CERTIFICATE. Issued Date: Sep. 15, 2011 Report No.: R-ITUSP02V02
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1 CERTIFICATE Issued Date: Sep. 15, 2011 Report No.: R-ITUSP02V02 This is to certify that the following designated product Product : 1 Port USB-to-Serial Adapter Trade name : Moxa Model Number Company Name : Moxa Inc. This product, which has been issued the test report listed as above in QuieTek Laboratory, is based on a single evaluation of one sample and confirmed to comply with the requirements of the following EMC standard. FCC CFR Title 47 Part 15 Subpart B: 2010 Class B, CISPR 22: 2008 ANSI C63.4: 2009 ICES-003 Issue 4: 2004 TEST LABORATORY Vincent Lin / Manager No. 5-22, Rueishu Keng, Linkou Dist., New Taipei City 24451, Taiwan. R.O.C. TEL: FAX: service@quietek.com
2 Appendix Report Compliance with Industry Canada Interference-Causing Equipment Standard ICES-003 Product Name : NPort Express Model No. Applicant : Moxa Inc. Address : Fl.4, No. 135, Lane 235, Pao-Chiao Rd., Hsin-Tien Dist., New Taipei City,Taiwan Date of Receipt : 2011/08/31 Issued Date : 2011/09/15 Report No. : R-ITUSP02V02 Report Version : V1.0 The test results relate only to the samples tested. The test results shown in the test report are traceable to the national/international standard through the calibration of the equipment and evaluated measurement uncertainty herein. This report must not be used to claim product endorsement by TAF, NVLAP, NIST or any agency of the Government. The test report shall not be reproduced except in full without the written approval of QuieTek Corporation.
3 MOXA Inc. Fl.4,No.135,Lane 235,Pao-Chiao Rd.,Hsin-Tien Dist., New Taipei City,Taiwan Tel: Fax: DECLARATION OF CONFORMITY Per FCC Part 2 Section (a) The following equipment: Product Name : 1 Port USB-to-Serial Adapter Model Type Brand Name : Moxa It s herewith confirmed to comply with the requirements of FCC Part 15 Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) This device must accept any interference received, including interference that may cause undesired operation. It is understood that each unit marketed is identical to the device as tested, and any changes to the device that could adversely affect the emission characteristics will require retest. The following importer / manufacturer is responsible for this declaration: Company Name MOXA Inc. Company Address Fl.4,No.135,Lane 235,Pao-Chiao Rd., Hsin-Tien Dist., New Taipei City,Taiwan Telephone Facsimile : Person is responsible for marking this declaration: CHAO HUNG-CHENG Name ( Full name ) Director Position / Title Date Legal Signature
4 Report No:119081R-ITUSP02V02 Test Report Certification Issued Date : 2011/09/15 Report No. : R-ITUSP02V02 Product Name Applicant Address Manufacturer Model No. EUT Rated Voltage EUT Test Voltage Trade Name Applicable Standard Test Result Performed Location : 1 Port USB-to-Serial Adapter : Moxa Inc. : Fl.4, No. 135, Lane 235, Pao-Chiao Rd., Hsin-Tien Dist., New Taipei City,Taiwan : Moxa Inc. : Power by PC : AC 120 V / 60 Hz : Moxa : FCC CFR Title 47 Part 15 Subpart B: 2010, Class B CISPR 22: 2008, ANSI C63.4: 2009 ICES-003 Issue 4: 2004 : Complied : Quietek Corporation (Linkou Laboratory) No. 5-22, Rueishu Keng, Linkou Dist., New Taipei City 24451, Taiwan. R.O.C. TEL: / FAX: Documented By : ( Senior Adm. Specialist / Jinn Chen ) Reviewed By : ( Engineer / Harrison Chen ) Approved By : ( Manager / Vincent Lin ) Page: 2 of 47
5 Report No:119081R-ITUSP02V02 Laboratory Information We, QuieTek Corporation, are an independent EMC and safety consultancy that was established the whole facility in our laboratories. The test facility has been accredited/accepted (audited or listed) by the following related bodies in compliance with ISO 17025, EN and specified testing scopes: Taiwan R.O.C. : BSMI, NCC, TAF Germany : TUV Rheinland Norway : Nemko, DNV USA : FCC, NVLAP Japan : VCCI The related certificate for our laboratories about the test site and management system can be downloaded from QuieTek Corporation s Web Site : The address and introduction of QuieTek Corporation s laboratories can be founded in our Web site : If you have any comments, Please don t hesitate to contact us. Our contact information is as below: HsinChu Testing Laboratory : No.75-2, 3rd Lin, Wangye Keng, Yonghxing Tsuen, Qionglin Shiang, Hsinchu County 307, Taiwan, R.O.C. TEL: / FAX: service@quietek.com LinKou Testing Laboratory : No. 5-22, Rueishu Keng, Linkou Dist., New Taipei City 24451, Taiwan. R.O.C. TEL : / FAX : service@quietek.com Suzhou (China) Testing Laboratory : No. 99 Hongye Rd., Suzhou Industrial Park Loufeng Hi-Tech Development Zone., Suzhou,China. TEL : / FAX : service@quietek.com Page: 3 of 47
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