FCC ID A3LCBAP210A

A3L-CBAP210A, A3L CBAP210A, A3LCBAP210A, A3LCBAP21OA, A3LCBAP2I0A

Samsung Electronics Co Ltd RF MODULE CBAP210A

SAMSUNG

An FCC ID is the product ID assigned by the FCC to identify wireless products in the market. The FCC chooses 3 or 5 character "Grantee" codes to identify the business that created the product. For example, the grantee code for FCC ID: A3LCBAP210A is A3L. The remaining characters of the FCC ID, CBAP210A, are often associated with the product model, but they can be random. These letters are chosen by the applicant. In addition to the application, the FCC also publishes internal images, external images, user manuals, and test results for wireless devices. They can be under the "exhibits" tab below.

Purchase on Amazon: RF MODULE

App # Purpose Date Unique ID
1 Original Equipment 2019-11-07 1Hr6SL4HPQJ/ACm8bMGeUw==
2 Class II Permissive Change 2020-08-12 HmS5sV5Slkm3z5q2JPQCcw==

Operating Frequencies

Frequency RangePower OutputRule Parts App #
2.402-2.48 GHz Bluetooth1.1 mW15C 1.1
2.402-2.48 GHz Bluetooth1.1 mW15C 2.1

Exhibits

Available Exhibits

App #Document Type Submitted
Available
2 Request for confidentialityCover Letter(s)
Adobe Acrobat PDF (138 kB)		 2020-08-11
2020-08-12
2 RF exposure reportRF Exposure Info
Adobe Acrobat PDF (1083 kB)		 2020-08-11
2020-08-12
2 Test reportTest Report
Adobe Acrobat PDF (1762 kB)		 2020-08-11
2020-08-12
2 Test setup photosTest Setup Photos
Adobe Acrobat PDF (1599 kB)		 2020-08-11
2021-02-08
2 Internal photosInternal Photos
Adobe Acrobat PDF (642 kB)		 2020-08-11
2021-02-08
2 External photosExternal Photos
Adobe Acrobat PDF (676 kB)		 2020-08-11
2021-02-08
2 Agent authorizationCover Letter(s)
Adobe Acrobat PDF (212 kB)		 2020-08-11
2020-08-12
2 C2PC letterCover Letter(s)
Adobe Acrobat PDF (155 kB)		 2020-08-11
2020-08-12
1 User manualUsers Manual
Adobe Acrobat PDF (1031 kB)		 2019-11-07
2020-05-05
1 Test setup photosTest Setup Photos
Adobe Acrobat PDF (2785 kB)		 2019-11-07
2020-05-05
1 Operational descriptionOperational Description
Adobe Acrobat PDF (552 kB)		 2019-11-07
2019-11-07
1 Internal photosInternal Photos
Adobe Acrobat PDF (933 kB)		 2019-11-07
2020-05-05
1 External photosExternal Photos
Adobe Acrobat PDF (912 kB)		 2019-11-07
2020-05-05
1 RF exposure reportRF Exposure Info
Adobe Acrobat PDF (867 kB)		 2019-11-07
2019-11-07
1 Test report 2 of 2Test Report
Adobe Acrobat PDF (4332 kB)		 2019-11-07
2019-11-07
1 Test report 1 of 2Test Report
Adobe Acrobat PDF (2864 kB)		 2019-11-07
2019-11-07
1 Request for modular approvalCover Letter(s)
Adobe Acrobat PDF (135 kB)		 2019-11-07
2019-11-07
1 Label format and locationID Label/Location Info
Adobe Acrobat PDF (72 kB)		 2019-11-07
2019-11-07
1 Request for confidentialityCover Letter(s)
Adobe Acrobat PDF (153 kB)		 2019-11-07
2019-11-07
1 Agent authorizationCover Letter(s)
Adobe Acrobat PDF (161 kB)		 2019-11-07
2019-11-07

APP # 2 (2020-08-12)

App # Document Type Submitted
Available
2 Request for confidentiality Cover Letter(s)
Adobe Acrobat PDF (138 kB)		 2020-08-11 00:00:00
2020-08-12 00:00:00
2 RF exposure report RF Exposure Info
Adobe Acrobat PDF (1083 kB)		 2020-08-11 00:00:00
2020-08-12 00:00:00
2 Test report Test Report
Adobe Acrobat PDF (1762 kB)		 2020-08-11 00:00:00
2020-08-12 00:00:00
2 Test setup photos Test Setup Photos
Adobe Acrobat PDF (1599 kB)		 2020-08-11 00:00:00
2021-02-08 00:00:00
2 Internal photos Internal Photos
Adobe Acrobat PDF (642 kB)		 2020-08-11 00:00:00
2021-02-08 00:00:00
2 External photos External Photos
Adobe Acrobat PDF (676 kB)		 2020-08-11 00:00:00
2021-02-08 00:00:00
2 Agent authorization Cover Letter(s)
Adobe Acrobat PDF (212 kB)		 2020-08-11 00:00:00
2020-08-12 00:00:00
2 C2PC letter Cover Letter(s)
Adobe Acrobat PDF (155 kB)		 2020-08-11 00:00:00
2020-08-12 00:00:00

APP # 1 (2019-11-07)

App # Document Type Submitted
Available
1 User manual Users Manual
Adobe Acrobat PDF (1031 kB)		 2019-11-07 00:00:00
2020-05-05 00:00:00
1 Test setup photos Test Setup Photos
Adobe Acrobat PDF (2785 kB)		 2019-11-07 00:00:00
2020-05-05 00:00:00
1 Operational description Operational Description
Adobe Acrobat PDF (552 kB)		 2019-11-07 00:00:00
2019-11-07 00:00:00
1 Internal photos Internal Photos
Adobe Acrobat PDF (933 kB)		 2019-11-07 00:00:00
2020-05-05 00:00:00
1 External photos External Photos
Adobe Acrobat PDF (912 kB)		 2019-11-07 00:00:00
2020-05-05 00:00:00
1 RF exposure report RF Exposure Info
Adobe Acrobat PDF (867 kB)		 2019-11-07 00:00:00
2019-11-07 00:00:00
1 Test report 2 of 2 Test Report
Adobe Acrobat PDF (4332 kB)		 2019-11-07 00:00:00
2019-11-07 00:00:00
1 Test report 1 of 2 Test Report
Adobe Acrobat PDF (2864 kB)		 2019-11-07 00:00:00
2019-11-07 00:00:00
1 Request for modular approval Cover Letter(s)
Adobe Acrobat PDF (135 kB)		 2019-11-07 00:00:00
2019-11-07 00:00:00
1 Label format and location ID Label/Location Info
Adobe Acrobat PDF (72 kB)		 2019-11-07 00:00:00
2019-11-07 00:00:00
1 Request for confidentiality Cover Letter(s)
Adobe Acrobat PDF (153 kB)		 2019-11-07 00:00:00
2019-11-07 00:00:00
1 Agent authorization Cover Letter(s)
Adobe Acrobat PDF (161 kB)		 2019-11-07 00:00:00
2019-11-07 00:00:00
1 Antenna specification Parts List/Tune Up Info
Adobe Acrobat PDF (195 kB)		 2019-11-07 00:00:00
N/A
1 Parts list Parts List/Tune Up Info
Adobe Acrobat PDF (93 kB)		 2019-11-07 00:00:00
N/A
1 Block diagram Block Diagram
Adobe Acrobat PDF (60 kB)		 2019-11-07 00:00:00
N/A
1 Schematics Schematics
Adobe Acrobat PDF (317 kB)		 2019-11-07 00:00:00
N/A

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Samsung Electronics Co Ltd
FCC Registration Number (FRN): 0005810205
Alphanumeric FCC ID: A3LCBAP210A
Unique Application Identifier: 1Hr6SL4HPQJ/ACm8bMGeUw==
Line one: 19 Chapin Rd., Building D
City: Pine Brook
State: New Jersey
Country: United States
Zip Code: 07058

TCB Information
TCB Application Email Address: LST.FRE.CertNotice@ul.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: A3L
Product Code: CBAP210A

Person at the applicant's address to receive grant or for contact
Name: Jenni Chun
Title: General Manager
Telephone Number: 973-808-6375 Extension:
Fax Number: 973-808-6361
Email: j1.chun@samsung.com
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   05/05/2020
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): RF MODULE

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Original Equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   No
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   KCTL INC
First Name:   Jeong-Soo
Last Name:   Baek
Telephone Number: 82-70-5008-1016 Extension:
Fax Number:  82-505-299-8311
E-mail:  jeongsoo.baek@kctl.co.kr

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power listed is conducted. This device must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:
The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862 because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the definition of a "party" for these purposes.

Does the applicant or authorized agent so certify?  Yes

Applicant/Agent Certification:

I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Grant of Equipment Authorization as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. If the applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC's technical requirements.

Authorizing an agent to sign this application, is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application.

If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time.

Signature of Authorized Person Filing:  Athena Kim
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Samsung Electronics Co Ltd
FCC Registration Number (FRN): 0005810205
Alphanumeric FCC ID: A3LCBAP210A
Unique Application Identifier: HmS5sV5Slkm3z5q2JPQCcw==
Line one: 19 Chapin Rd., Building D
City: Pine Brook
State: New Jersey
Country: United States
Zip Code: 07058

TCB Information
TCB Application Email Address: LST.FRE.CertNotice@ul.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: A3L
Product Code: CBAP210A

Person at the applicant's address to receive grant or for contact
Name: Jenni Chun
Title: General Manager
Telephone Number: 973-808-6375 Extension:
Fax Number: 973-808-6361
Email: j1.chun@samsung.com
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   02/08/2021
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): RF MODULE

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   No
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   KCTL INC
First Name:   Sung-Su
Last Name:   Lim
Telephone Number: +82-31-326-6713 Extension:
E-mail:  sungsu.lim@kctl.co.kr

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change as documented. Output power listed is conducted. This device must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:
The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862 because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the definition of a "party" for these purposes.

Does the applicant or authorized agent so certify?  Yes

Applicant/Agent Certification:

I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Grant of Equipment Authorization as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. If the applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC's technical requirements.

Authorizing an agent to sign this application, is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application.

If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time.

Signature of Authorized Person Filing:  Jenni Chun
Title of authorized signature: 

Applications are submitted for FCC ID and Grant requests. Click an above application to view details

Grants

TCB GRANT OF EQUIPMENT
AUTHORIZATION		 TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
 Date of Grant: 11/07/2019

Application Dated: 11/07/2019
Samsung Electronics Co Ltd
19 Chapin Rd., Building D
Pine Brook, NJ 07058
 
Attention: Jenni Chun , General Manager

NOT TRANSFERABLE
EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.
 
FCC IDENTIFIER:  A3LCBAP210A
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Digital Transmission System
Notes: RF MODULE
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
15C 2402.0  -  2480.0 0.0011  

Output power listed is conducted. This device must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance.

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION		 COPY
Certification

Samsung Electronics Co Ltd
19 Chapin Rd., Building D
Pine Brook, NJ 07058
United States 		  Date of Grant: 11/07/2019

Application Dated: 11/07/2019
 
Attention: Jenni Chun , General Manager

NOT TRANSFERABLE
EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.
 
FCC IDENTIFIER:  A3LCBAP210A
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Digital Transmission System
Notes: RF MODULE
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
15C 2402.0  -  2480.0 0.0011  

Output power listed is conducted. This device must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance.



Mail To:


EA142866
TCB GRANT OF EQUIPMENT
AUTHORIZATION		 TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
 Date of Grant: 08/12/2020

Application Dated: 08/11/2020
Samsung Electronics Co Ltd
19 Chapin Rd., Building D
Pine Brook, NJ 07058
 
Attention: Jenni Chun , General Manager

NOT TRANSFERABLE
EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.
 
FCC IDENTIFIER:  A3LCBAP210A
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Digital Transmission System
Notes: RF MODULE
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
15C 2402.0  -  2480.0 0.0011  

Class II permissive change as documented. Output power listed is conducted. This device must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance.

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION		 COPY
Certification

Samsung Electronics Co Ltd
19 Chapin Rd., Building D
Pine Brook, NJ 07058
United States 		  Date of Grant: 08/12/2020

Application Dated: 08/11/2020
 
Attention: Jenni Chun , General Manager

NOT TRANSFERABLE
EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.
 
FCC IDENTIFIER:  A3LCBAP210A
Name of Grantee:  Samsung Electronics Co Ltd
Equipment Class: Digital Transmission System
Notes: RF MODULE
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
15C 2402.0  -  2480.0 0.0011  

Class II permissive change as documented. Output power listed is conducted. This device must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance.



Mail To:


EA680252

Grants authorize equipment for operation at approved frequencies and sale within the USA. Click an above grant to view details