FCC 15B Test Report. : Bluetooth v4.0 Dual-Mode UART HCI Module. Address : Thompson Ave., Lenexa, Kansas 66219, USA

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FCC 15B Test Report Equipment Model No. Brand Name Applicant : Bluetooth v4.0 Dual-Mode UART HCI Module : BT830-SA, BT830-ST (Please refer to item 1.1.1 for more details.) : Laird Technologies : Laird Technologies Address : 11160 Thompson Ave., Lenexa, Kansas 66219, USA Standard Received Date : Apr. 28, 2014 : FCC Part 15, Subpart B, Class B ICES-003 Issue 5 ANSI C63.4:2009 Tested Date : May 13 ~ May 16, 2014 We, International Certification Corp., would like to declare that the tested sample has been evaluated and in compliance with the requirement of the above standards. It may be duplicated completely for legal use with the approval of the applicant. It shall not be reproduced except in full without the written approval of our laboratory. Approved & Reviewed by: Kent Chen / Assistant Manager Ty: XXX Report No.: FD442804 Page : 1 of 77

Table of Contents 1 GENERAL DESCRIPTION... 5 1.1 Information... 5 1.2 The Equipment List... 6 1.3 Testing Applied Standards... 7 1.4 Measurement Uncertainty... 7 2 TEST CONFIGURATION... 8 2.1 Testing Condition... 8 2.2 The Worst Test Modes and Channel Details... 8 2.3 Local Support Equipment List... 8 2.4 Test Setup Chart... 9 2.5 Test Software and Operating Condition... 9 3 EMISSION TESTS RESULTS... 10 3.1 Conducted Emissions... 10 3.2 Radiated Emissions... 19 4 PHOTOGRAPHS OF THE TEST CONFIGURATION... 69 5 TEST LABORATORY INFORMATION... 77 Report No.: FD442804 Page : 2 of 77

Release Record Report No. Version Description Issued Date FD442804 Rev. 01 Initial issue May 29, 2014 Report No.: FD442804 Page : 3 of 77

Summary of Test Results Ref. Std. Clause FCC Part 15, Subpart B Emission Tests Test Standard Test Items Measured Result 15.107 FCC Part 15, Subpart B, Class B Conducted Emissions 15.109 FCC Part 15, Subpart B, Class B Radiated Emissions -8.24dB AV@ 0.155MHz. -3.25dB PK@ 62.98MHz. Pass Pass Report No.: FD442804 Page : 4 of 77

1 General Description 1.1 Information 1.1.1 Product Details The following models are provided to this EUT. Brand Name Model Name Product Name Description Laird Technologies BT830-SA BT830-ST Bluetooth v4.0 Dual-Mode UART HCI Module Bluetooth v4.0 Dual-Mode UART HCI Module chip antenna trace to external antenna 1.1.2 Specification of the Equipment under Test (EUT) Operating Frequency Modulaton Type 2402 MHz ~ 2480 MHz Bluetooth 4.0 LE: GFSK Bluetooth BR(1Mbps): GFSK Bluetooth EDR (2Mbps): π/4-dqpsk Bluetooth EDR (3Mbps): 8-DPSK 1.1.3 Antenna Details Ant. No. EUT Model Type Ant. Brand / Model Gain (dbi) Connector 1 BT830-SA Chip 2 BT830-ST Dipole 3 BT830-ST PCB Dipole 4 BT830-ST Dipole 5 BT830-ST Dipole ACX AT3216-B2R7HAA_3216 Nearson S181FL-L-RMM-2450S Laird EBL2449A1-15UFL Laird MAF94190 Laird WRR2400- IP04-B(MAF94019) 0.5 N/A 2.0 UFL 2.0 UFL 2.0 UFL 1.5 UFL Note1: Ant.2 & Ant.4 were pretested and found that Ant. 2 was the worst case. Therefore, Ant.2 & Ant.3 were selected for final testing for model BT830-ST. 1.1.4 Power Supply Type of Equipment under Test (EUT) Power Supply Type 3.3Vdc from host. 1.1.5 Accessories N/A Report No.: FD442804 Page : 5 of 77

1.2 The Equipment List Test Item Test Site Conducted Emission Conduction room 1 / (CO01-WS) Instrument Manufacturer Model No. Serial No. Calibration Date Calibration Until EMC Receiver R&S ESCS 30 100169 Oct. 15, 2013 Oct. 14, 2014 LISN SCHWARZBECK Schwarzbeck 8127 8127-667 Nov. 23, 2013 Nov. 22, 2014 LISN (Support Unit) SCHWARZBECK Schwarzbeck 8127 8127-666 Dec. 04, 2013 Dec. 03, 2014 RF Cable-CON Woken CFD200-NL CFD200-NL-001 Apr. 23, 2014 Apr. 22, 2015 50 ohm terminal (Support Unit) NA 50 04 Apr. 18, 2014 Apr. 17, 2015 Note: Calibration Interval of instruments listed above is one year. Test Item Test Site Radiated Emission 966 chamber 3 / (03CH03-WS) Instrument Manufacturer Model No. Serial No. Calibration Date Calibration Until Spectrum Analyzer Agilent N9010A MY53400091 Oct. 07, 2013 Oct. 06, 2014 Receiver Agilent N9038A MY53290044 Jan. 08, 2014 Jan. 07, 2015 Bilog Antenna SCHWARZBECK VULB9168 VULB9168-562 Feb. 07, 2014 Feb. 06, 2015 Horn Antenna 1G-18G Horn Antenna 18G-40G SCHWARZBECK BBHA 9120 D BBHA 9120 D 1206 Feb. 20, 2014 Feb. 19, 2015 SCHWARZBECK BBHA 9170 BBHA 9170517 Dec. 27, 2013 Dec. 26, 2014 Preamplifier EMC EMC02325 980187 Nov. 22, 2013 Nov. 21, 2014 Preamplifier Agilent 83017A MY53270014 Nov. 22, 2013 Nov. 21, 2014 Preamplifier EM EM18G40G 060572 Jun. 20, 2013 Jun. 19, 2014 RF cable-3m HUBER+SUHNER SUCOFLEX104 MY22620/4 Feb. 19, 2014 Feb. 18, 2015 RF cable-8m HUBER+SUHNER SUCOFLEX104 MY22601/4 Feb. 19, 2014 Feb. 18, 2015 RF cable-1m HUBER+SUHNER SUCOFLEX104 MY22624/4 Feb. 19, 2014 Feb. 18, 2015 LF cable-0.8m EMC EMC8D-NM-NM-800 EMC8D-NM-NM-800-001 Feb. 17, 2014 Feb. 16, 2015 LF cable-3m EMC EMC8D-NM-NM-3000 131103 Feb. 17, 2014 Feb. 16, 2015 LF cable-13m EMC EMC8D-NM-NM-13000 131104 Feb. 17, 2014 Feb. 16, 2015 Note: Calibration Interval of instruments listed above is one year. Report No.: FD442804 Page : 6 of 77

1.3 Testing Applied Standards According to the specifications of the manufacturer, the EUT must comply with the requirements of the following standards: FCC Part 15, Subpart B, Class B ICES-003 Issue 5 ANSI C63.4:2009 1.4 Measurement Uncertainty CISPR 16-4-2 requires that an estimate of the measurement uncertainties associated with the emissions test results be included in the report. The measurement uncertainties given below are based on a 95% confidence level (based on a coverage factor (k=2) Measurement Uncertainty Test Item Frequency Uncertainty Conducted Emissions 150kHz ~ 30MHz ±2.92 db 30MHz ~ 1GHz ±3.56 db Radiated Emissions Above 1GHz ±4.94 db Report No.: FD442804 Page : 7 of 77

2 Test Configuration 2.1 Testing Condition Test Item Test Site Ambient Condition Tested By AC Conduction CO01-WS 25 C / 66% Skys Huang Radiated Emissions 03CH03-WS 24-26 C / 62-67% Aska Huang 2.2 The Worst Test Modes and Channel Details Test item Modulation Mode Test Frequency (MHz) Data rate (Mbps / MCS) Test Configuration Conducted Emissions GFSK 2480 1Mbps 1, 2, 5, 6 Radiated Emissions (below 1GHz) GFSK 2480 1Mbps 1, 2, 3, 4, 5, 6 Radiated Emissions (above 1GHz) GFSK 2402, 2441, 2480 1Mbps 1, 2, 3, 4, 5, 6 NOTE: 1. This device supports BT EDR and BT LE function, each function is selected to perform tests as below test configuration. 2. 3 types antenna are used for this device, each type is selected to perform radiated emission test as below test configuration. 3. The test configuration listed as follows: 1) Configuration 1: BT830-SA with Ant.1 Chip antenna, BT EDR mode. 2) Configuration 2: BT830-SA with Ant.1 Chip antenna, BT LE mode. 3) Configuration 3: BT830-ST with Ant.2 Dipole antenna, BT EDR mode. 4) Configuration 4: BT830-ST with Ant.2 Dipole antenna, BT LE mode. 5) Configuration 5: BT830-ST with Ant.3 PCB Dipole antenna, BT EDR mode. 6) Configuration 6: BT830-ST with Ant.3 PCB Dipole antenna, BT LE mode. 2.3 Local Support Equipment List Support Equipment List No. Equipment Brand Model S/N FCC ID Signal cable / Length (m) 1 Notebook DELL Latitude E5430 2 Printer EPSON XP-30 6R4RWW1 DoC USB, 1m shielded w/o core. QSDK0024 10 --- USB, 1.8m shielded w/o core. 3 Mouse DELL MS111-L 2C3-00MM --- USB, 1.8m shielded w/o core. Report No.: FD442804 Page : 8 of 77

2.4 Test Setup Chart Test Setup Diagram_Model: BT830-SC Test Setup Diagram_Model: BT830-SA 2.5 Test Software and Operating Condition a. To enable all functions of test system. b. The EUT was set to receive BT signal continuously. c. The notebook ran EMCTest.exe to send H patterns to its monitor and the monitor displayed them. d. The notebook ran EMCTest.exe to send H patterns to the printer. Report No.: FD442804 Page : 9 of 77

3 Emission Tests Results 3.1 Conducted Emissions 3.1.1 Limit of Conducted Emissions Conducted Emissions Limit Frequency Emission (MHz) Quasi-Peak Average 0.15-0.5 66-56 * 56-46 * 0.5-5 56 46 5-30 60 50 Note 1: * Decreases with the logarithm of the frequency. 3.1.2 Test Procedures a. The device is placed on a test table, raised 80 cm above the reference ground plane. The vertical conducting plane is located 40 cm to the rear of the device. b. The device is connected to line impedance stabilization network (LISN) and other accessories are connected to other LISN. Measured levels of AC power line conducted emission are across the 50 Ω LISN port. c. AC conducted emission measurements is made over frequency range from 150 khz to 30 MHz. d. This measurement was performed with AC 120V / 60Hz. 3.1.3 Test Setup Report No.: FD442804 Page : 10 of 77

3.1.4 Test Result of Conducted Emissions Modulation Mode GFSK Test Freq. (MHz) 2480 Power Phase Line Test Configuration 1 Note 1: Level (dbuv) = Read Level (dbuv) + LISN Factor (db) + Cable Loss (db). 2: Over Limit (db) = Level (dbuv) Limit Line (dbuv). Report No.: FD442804 Page : 11 of 77

Modulation Mode GFSK Test Freq. (MHz) 2480 Power Phase Neutral Test Configuration 1 Note 1: Level (dbuv) = Read Level (dbuv) + LISN Factor (db) + Cable Loss (db). 2: Over Limit (db) = Level (dbuv) Limit Line (dbuv). Report No.: FD442804 Page : 12 of 77

Modulation Mode GFSK Test Freq. (MHz) 2480 Power Phase Line Test Configuration 2 Note 1: Level (dbuv) = Read Level (dbuv) + LISN Factor (db) + Cable Loss (db). 2: Over Limit (db) = Level (dbuv) Limit Line (dbuv). Report No.: FD442804 Page : 13 of 77

Modulation Mode GFSK Test Freq. (MHz) 2480 Power Phase Neutral Test Configuration 2 Note 1: Level (dbuv) = Read Level (dbuv) + LISN Factor (db) + Cable Loss (db). 2: Over Limit (db) = Level (dbuv) Limit Line (dbuv). Report No.: FD442804 Page : 14 of 77

Modulation Mode GFSK Test Freq. (MHz) 2480 Power Phase Line Test Configuration 5 Note 1: Level (dbuv) = Read Level (dbuv) + LISN Factor (db) + Cable Loss (db). 2: Over Limit (db) = Level (dbuv) Limit Line (dbuv). Report No.: FD442804 Page : 15 of 77

Modulation Mode GFSK Test Freq. (MHz) 2480 Power Phase Neutral Test Configuration 5 Note 1: Level (dbuv) = Read Level (dbuv) + LISN Factor (db) + Cable Loss (db). 2: Over Limit (db) = Level (dbuv) Limit Line (dbuv). Report No.: FD442804 Page : 16 of 77

Modulation Mode GFSK Test Freq. (MHz) 2480 Power Phase Line Test Configuration 6 Note 1: Level (dbuv) = Read Level (dbuv) + LISN Factor (db) + Cable Loss (db). 2: Over Limit (db) = Level (dbuv) Limit Line (dbuv). Report No.: FD442804 Page : 17 of 77

Modulation Mode GFSK Test Freq. (MHz) 2480 Power Phase Neutral Test Configuration 6 Note 1: Level (dbuv) = Read Level (dbuv) + LISN Factor (db) + Cable Loss (db). 2: Over Limit (db) = Level (dbuv) Limit Line (dbuv). Report No.: FD442804 Page : 18 of 77

3.2 Radiated Emissions 3.2.1 Limit of Radiated Emissions According to FCC Part 15, Subpart B 15.109, the field strength of radiated emissions from unintentional radiators at a distance of 3 meters shall not exceed the following values: Frequency of Emission (MHz) Field Strength (uv/m) Field Strength (dbuv/m) Measure Distance (m) 30-88 100 40 3 88-216 150 43.5 3 216-960 200 46 3 Above 960 500 54 3 Highest frequency generated or used in the device or on which the device operates or tunes (MHz) Upper frequency of measurement range (MHz) Below 1.705 30 1.705-108 1000 108-500 2000 500-1000 5000 Above 1000 5th harmonic of the highest frequency or 40 GHz, whichever is lower Note: According to FCC Part 15, Subpart B 15.33: For an unintentional radiator is shown in the table above. 3.2.2 Test Procedures 1. Measurement is made at a semi-anechoic chamber that incorporates a turntable allowing a EUT rotation of 360. A continuously-rotating, remotely-controlled turntable is installed at the test site to support the EUT and facilitate determination of the direction of maximum radiation for each EUT emission frequency. The EUT is placed at a height of 0.8 m test table above the ground plane. 2. Measurement is made with the antenna positioned in both the horizontal and vertical planes of polarization. The measurement antenna is varied in height (1m ~ 4m) above the reference ground plane to obtain the maximum signal strength. Distance between EUT and antenna is 3 m. 3. This investigation is performed with the EUT rotated 360, the antenna height scanned between 1 m and 4 m, and the antenna rotated to repeat the measurements for both the horizontal and vertical antenna polarizations. Note: 1. 120kHz measurement bandwidth of test receiver and Quasi-peak detector is for radiated emission below 1GHz. 2. RBW=1MHz, VBW=3MHz and Peak detector is for peak measured value of radiated emission above 1GHz. 3. RBW=1MHz, VBW=3MHz and RMS detector is for average measured value of radiated emission above 1GHz. Report No.: FD442804 Page : 19 of 77

3.2.3 Test Setup Radiated Emissions below 1 GHz Radiated Emissions above 1 GHz Report No.: FD442804 Page : 20 of 77

3.2.4 Transmitter Radiated Unwanted Emissions (Below 1GHz) Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 1 Report No.: FD442804 Page : 21 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 1 Report No.: FD442804 Page : 22 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 2 Report No.: FD442804 Page : 23 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 2 Report No.: FD442804 Page : 24 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 3 Report No.: FD442804 Page : 25 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 3 Report No.: FD442804 Page : 26 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 4 Report No.: FD442804 Page : 27 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 4 Report No.: FD442804 Page : 28 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 5 Report No.: FD442804 Page : 29 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 5 Report No.: FD442804 Page : 30 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 6 Report No.: FD442804 Page : 31 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 6 Report No.: FD442804 Page : 32 of 77

3.2.5 Transmitter Radiated Unwanted Emissions (Above 1GHz) Modulation GFSK Test Freq. (MHz) 2402 Polarization Horizontal Test Configuration 1 Report No.: FD442804 Page : 33 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Vertical Test Configuration 1 Report No.: FD442804 Page : 34 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Horizontal Test Configuration 1 Report No.: FD442804 Page : 35 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Vertical Test Configuration 1 Report No.: FD442804 Page : 36 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 1 Report No.: FD442804 Page : 37 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 1 Report No.: FD442804 Page : 38 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Horizontal Test Configuration 2 Report No.: FD442804 Page : 39 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Vertical Test Configuration 2 Report No.: FD442804 Page : 40 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Horizontal Test Configuration 2 Report No.: FD442804 Page : 41 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Vertical Test Configuration 2 Report No.: FD442804 Page : 42 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 2 Report No.: FD442804 Page : 43 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 2 Report No.: FD442804 Page : 44 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Horizontal Test Configuration 3 Report No.: FD442804 Page : 45 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Vertical Test Configuration 3 Report No.: FD442804 Page : 46 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Horizontal Test Configuration 3 Report No.: FD442804 Page : 47 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Vertical Test Configuration 3 Report No.: FD442804 Page : 48 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 3 Report No.: FD442804 Page : 49 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 3 Report No.: FD442804 Page : 50 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Horizontal Test Configuration 4 Report No.: FD442804 Page : 51 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Vertical Test Configuration 4 Report No.: FD442804 Page : 52 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Horizontal Test Configuration 4 Report No.: FD442804 Page : 53 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Vertical Test Configuration 4 Report No.: FD442804 Page : 54 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 4 Report No.: FD442804 Page : 55 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 4 Report No.: FD442804 Page : 56 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Horizontal Test Configuration 5 Report No.: FD442804 Page : 57 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Vertical Test Configuration 5 Report No.: FD442804 Page : 58 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Horizontal Test Configuration 5 Report No.: FD442804 Page : 59 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Vertical Test Configuration 5 Report No.: FD442804 Page : 60 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 5 Report No.: FD442804 Page : 61 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 5 Report No.: FD442804 Page : 62 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Horizontal Test Configuration 6 Report No.: FD442804 Page : 63 of 77

Modulation GFSK Test Freq. (MHz) 2402 Polarization Vertical Test Configuration 6 Report No.: FD442804 Page : 64 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Horizontal Test Configuration 6 Report No.: FD442804 Page : 65 of 77

Modulation GFSK Test Freq. (MHz) 2441 Polarization Vertical Test Configuration 6 Report No.: FD442804 Page : 66 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Test Configuration 6 Report No.: FD442804 Page : 67 of 77

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Test Configuration 6 Report No.: FD442804 Page : 68 of 77

4 Photographs of the Test Configuration Conducted Emission Test (Model: BT830-SA with antenna 1) Report No.: FD442804 Page : 69 of 77

Conducted Emission Test (Model: BT830-SC with antenna 5) Report No.: FD442804 Page : 70 of 77

Radiated Emission below 1GHz Test (Model: BT830-SA with antenna 1) Report No.: FD442804 Page : 71 of 77

Radiated Emission below 1GHz Test (Model: BT830-SC with antenna 2) Report No.: FD442804 Page : 72 of 77

Radiated Emission below 1GHz Test (Model: BT830-SC with antenna 3) Report No.: FD442804 Page : 73 of 77

Radiated Emission above 1GHz Test (Model: BT830-SA with antenna 1) Report No.: FD442804 Page : 74 of 77

Radiated Emission above 1GHz Test (Model: BT830-SC with antenna 2) Report No.: FD442804 Page : 75 of 77

Radiated Emission above 1GHz Test (Model: BT830-SC with antenna 3) Report No.: FD442804 Page : 76 of 77

5 Test laboratory information Established in 2012, ICC provides foremost EMC & RF Testing and advisory consultation services by our skilled engineers and technicians. Our services employ a wide variety of advanced edge test equipment and one of the widest certification extents in the business. International Certification Corp, it is our definitive objective is to institute long term, trust-based associations with our clients. The expectation we set up with our clients is based on outstanding service, practical expertise and devotion to a certified value structure. Our passion is to grant our clients with best EMC / RF services by oriented knowledgeable and accommodating staff. Our Test sites are located at Linkou District and Kwei Shan Hsiang. Location map can be found on our website http://www.icertifi.com.tw. Linkou Kwei Shan Kwei Shan Site II Tel: 886-2-2601-1640 Tel: 886-3-271-8666 Tel: 886-3-271-8640 No. 30-2, Ding Fwu Tsuen, Lin Kou District, New Taipei City, Taiwan, R.O.C. No. 3-1, Lane 6, Wen San 3rd St., Kwei Shan Hsiang, Tao Yuan Hsien 333, Taiwan, R.O.C. No. 14-1, Lane 19, Wen San 3rd St., Kwei Shan Hsiang, Tao Yuan Hsien 333, Taiwan, R.O.C. If you have any suggestion, please feel free to contact us as below information Tel: 886-3-271-8666 Fax: 886-3-318-0155 Email: ICC_Service@icertifi.com.tw END Report No.: FD442804 Page : 77 of 77