VQ5-IF750Wireless charger for TLC750 System

www.wtw.com www.si-analytics.com www.ebro.com www.meinsberg.de Xylem Analytics Germany GmbH Dr.-Karl-Slevogt-Str. 1 82362 Weilheim, Germany Amtsgericht München HRB 145685 USt-IdNr./ VAT No.: DE275429984 Managing Directors: Dr. Robert Reining · Ulrich Schwab · Matthias Rohwedder Bank: Deutsche Bank AG, BLZ 700 700 10, Kto.-Nr. 201585700 IBAN: DE16700700100201585700 BIC: DEUTDEMMXXX Steuernummer: 119/116/90391 To Whom It May Concern: Please be advised that we (Xylem Analytics Germany GmbH) authorize the following persons from EMV Testhaus GmbH:  Mr. Tobias Zollner  Mr. Christian Kiermeier  Mr. Konrad Graßl to handle the application of Type Approval Services for the following coutries: USA Canada Unless future correspondence from us, please extend your full cooperation to EMV Testhaus GmbH regarding matters to the above mentioned products to 12 months after the signatory date of this authorization. Contact person Robert Streller Position in the company R&D Engineer Date of signatory 2019/08/01 ___________________________ Signatory (signature of the applicant) PHOENIX TESTLAB GmbH Product Certification Department Königswinkel 10 D 32825 Blomberg Xylem Analytics Germany GmbH · ebro · 85055 Ingolstadt Xylem Analytics Germany GmbH ebro Peringerstr. 10, 85055 Ingolstadt, Germany Tel +49 841 954780, Fax +49 841 95478-80 [email protected] www.ebro.com Ansprechpartner: R. Streller Abteilung: R&D Tel.: +49 841 954 78 76 Fax: +49 841 954 78 80 E-Mail: [email protected] Datum: 01.08.2019 are brands of Xylem Inc. or one of its subsidiaries.

Long/Short-term Confidentiality Request PHOENIX TESTLAB GmbH Date: February 10, 2020 Product Certification Königswinkel 10 D 32825 Blomberg FCC ID: VQ5-IF750 To Whom It May Concerns, Pursuant to sections 0.457(d) and 0.459 of CFR 47 and to avoid premature release of sensitive information prior to marketing or release of the product to the public, we hereby request long-term confidential treatment of information accompanying this application as outlined below: ☒ Schematics ☐ Parts List ☒ Block Diagram ☐ Tune-Up Info ☒ Operational Description In addition we hereby request the following exhibits contained in this application to be temporarily (short-term confidentiality) withheld from the public disclosure ☐ for an initial period of days ☐ until: ☒ not applicable ☐ External Photos ☐ Test Setup Photos ☐ Internal Photos ☐ Users Manual The above materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these matters might be harmful to the applicant and provide unjustified benefits to its competitors. The applicant understands that pursuant to rule 0.457(d), disclosure of this application and all accompanying documentation will not be made before the date of the GRANT for this application. If you have any questions, please feel free to contact me. Yours sincerely, Signatory Christian Kiermeier Agent

EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Revision: 1.7 Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex B Page 1 of 6 1 Annex B – EUT pictures 1.1 List of Pictures Picture 1: CS 750 front side ............................................................................................... 2 Picture 2: CS 750 back side .............................................................................................. 2 Picture 3: CS 750 top side ................................................................................................. 3 Picture 4: CS 750 bottom side .......................................................................................... 3 Picture 5: IF 750 front side ................................................................................................. 4 Picture 6: IF 750 back side ................................................................................................ 4 Picture 7: IF 750 top side ................................................................................................... 5 Picture 8: IF 750 bottom side ............................................................................................. 5 Picture 9: USB cable of EUT ............................................................................................. 6 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Revision: 1.7 Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex B Page 2 of 6 Picture 1: CS 750 front side Picture 2: CS 750 back side EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Revision: 1.7 Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex B Page 3 of 6 Picture 3: CS 750 top side Picture 4: CS 750 bottom side EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Revision: 1.7 Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex B Page 4 of 6 Picture 5: IF 750 front side Picture 6: IF 750 back side EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Revision: 1.7 Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex B Page 5 of 6 Picture 7: IF 750 top side Picture 8: IF 750 bottom side EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Revision: 1.7 Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex B Page 6 of 6 Picture 9: USB cable of EUT

19 CS 750 Device Label and Label Location

EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex C Page 1 of 8 1 Annex C – documentation 1.1 List of Pictures Picture 1: CS 750 – top side, main PCB ............................................................................ 2 Picture 2: CS 750 – bottom side, main PCB ...................................................................... 2 Picture 3: CS 750 - bottom view without covering cap, without PCB ................................. 3 Picture 4: IF 750 – top view, without PCBs ........................................................................ 3 Picture 5: IF 750 – rear view without covering cap, with main PCB (top) and RFID PCB (below) ............................................................................................................................... 4 Picture 6: IF 750 – rear view without covering cap, without PCBs ..................................... 4 Picture 7: IF 750 – top view covering cap .......................................................................... 5 Picture 8: IF 750 – rear view covering cap ........................................................................ 5 Picture 9: IF 750 – top side, main PCB, with BLE module, FCC ID: QOQBGM113 ........... 6 Picture 10: IF 750– bottom side, main PCB ....................................................................... 6 Picture 11: IF 750 – top side, RFID PCB, FCC ID: VQ5-NFCMODULE2 .......................... 7 Picture 12: IF 750 – bottom side, RFID PCB, FCC ID: VQ5-NFCMODULE2 .................... 7 Picture 13: IF 750 – top view of ribbon cable with ferrite ................................................... 8 Picture 14: IF 750 – bottom view of ribbon cable with ferrite ............................................. 8 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex C Page 2 of 8 Picture 1: CS 750 – top side, main PCB Picture 2: CS 750 – bottom side, main PCB EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex C Page 3 of 8 Picture 3: CS 750 - bottom view without covering cap, without PCB Picture 4: IF 750 – top view, without PCBs EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex C Page 4 of 8 Picture 5: IF 750 – rear view without covering cap, with main PCB (top) and RFID PCB (below) Picture 6: IF 750 – rear view without covering cap, without PCBs EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex C Page 5 of 8 Picture 7: IF 750 – top view covering cap Picture 8: IF 750 – rear view covering cap EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex C Page 6 of 8 Picture 9: IF 750 – top side, main PCB, with BLE module, FCC ID: QOQBGM113 Picture 10: IF 750– bottom side, main PCB EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex C Page 7 of 8 Picture 11: IF 750 – top side, RFID PCB, FCC ID: VQ5-NFCMODULE2 Picture 12: IF 750 – bottom side, RFID PCB, FCC ID: VQ5-NFCMODULE2 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex C Page 8 of 8 Picture 13: IF 750 – top view of ribbon cable with ferrite Picture 14: IF 750 – bottom view of ribbon cable with ferrite

All test results apply to the tested sample only. Multiplication and publication is prohibited unless written consent has been provided beforehand by the EMV TESTHAUS GmbH EMC test report 170586-AU01+W10 Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 Customer: Xylem Analytics Germany GmbH Dr. Karl-Slevogt-Straße 1 83262 Weilheim Tel.: +49 881 183-0 Fax: +49 881 183-420 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 170586-AU01+W10 Page 2 of 19 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Tel.: +49 9421 56868-0 Fax: +49 9421 56868-100 Email: [email protected] Accreditation: FCC test firm accreditation expiration date: 2021-05-30 MRA US-EU, FCC designation number: DE0010 FCC registration number: 97268 BnetzA-CAB-02/21-02/5 Valid until 2023-11-26 Location of Testing: EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing The technical accuracy is guaranteed through the quality management of the EMV TESTHAUS GmbH. EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 170586-AU01+W10 Page 3 of 19 Table of contents 1 Test regulations ........................................................................................................................ 5 2 Summary of test results ............................................................................................................ 6 3 Equipment under test (EUT) ..................................................................................................... 7 4 Photographs of EUT ................................................................................................................. 7 5 Exclusion from KDB inquiry ...................................................................................................... 8 6 Test results ............................................................................................................................. 10 6.1 Wireless power transfer ................................................................................................... 11 7 Measurement uncertainty ....................................................................................................... 18 8 Equipment calibration status ................................................................................................... 18 9 Revision history ...................................................................................................................... 19 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 170586-AU01+W10 Page 4 of 19 List of pictures Picture 1: Setup of magnetic filed test for charging mode .............................................................. 13 Picture 2: Setup of electric field test for charging mode ................................................................. 13 Picture 3: Setup of magnetic filed test for standby mode ............................................................... 14 Picture 4: Setup of electric field test for standby mode .................................................................. 14 List of tables Table 1: Devices used for testing .................................................................................................. 11 Table 2: Limits for Maximum Permissible Exposure (MPE) to RF electromagnetic fields ............... 15 Table 3: RF exposure test results according to KDB 680106 D01 ................................................. 17 Table 4: Measurement uncertainties.............................................................................................. 18 Table 5: Equipment calibration status ............................................................................................ 18 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 170586-AU01+W10 Page 5 of 19 1 Test regulations Standard Title IEEE C95.3-2002 (R2008) Approved December 11, 2002 Reaffirmed June 12, 2008 IEEE Recommended Practice for Measurements and Computations of Radio Frequency Electromagnetic Fields With Respect to Human Exposure to Such Fields, 100 kHz–300 GHz KDB 680106 D01 April 9, 2018 (published by the Federal Communications Commission FCC) RF Exposure Considerations for Low Power Consumer Wireless Power Transfer Applications 47 CFR Part 1, Subpart I, Section 1.1310 Radiofrequency radiation exposure limits EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 170586-AU01+W10 Page 6 of 19 2 Summary of test results Standard Result Remark KDB 680106 D01 RF Exposure Considerations for Low Power Consumer Wireless Power Transfer Applications Passed Requirements for devices designed for typical desktop applications Note: For exclusion from KDB inquiry see clause 5. Straubing, November 27, 2019 Andreas Menacher Test engineer EMV TESTHAUS GmbH Konrad Graßl Head of Radio department EMV TESTHAUS GmbH EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 170586-AU01+W10 Page 7 of 19 3 Equipment under test (EUT) Product type: Wireless charger for TLC750 system Model Name: IF 750 Manufacturer: Xylem Analytics Germany GmbH Serial number: DUT_7 FCC ID: VQ5-IF750 Application frequency band: --- Frequency range: 112 kHz – 177 kHz Operating frequency: 112 kHz – 177 kHz Number of RF channels: 1 Modulation: ASK Antenna types: PCB antenna ☐ detachable ☒ not detachable Power supply: DC supply nominal voltage: 5.00 V nominal frequencies: --- Type of device: ☐ Body-supported device ☐ Body-worn (or body-mount) radio ☐ Limb-Worn device ☒ other Separation distance: ☐ ≤ 20 cm ☒ > 20 cm Evaluated against exposure limits: ☒ General…

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The test result refers exclusively to the model tested. This test report may not be copied or published in extracts without the written authorization of the accreditation agency and/or EMV TESTHAUS GmbH Applicant: Xylem Analytics Germany GmbH Dr. Karl-Slevogt-Straße 1 82362 Weilheim Tel.: +49 881 183-0 Fax: +49 881 183-420 Test report no.: 170586-AU01+W04 for: Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 according to: 15.209 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Page 2 of 61 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Tel.: +49 9421 56868-0 Fax: +49 9421 56868-100 Email: [email protected] Accreditation: FCC test firm accreditation expiration date: 2021-05-30 MRA US-EU, FCC designation number: DE0010 FCC registration number: 97268 BnetzA-CAB-02/21-02/5 Valid until 2023-11-26 Location of Testing: EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany The technical accuracy is guaranteed through the quality management of the EMV TESTHAUS GmbH. EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Page 3 of 61 Table of contents 1 Summary of test results ............................................................................................................ 6 2 Referenced publications ........................................................................................................... 7 3 Equipment under test (EUT) ..................................................................................................... 8 3.1 General information ........................................................................................................... 8 3.2 Radio specifications ........................................................................................................... 9 4 Photo documentation ................................................................................................................ 9 5 Test configuration and mode of operation ............................................................................... 10 5.1 Test configuration ............................................................................................................ 10 5.2 Versions of EUT .............................................................................................................. 11 5.3 Mode of operation ............................................................................................................ 11 5.3.1 Separation distance .................................................................................................. 11 5.3.2 Orientation ................................................................................................................ 11 5.3.3 Operational modes.................................................................................................... 12 6 Test procedures...................................................................................................................... 13 6.1 General specifications ..................................................................................................... 13 6.2 AC power-line conducted emissions ................................................................................ 13 6.3 Radiated emissions below 30 MHz .................................................................................. 15 6.3.1 Extrapolation according to ANSI C63.10 ................................................................... 15 6.3.2 Measuring radiated emissions below 30 MHz ........................................................... 16 6.4 Radiated emissions from 30 MHz to 1 GHz ..................................................................... 17 6.5 Radiated emissions above 1 GHz .................................................................................... 19 6.5.1 Exploratory radiated emissions measurements ......................................................... 19 6.5.2 Final radiated emissions measurements ................................................................... 20 7 Test results ............................................................................................................................. 23 7.1 Restricted bands of operation .......................................................................................... 24 7.1.1 Test equipment ......................................................................................................... 24 7.1.2 Limits ........................................................................................................................ 25 7.1.3 Test procedure .......................................................................................................... 25 7.1.4 Test results ............................................................................................................... 26 7.2 AC power line conducted emissions ................................................................................ 29 7.2.1 Test equipment ......................................................................................................... 29 7.2.2 Limits ........................................................................................................................ 30 7.2.3 Test procedure .......................................................................................................... 30 7.2.4 Test results ............................................................................................................... 31 7.3 Radiated emissions ......................................................................................................... 35 7.3.1 Radiated emissions below 30 MHz ........................................................................... 35 7.3.2 Radiated …

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EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex A Page 1 of 11 1 Annex A – Test setup 1.1 List of Pictures Picture 1: EUT test setup radiated emission test 9 kHz – 30 MHz – standby mode (front view) .................................................................................................................................. 2 Picture 2: EUT test setup radiated emission test 9 kHz – 30 MHz – standby mode (rear view) .................................................................................................................................. 2 Picture 3: EUT test setup radiated emission test 9 kHz – 30 MHz – charging mode (front view) .................................................................................................................................. 3 Picture 4: EUT test setup radiated emission test 9 kHz – 30 MHz – charging mode (rear view) .................................................................................................................................. 3 Picture 5: EUT test setup radiated emission test 30 MHz -1 GHz – standby mode (front view) .................................................................................................................................. 4 Picture 6: EUT test setup radiated emission test 30 MHz -1 GHz – standby mode (rear view) .................................................................................................................................. 4 Picture 7: EUT test setup radiated emission test 30 MHz -1 GHz – charging mode (front view) .................................................................................................................................. 5 Picture 8: EUT test setup radiated emission test 30 MHz -1 GHz – charging mode (rear view) .................................................................................................................................. 5 Picture 9: EUT test setup conducted emission test (front view) ......................................... 6 Picture 10: EUT test setup conducted emission test (rear view) ........................................ 6 Picture 11: EUT position 1 – standby mode....................................................................... 7 Picture 12. EUT position 2 – standby mode....................................................................... 7 Picture 13: EUT position 3 – standby mode....................................................................... 8 Picture 14: EUT position 1 – charging mode ..................................................................... 8 Picture 15: EUT position 2 – charging mode ..................................................................... 9 Picture 16: EUT position 3 – charging mode ..................................................................... 9 Picture 17: Power receiver dummy – top side ................................................................... 10 Picture 18: Power receiver dummy – bottom side ............................................................. 10 Picture 19: Power receiver – top side ................................................................................ 11 Picture 20: Power receiver – bottom side .......................................................................... 11 EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex A Page 2 of 11 Picture 1: EUT test setup radiated emission test 9 kHz – 30 MHz – standby mode (front view) Picture 2: EUT test setup radiated emission test 9 kHz – 30 MHz – standby mode (rear view) EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex A Page 3 of 11 Picture 3: EUT test setup radiated emission test 9 kHz – 30 MHz – charging mode (front view) Picture 4: EUT test setup radiated emission test 9 kHz – 30 MHz – charging mode (rear view) EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex A Page 4 of 11 Picture 5: EUT test setup radiated emission test 30 MHz -1 GHz – standby mode (front view) Picture 6: EUT test setup radiated emission test 30 MHz -1 GHz – standby mode (rear view) EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex A Page 5 of 11 Picture 7: EUT test setup radiated emission test 30 MHz -1 GHz – charging mode (front view) Picture 8: EUT test setup radiated emission test 30 MHz -1 GHz – charging mode (rear view) EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex A Page 6 of 11 Picture 9: EUT test setup conducted emission test (front view) Picture 10: EUT test setup conducted emission test (rear view) EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex A Page 7 of 11 Picture 11: EUT position 1 – standby mode Picture 12. EUT position 2 – standby mode EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex A Page 8 of 11 Picture 13: EUT position 3 – standby mode Picture 14: EUT position 1 – charging mode EMV TESTHAUS GmbH Gustav-Hertz-Straße 35 94315 Straubing Germany Xylem Analytics Germany GmbH Wireless charger for TLC750 system IF 750 / CS 750 170586-AU01+W04 Annex A Page 9 of 11 Picture 15: EUT position 2 – charging mode Picture 16: EUT position 3 – charging mode EMV TESTHAUS GmbH Gustav-Hertz-Straße …

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