W38-CR1692Contactless Reader

Module Installation Instructions And Regulatory Approval Conditions Contactless RF Module Model No: CR1692 FCC ID: W38- CR1692 IC: 8854A- CR1692 Date: 12-25-2012 Revision: 1 FCC Compliance Statement This device complies with part 15 of the FCC Rules. Operation is subjected 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. FCC Warning: Any changes or modifications to this device not expressly approved by the party responsible for compliance could void the user’s authority to operate this equipment. Industry Canada This device complies with Industry Canada license-exempt RSS standard(s). Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of the device.” Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2) l'utilisateur de l'appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement." Regulatory Approval Conditions for using CR1692 Module: 1. Antennas must have a greater distance than 20 cm separation from the transmitting antenna to the user body during normal operation condition. This device has an embedded antenna. 2. If a different antenna than the original certificated antenna is being use for the final product, the host will need to consult with ChargePoint, Inc. to verify the condition of approval applicability. 3. A permissive change from Coulomb Technologies Inc. is required as part of final system FCC/IC submission. 4. If the host has other transmitters beside from the module, simultaneous transmitting is not permitted unless a permissive change from the module manufacture is received. 5. For FCC, the label on the final system must include a statement: “Contains FCC ID: W38- CR1692”. For IC, “Contains IC: 8854A-CR1692” must be included. 6. Labeling requirement for FCC, “This device complies with part 15 of the FCC Rules. Operation is subjected 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”. For IC, “This device complies with Industry Canada license-exempt RSS standard(s). Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of the device.” “Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2) l'utilisateur de l'appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement." A user’s manual or instruction manual must be included with customer product.

775 Montague Expressway Milpitas, CA 95035 Tel: 408-526-1188 Fax: 408-526-1088 Email: [email protected] Project and Product Certification Representative Authorization Letter Reason for Amendment (current / obsolete) Revision History Approved Date From To Initial Release (obsolete) 1.0 1.0 Nov-14-2006 Revised wording (obsolete) 1.0 2.0 Sept–25-2007 Updated company template (current) 2.0 3.0 Jan-31-2012 SCS-F18: Project and Product Certification Representative Authorization Letter Page 2 of 2 Rev 3.0 January 2, 2013 To: SIEMIC, INC. 775 Montague Expressway, Milpitas, CA 95035 USA Dear Sir/Madam, Re: Project and Product Certification Representative Authorization Letter We, Chargepoint, Inc., hereby authorize SIEMIC, INC. to act as a Certification Body for certifying for the following project(s): Contactless Reader, Model: CR1692 We affirm that between SIEMIC and C hargepoint, Inc., 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, Gary Eldridge, P.E. Regulatory Compliance Manager Phone: 408-841-4536 [email protected] Chargepoint, Inc. 1692 Dell Ave. Campbell CA 95008-6901

775 Montague Expressway Milpitas, CA 95035 Tel: 408-526-1188 Fax: 408-526-1088 Email: [email protected] Confidentiality Request Letter Reason for Amendment (current / obsolete) Revision History Approved Date From To Initial Release (obsolete) 1.0 1.0 Nov-14-2006 Adding CFR 2.459 (obsolete) 1.0 2.0 August – 11 - 2008 Updated company template & Added text box (current) 2.0 3.0 Jan-31-2012 January 2, 2013 To: Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD Subject: Permanent Confidentiality Request for FCC ID: W38-CR1692 We hereby request confidential treatment of information accompanying this application as outlined below: - Block Diagram - Schematics - Operational 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 & 0.459 of the Rules, disclosure of this application and all accompanying documentation will not be made before the date of the Grant for this application. Sincerely, Gary Eldridge, P.E. Regulatory Compliance Manager Phone: 408-841-4536 [email protected] Chargepoint, Inc. 1692 Dell Ave. Campbell CA 95008-6901

SCS-F26 Modular Approval Letter Page 1 of 3 Rev 7.0 775 Montague Expressway Milpitas, CA 95035 Tel: 408-526-1188 Fax: 408-526-1088 Email: [email protected] Modular Approval Declaration Letter Reason for Amendment (current / obsolete) Revision History Approved Date From To Initial Release (Obsolete) 1.0 1.0 Dec-04-2006 Added IC Modular Letter (Obsolete) 1.0 2.0 Feb 16 2009 Add LMA and MA option (Obsolete) 2.0 3.0 April 14 2010 Revised per RSS Gen issue 3.0 (Obsolete) 3.0 4.0 Jan 12 2011 Removed Foot(2) (obsolete) 4.0 5.0 July 19 2011 Adding New note per KDB996369 D01 V01R03 (obsolete) 5.0 6.0 August 29 2011 Updated company template & Added text box (current) 6.0 7.0 Jan-31-2012 SCS-F26 Modular Approval Letter Page 2 of 3 Rev 7.0 1/2/2013 (Product name) FCC ID : W38-CR1692, is seeking FCC Authorization as a Single Modular transmitter / Single Limited Modular Approval (Please check one). The EUT meets the requirements for Single Modular approval / Single Limited Modular Approval (please check one) as detailed in FCC public Notice DA00-1407. Compliance to each of the requirements is described below: Questions are: * Please provide a detailed explanation if the answer is “No.” 1. “The modular transmitter must have its own RF shielding.” Yes / No 2. “The modular transmitter must have buffered modulation/data inputs.” Yes / No 3. “The modular transmitter must have its own power supply regulation.” Yes / No 4. “The modular transmitter must comply with the antenna requirements of section 15.203 and 15.204(c).” Yes / No 5. “The modular transmitter must be tested in a stand-alone configuration.” Yes / No 6. “The modular transmitter must be labeled with its own FCC ID number.” Yes / No 7. “The modular transmitter must comply with any specific rule or operating requirements applicable to the transmitter and the manufacture must provide adequate instruction along with the module to explain any such requirements.” Yes / No 8. “The modular transmitter must comply with any applicable RF exposure requirements.” Yes / No Note: (1) LMA may be granted when one or more of the requirements in the table above cannot be demonstrated. LMA will also be issued in those instances where applicants can demonstrate that they will retain control over the final installation of the device, such that compliance of the end product is assured. In such cases, an operating condition on the LMA for the module must state that the module is only approved for use when installed in devices produced by a specific manufacturer. When LMA is sought, the application for equipment certification must specifically state how control of the end product into which the module will be installed, and will be maintained, such that full compliance of the end product is always ensured. (2) Please provide Clear and specific instructions describing the conditions, limitations and procedures for third-parties to use and/or integrate the module into a host device. (3) For non-Software Defined Radio transmitter modules where software is used to ensure compliance of the device, technical description of how such control is implemented to ensure prevention of third party modification must be provided (see KDB 594280). Note 1: Compliance of a module in its final configuration is the responsibility of the applicant. A host device will not be considered certified if the instructions regarding antenna configuration provided in the original description, of one or more separately certified modules it contains, were not followed. Example: A separately certified low-power transceiver module using Bluetooth technology which is housed in a desktop computer, laptop or peripheral does not require the overall system to be recertified, if the desktop computer, laptop or peripheral, as a stand-alone unit, complies with all applicable technical standards. Gary Eldridge, P.E. Regulatory Compliance Manager Phone: 408-841-4536 [email protected] Chargepoint, Inc. 1692 Dell Ave. Campbell CA 95008-6901 SCS-F26 Modular Approval Letter Page 3 of 3 Rev 7.0 LMA Declaration Letter We, Chargepoint, Inc., declare that we will retain control over the final installation of the device, (FCC ID: W38-CR1692, IC:8854A-CR1692) such that compliance of the end product is assured. In such cases, an operating condition on the LMA for the module must be only approved for use when installed in devices produced by a specific manufacturer. Gary Eldridge, P.E. Regulatory Compliance Manager Phone: 408-841-4536 [email protected] Chargepoint, Inc. 1692 Dell Ave. Campbell CA 95008-6901

UIC680CLB EUT Top View RFID Module Top View RFID Module Shielding Off Top View RFID Module Bottom View Antenna Board Top View Antenna Board Bottom View

Label & Location

UIC680CLB EUT Top View RFID Module Top View RFID Module Shielding Off Top View RFID Module Bottom View Antenna Board Top View Antenna Board Bottom View

CHARGEPOINT, INC. Charge station with WIFI, RFID, Zigbee, Gobi module Model: CT4000 Issued Date: Jan 10th, 2013 Report No.: SL12121707/CPC/006_CT4000CB (This report supersedes None ) Modifications made to the product : None This Test Report is Issued Under the Authority of: Jason Zhang Test Engineer David Zhang Engineering Reviewer This test report may be reproduced in full only. Test result presented in this test report is applicable to the representative sample only. Title: RF Suplement Test Report ChargePoint, Inc. Model : CT4000 with WIFI, RFID, Zigbee, Gobi module To Serial# SL12121707)CPC)006_CT4000CB Issue Date Jan 10th, 2013 Page 2 of 63 www.siemic.com Laboratory Introduction ATION SIEMIC, headquartered in the heart of Silicon Valley, with superior facilities in US and Asia, is one of the leading independent testing and certification facilities providing customers with one)stop shop services for Compliance Testing and Global Certifications. In addition to testing and certification, SIEMIC provides initial design reviews and compliance management through out a project. Our extensive experience with China , Asia Pacific, North America, European, and international compliance requirements, assures the fastest, most cost effective way to attain regulatory compliance for the global markets. Accreditations for Conformity Assessment Country/Region Accreditation Body Scope USA FCC, A2LA EMC , RF/Wireless , Telecom Canada IC, A2LA, NIST EMC, RF/Wireless , Telecom Taiwan BSMI , NCC , NIST EMC, RF, Telecom , Safety Hong Kong OFTA , NIST RF/Wireless ,Telecom Australia NATA, NIST EMC, RF, Telecom , Safety Korea KCC/RRA, NIST EMI, EMS, RF , Telecom, Safety Japan VCCI, JATE, TELEC, RFT EMI, RF/Wireless, Telecom Mexico NOM, COFETEL, Caniety Safety, EMC , RF/Wireless, Telecom Europe A2LA, NIST EMC, RF, Telecom , Safety Accreditations for Product Certifications Country Accreditation Body Scope USA FCC TCB, NIST EMC , RF , Telecom Canada IC FCB , NIST EMC , RF , Telecom Singapore Ida, NIST EMC , RF , Telecom EU NB EMC & R&TTE Directive Japan MIC (RCB 208) RF , Telecom HongKong OFTA (US002) RF , Telecom Title: RF Suplement Test Report ChargePoint, Inc. Model : CT4000 with WIFI, RFID, Zigbee, Gobi module To Serial# SL12121707)CPC)006_CT4000CB Issue Date Jan 10th, 2013 Page 3 of 63 www.siemic.com This page has been left blank intentionally. Title: RF Suplement Test Report ChargePoint, Inc. Model : CT4000 with WIFI, RFID, Zigbee, Gobi module To Serial# SL12121707)CPC)006_CT4000CB Issue Date Jan 10th, 2013 Page 4 of 63 www.siemic.com CONTENTS 1 EXECUTIVE SUMMARY & EUT INFORMATION ............................................................................................................. 6 2 TECHNICAL DETAILS .................................................................................................................................................. 7 3 REPORT REVISION HISTORY ....................................................................................................................................... 9 4 TEST SUMMARY ........................................................................................................................................................ 10 5 MEASUREMENTS, EXAMINATION AND DERIVED RESULTS ...................................................................................... 12 ANNEX A. TEST INSTRUMENT & METHOD......................................................................................................................... 20 ANNEX B EUT PHOTOGRAPHS ........................................................................................................................................ 25 ANNEX C. TEST SETUP AND SUPPORTING EQUIPMENT ................................................................................................... 25 ANNEX C. TEST SETUP AND SUPPORTING EQUIPMENT ................................................................................................... 30 ANNEX D USER MANUAL, BLOCK & CIRCUIT DIAGRAM ................................................................................................... 34 ANNEX E USER MANUAL, BLOCK & CIRCUIT DIAGRAM ................................................................................................... 35 ANNEX E SIEMIC ACCREDITATION ................................................................................................................................... 36 Title: RF Suplement Test Report ChargePoint, Inc. Model : CT4000 with WIFI, RFID, Zigbee, Gobi module To Serial# SL12121707)CPC)006_CT4000CB Issue Date Jan 10th, 2013 Page 5 of 63 www.siemic.com This page has been left blank intentionally. Title: RF Suplement Test Report ChargePoint, Inc. Model : CT4000 with WIFI, RFID, Zigbee, Gobi module To Serial# SL12121707)CPC)006_CT4000CB Issue Date Jan 10th, 2013 Page 6 of 63 www.siemic.com 1 Executive Summary & EUT information The purpose of this test programme was to demonstrate compliance of the ChargePoint, Inc., Charge station with WIFI, RFID, Zigbee, Gobi module , and Model: CT4000 spurious emission against the current Stipulated Standards. The Charge station with WIFI, RFID, Zigbee, Gobi module have demonstrated compliance with the 15.207(a); 15.247(d); 22.917(a); 24.238(a); 27.53(g) Spurious emission Requirement. Applicant & EUT Information Applicant Information Applicant / Client ChargePoint, Inc . 1692 Dell Ave. Campbell, CA 95008 UNITED STATES Manufacturer1 ChargePoint, Inc . 1692 Dell Ave. Campbell, CA 95008 UNITED STATES EUT Information EUT Description : The EUT is electric vehicle charge station. This charge station including WIFI, RFID, Zigbee and Gobi module to get wireless communication capability. Config 1 : WIFI(802.11b/g/n) & Zigbee module board: FCC ID: W38)241083Z IC ID: 8854A)241083Z RFID module: FCC ID: W38)CR1692 IC ID: 8854A)CR1692 Gobi module: FCC ID: J9CGOBI3000 IC ID: 2723A)GOBI3000 Config 2: WIFI(802.11b/g/n) module: FCC ID: W38)241083 IC ID: 8854A)241083 RFID mo…

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CHARGEPOINT, INC. RFID READER Model: CR1692 Jan 11th, 2013 Report No.: SL12121707-CPC-006 _RFID (FCC_IC) (This report supersedes NONE) Modifications made to the product : None This Test Report is Issued Under the Authority of: Jason Zhang Compliance Engineer David Zhang Engineering Reviewer This test report may be reproduced in full only. Test result presented in this test report is applicable to the representative sample only. Title: RF Test Report of RFID Reader Model : CR1692 To FCC 15.225 2012 Serial# SL12121707-CPC-006 _RFID (FCC_IC) Issue Date Jan 11th, 2013 Page 2 of 63 www.siemic.com Laboratory Introduction ATION SIEMIC, headquartered in the heart of Silicon Valley, with superior facilities in US and Asia, is one of the leading independent testing and certification facilities providing customers with one-stop shop services for Compliance Testing and Global Certifications. In addition to testing and certification, SIEMIC provides initial design reviews and compliance management through out a project. Our extensive experience with China, Asia Pacific, North America, European, and international compliance requirements, assures the fastest, most cost effective way to attain regulatory compliance for the global markets. Accreditations for Conformity Assessment Country/Region Accreditation Body Scope USA FCC, A2LA EMC , RF/Wireless , Telecom Canada IC, A2LA, NIST EMC, RF/Wireless , Telecom Taiwan BSMI , NCC , NIST EMC, RF, Telecom , Safety Hong Kong OFTA , NIST RF/Wireless ,Telecom Australia NATA, NIST EMC, RF, Telecom , Safety Korea KCC/RRA, NIST EMI, EMS, RF , Telecom, Safety Japan VCCI, JATE, TELEC, RFT EMI, RF/Wireless, Telecom Mexico NOM, COFETEL, Caniety Safety, EMC , RF/Wireless, Telecom Europe A2LA, NIST EMC, RF, Telecom , Safety Accreditations for Product Certifications Country Accreditation Body Scope USA FCC TCB, NIST EMC , RF , Telecom Canada IC FCB , NIST EMC , RF , Telecom Singapore iDA, NIST EMC , RF , Telecom EU NB EMC & R&TTE Directive Japan MIC (RCB 208) RF , Telecom HongKong OFTA (US002) RF , Telecom Title: RF Test Report of RFID Reader Model : CR1692 To FCC 15.225 2012 Serial# SL12121707-CPC-006 _RFID (FCC_IC) Issue Date Jan 11th, 2013 Page 3 of 63 www.siemic.com This page has been left blank intentionally. Title: RF Test Report of RFID Reader Model : CR1692 To FCC 15.225 2012 Serial# SL12121707-CPC-006 _RFID (FCC_IC) Issue Date Jan 11th, 2013 Page 4 of 63 www.siemic.com CONTENTS 1 EXECUTIVE SUMMARY & EUT INFORMATION ............................................................................................................. 6 2 TECHNICAL DETAILS .................................................................................................................................................. 7 3 MODIFICATION ............................................................................................................................................................ 8 4 TEST SUMMARY .......................................................................................................................................................... 9 5 MEASUREMENTS, EXAMINATION AND DERIVED RESULTS ...................................................................................... 10 ANNEX A. TEST INSTRUMENT & METHOD......................................................................................................................... 28 ANNEX B. TEST SETUP PHOTOGRAPHS .......................................................................................................................... 29 ANNEX B. I. EUT INTERNAL PHOTOGRAPHS .................................................................................................................... 30 ANNEX B. II. EUT EXTERNAL PHOTOGRAPHS .................................................................................................................. 31 ANNEX C. SUPPORTING EQUIPMENT DESCRIPTION ........................................................................................................ 32 ANNEX D. EUT OPERATING CONDITIONS ........................................................................................................................ 35 ANNEX E SIEMIC ACCREDITATION ................................................................................................................................... 36 Title: RF Test Report of RFID Reader Model : CR1692 To FCC 15.225 2012 Serial# SL12121707-CPC-006 _RFID (FCC_IC) Issue Date Jan 11th, 2013 Page 5 of 63 www.siemic.com This page has been left blank intentionally. Title: RF Test Report of RFID Reader Model : CR1692 To FCC 15.225 2012 Serial# SL12121707-CPC-006 _RFID (FCC_IC) Issue Date Jan 11th, 2013 Page 6 of 63 www.siemic.com 1 Executive Summary & EUT information The purpose of this test programmed was to demonstrate compliance of the ChargePoint Inc., Model: CR1692 against the current Stipulated Standards for FCC 15.225 2012 and RSS-210 Issue 8: 2010. The equipment under test radio operating frequency is 13.56 MHz. The test has demonstrated that this unit complies with stipulated standards. EUT Information EUT Description : Contactless Smart Card Reader Module Model No : CR1692 Serial No : 00020571 Input Power : 5VDC Power adaptor 120VAC/60Hz Classification Per Stipulated Test Standard : RFID Title: RF Test Report of RFID Reader Model : CR1692 To FCC 15.225 2012 Serial# SL12121707-CPC-006 _RFID (FCC_IC) Issue Date Jan 11th, 2013 Page 7 of 63 www.siemic.com 2 TECHNICAL DETAILS Purpose Compliance testing of RFID Reader with stipulated standard Applicant / Client ChargePoint, Inc. Manufacturer ChargePoint, Inc. 1692 Dell Ave. Campbell, CA 95008 UNITED STATES Laboratory performing the tests SIEMIC Laboratories 775 Montague Expressway, Milpitas, CA 95035 Date EUT received Jan 7th, 2013 Dates of test (from – to) Jan 7th - Jan 8th, 2013 Equipment Category: DXX Trade Name: ChargePoint Model : CR1692 RF Operating Frequency (ies) 13.56 MHz (RFID) Number of Channels : 13.56MHz (1) Mo…

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Radiated Emission (>30MHz) – Front View Radiated Emission (>30MHz) – Rear View Radiated Emission (<30MHz) – Front View Radiated Emission (<30MHz) – Rear View AC Line Conducted Emission - Front View AC Line Conducted Emission - Front View