment under test after the specified test date(s) may invalidate the data herein. If the resulting measurement margin is seen to be within the uncertainty value, as listed in this report, the possibility exists that this unit may not meet the required limit specification if subsequently tested. Company: Leviton Manufacturing Co., Inc. Page 5 of 15 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 B Model: 0XB1803 Module, Bluetooth LE protocol Job: C-2856 Serial: Engineering Sample 2 CLIENT INFORMATION Company Name Leviton Manufacturing Co., Inc. Contact Person Dmitriy Moskovkin Address 20497 SW Teton Avenue 2.1 Equipment U…

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A Company: Leviton Manufacturing Co., Inc. Page 1 of 42 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 A Model: 0XB1803 Module, Zigbee protocol Job: C-2856 Serial: Engineering Samples Test Report # 317328 A Equipment Under Test: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Test Date(s): 10/31/17 – 12/3/19 Prepared for: Dmitriy Moskovkin Leviton Manufacturing Co., Inc. Energy Management, Controls and Automation (EMC&A) 20497 SW Teton Avenue Tualatin, OR 97062 Report Issued by: Shane Dock, EMC Engineer Signature: Date: 12/5/2019 Report Reviewed by: Adam Alger, Quality Manager Signature: Date: 04/11/2019 Report Constructed by: Shane Dock, EMC Engineer Signature: Date: 1/9/2019 This test report may not be reproduced, except in full, without written approval of Laird Technologies, Inc. Company: Leviton Manufacturing Co., Inc. Page 2 of 42 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 A Model: 0XB1803 Module, Zigbee protocol Job: C-2856 Serial: Engineering Samples CONTENTS Contents ............................................................................................................................................2 Laird Technologies Test Services in Review .......................................................................................3 1 Test Report Summary ..................................................................................................................4 2 Client Information .......................................................................................................................5 2.1 Equipment Under Test (EUT) Information..............................................................................5 2.2 Product Description .............................................................................................................5 2.3 Modifications Incorporated for Compliance...........................................................................5 2.4 Deviations and Exclusions from Test Specifications ................................................................5 2.5 Additional Information .........................................................................................................5 2.6 Test Configurations ..............................................................................................................6 2.7 Power Profiles .....................................................................................................................6 3 References ..................................................................................................................................6 4 Uncertainty Summary ..................................................................................................................7 5 Test Data ....................................................................................................................................8 5.1 Antenna Port Conducted Emissions.......................................................................................8 5.2 Radiated Emissions ............................................................................................................ 30 5.3 AC Mains Conducted Emissions .......................................................................................... 39 6 Revision History ........................................................................................................................ 42 Company: Leviton Manufacturing Co., Inc. Page 3 of 42 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 A Model: 0XB1803 Module, Zigbee protocol Job: C-2856 Serial: Engineering Samples Laird Technologies Test Services in Review The Laird Technologies, Inc. laboratory located at W66 N220 Commerce Court Cedarburg, Wisconsin, 53012 USA is recognized through the following organizations: A2LA – American Association for Laboratory Accreditation Accreditation based on ISO/IEC 17025:2017 with Electrical (EMC) Scope A2LA Certificate Number: 1255.01 Scope of accreditation includes all test methods listed herein unless otherwise noted Federal Communications Commission (FCC) – USA Accredited Test Firm Registration Number: 953492 Recognition of two 3 meter Semi-Anechoic Chambers Innovation, Science and Economic Development Canada Accredited U.S. Identification Number: US0218 Recognition of two 3 meter Semi-Anechoic Chambers Company: Leviton Manufacturing Co., Inc. Page 4 of 42 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 A Model: 0XB1803 Module, Zigbee protocol Job: C-2856 Serial: Engineering Samples 1 TEST REPORT SUMMARY During 10/31/17 – 12/3/19 the Equipment Under Test (EUT), Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx as provided by Leviton Manufacturing Co., Inc. was tested to the following requirements: Requirement Description Specification Method Result FCC: 15.247 (a)(2) Digital Modulation System 6 dB bandwidth 500 kHz ANSI C63.10 Pass IC: RSS-247 5.2 (1) FCC: 2.1049 Occupied Bandwidth Reported ANSI C63.10 Pass IC: RSS-GEN 6.7 FCC: 15.247 (b)(3) Maximum Conducted Output Power 30 dBm ANSI C63.10 Pass IC: RSS-247 5.4 (d) FCC: 15.247 (e) Digital Modulation System Power Spectral Density 8 dBm / 3 kHz ANSI C63.10 Pass IC: RSS-247 5.2 (b) FCC: 15.247 (d) RF Spurious Emissions at the Transmitter Antenna Terminal 20 dBc ANSI C63.10 Pass IC: RSS-247 5.5 FCC: 15.247 (d) Spurious Radiated Emissions in Restricted Bands FCC 15.209 ANSI C63.10 Pass IC: RSS-GEN 8.10 RSS-GEN 8.9 FCC: 2.1055 (d) Frequency Stability Reported ANSI C63.10 Pass IC: RSS-GEN 6.11 FCC: 15.207 AC Power Line Conducted Emissions 0.150-30 MHz ANSI C63.10 Pass IC: RSS-GEN 8.8 Notice: The results relate only to the item tested and described in this report. Any modifications made to the equipment under test after the specified test date(s) may invalidate the data herein. If the resulting measurement margin …

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A Company: Leviton Manufacturing Co., Inc. Page 1 of 40 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 B Model: 0XB1803 Module, Bluetooth LE protocol Job: C-2856 Serial: Engineering Sample Test Report # 317328 B Equipment Under Test: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Test Date(s): 11/10/17 – 12/3/19 Prepared for: Dmitriy Moskovkin Leviton Manufacturing Co., Inc. Energy Management, Controls and Automation (EMC&A) 20497 SW Teton Avenue Tualatin, OR 97062 Report Issued by: Shane Dock, EMC Engineer Signature: Date: 12/5/2019 Report Reviewed by: Adam Alger, Quality Manager Signature: Date: 04/11/2019 Report Constructed by: Shane Dock, EMC Engineer Signature: Date: 1/9/2019 This test report may not be reproduced, except in full, without written approval of Laird Technologies, Inc. Company: Leviton Manufacturing Co., Inc. Page 2 of 40 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 B Model: 0XB1803 Module, Bluetooth LE protocol Job: C-2856 Serial: Engineering Sample CONTENTS Contents ............................................................................................................................................2 Laird Technologies Test Services in Review .......................................................................................3 1 Test Report Summary ..................................................................................................................4 2 Client Information .......................................................................................................................5 2.1 Equipment Under Test (EUT) Information..............................................................................5 2.2 Product Description .............................................................................................................5 2.3 Modifications Incorporated for Compliance...........................................................................5 2.4 Deviations and Exclusions from Test Specifications ................................................................5 2.5 Additional Information .........................................................................................................5 2.6 Test Configurations ..............................................................................................................6 2.7 Power Profiles .....................................................................................................................6 3 References ..................................................................................................................................6 4 Uncertainty Summary ..................................................................................................................7 5 Test Data ....................................................................................................................................8 5.1 Antenna Port Conducted Emissions.......................................................................................8 5.2 Radiated Emissions ............................................................................................................ 29 5.3 AC Mains Conducted Emissions .......................................................................................... 37 6 Revision History ........................................................................................................................ 40 Company: Leviton Manufacturing Co., Inc. Page 3 of 40 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 B Model: 0XB1803 Module, Bluetooth LE protocol Job: C-2856 Serial: Engineering Sample Laird Technologies Test Services in Review The Laird Technologies, Inc. laboratory located at W66 N220 Commerce Court Cedarburg, Wisconsin, 53012 USA is recognized through the following organizations: A2LA – American Association for Laboratory Accreditation Accreditation based on ISO/IEC 17025:2017 with Electrical (EMC) Scope A2LA Certificate Number: 1255.01 Scope of accreditation includes all test methods listed herein unless otherwise noted Federal Communications Commission (FCC) – USA Accredited Test Firm Registration Number: 953492 Recognition of two 3 meter Semi-Anechoic Chambers Innovation, Science and Economic Development Canada Accredited U.S. Identification Number: US0218 Recognition of two 3 meter Semi-Anechoic Chambers Company: Leviton Manufacturing Co., Inc. Page 4 of 40 Name: Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx Report: 317328 B Model: 0XB1803 Module, Bluetooth LE protocol Job: C-2856 Serial: Engineering Sample 1 TEST REPORT SUMMARY During 11/10/17 – 12/3/19 the Equipment Under Test (EUT), Leviton 0XB1803 ZigBee/Bluetooth LE PCA Transceiver Module, MGx, as provided by Leviton Manufacturing Co., Inc. was tested to the following requirements: Requirement Description Specification Method Result FCC: 15.247 (a)(2) Digital Modulation System 6 dB bandwidth 500 kHz ANSI C63.10 Pass IC: RSS-247 5.2 (1) FCC: 2.1049 Occupied Bandwidth Reported ANSI C63.10 Pass IC: RSS-GEN 6.7 FCC: 15.247 (b)(3) Maximum Conducted Output Power 30 dBm ANSI C63.10 Pass IC: RSS-247 5.4 (d) FCC: 15.247 (e) Digital Modulation System Power Spectral Density 8 dBm / 3 kHz ANSI C63.10 Pass IC: RSS-247 5.2 (b) FCC: 15.247 (d) RF Spurious Emissions at the Transmitter Antenna Terminal 20 dBc ANSI C63.10 Pass IC: RSS-247 5.5 FCC: 15.247 (d) Spurious Radiated Emissions in Restricted Bands FCC 15.209 ANSI C63.10 Pass IC: RSS-GEN 8.10 RSS-GEN 8.9 FCC: 2.1055 (d) Frequency Stability Reported ANSI C63.10 Pass IC: RSS-GEN 6.11 FCC: 15.207 AC Power Line Conducted Emissions 0.150-30 MHz ANSI C63.10 Pass IC: RSS-GEN 8.8 Notice: The results relate only to the item tested and described in this report. Any modifications made to the equipment under test after the specified test date(s) may invalidate the data herein. If the resultin…

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Laird Technologies, Inc. • W66 N220 Commerce Court Cedarburg, Wisconsin 53012 • 262.375.4400 Company: Page 1 of 4 Name: FCC ID: Model: IC: Serial: Photos Radiated Emissions Radiated Emissions Radiated Emissions Laird Technologies, Inc. • W66 N220 Commerce Court Cedarburg, Wisconsin 53012 • 262.375.4400 Company: Page 2 of 4 Name: FCC ID: Model: IC: Serial: Conducted RF Emissions AC Conducted Mains Emissions AC Conducted Mains Emissions Laird Technologies, Inc. • W66 N220 Commerce Court Cedarburg, Wisconsin 53012 • 262.375.4400 Company: Page 3 of 4 Name: FCC ID: Model: IC: Serial: Laird Technologies, Inc. • W66 N220 Commerce Court Cedarburg, Wisconsin 53012 • 262.375.4400 Company: Page 4 of 4 Name: FCC ID: Model: IC: Serial: