FCC ID QDS-BRCM1064
802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card
by Broadcom Corporation
Grantee Code: QDS Product Code: BRCM1064
Latest application date: 2012-06-17
FCC ID Device Details
| FCC ID | QDS-BRCM1064 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | QDS |
| Product Code | BRCM1064 |
| Applicant Business | Broadcom Corporation 🇺🇸 |
| Related Domains |  broadcom.com |
| Equipment Class | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Test Firm | Compliance Certification Services (UL CCS) |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 5180-5240 MHz | Original Equipment | 2012-06-17 |
| 2402-2480 MHz | Original Equipment | 2012-06-17 |
| 2402-2480 MHz | Original Equipment | 2012-06-17 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| Installation Guide | Users Manual | 2012-12-14 | PDF 160.5 KB |
| Installer's Guide | Users Manual | 2012-12-14 | PDF 160.5 KB |
| User Manual | Users Manual | 2012-12-14 | PDF 683.7 KB |
| Internal Photographs | Internal Photos | 2012-12-14 | PDF 260.9 KB |
| Internal Photos | Internal Photos | 2012-12-14 | PDF 260.9 KB |
| External Photos | External Photos | 2012-12-14 | PDF 273.9 KB |
| External photos | External Photos | 2012-12-14 | PDF 273.9 KB |
| ID Label and Location | ID Label/Location Info | 2012-06-17 | PDF 23.9 KB |
| Test Set Up (Bluetooth LE) | Test Setup Photos | 2012-12-14 | PDF 847.8 KB |
| Test Set Up (WiFi) | Test Setup Photos | 2012-12-14 | PDF 847.8 KB |
| Test Set Up Photos | Test Setup Photos | 2012-12-14 | PDF 546.4 KB |
| Test Set Up Photos | Test Setup Photos | 2012-12-14 | PDF 879.1 KB |
| Test set up photographs | Test Setup Photos | 2012-12-14 | PDF 225.8 KB |
| Test Report | Test Report | 2012-06-17 | PDF 1.6 MB |
| Test Report | Test Report | 2012-06-17 | PDF 448 KB |
| Test Report (Bluetooth LE) | Test Report | 2012-06-17 | PDF 527.5 KB |
| Test Report (WiFi) | Test Report | 2012-06-17 | PDF 3.9 MB |
| Test Report Part 1 | Test Report | 2012-06-17 | PDF 5.1 MB |
| Test Report Part 2 | Test Report | 2012-06-17 | PDF 1.9 MB |
| Passive scanning channel attestation | Attestation Statements | 2012-06-17 | PDF 31.9 KB |
| Agent Authorization | Cover Letter(s) | 2012-06-17 | PDF 62.6 KB |
| Confidentiaility Request | Cover Letter(s) | 2012-06-17 | PDF 36.9 KB |
| Modular Approval Request | Cover Letter(s) | 2012-06-17 | PDF 26.3 KB |
| Modular Approval requirements | Cover Letter(s) | 2012-06-17 | PDF 26.3 KB |
| MPE | RF Exposure Info | 2012-06-17 | PDF 208.2 KB |
| MPE Calculation for mobile rf exposure | RF Exposure Info | 2012-06-17 | PDF 208.2 KB |
Application Information
| Application ID | zB7uhtMpS1VGxgvBI2ZIyw== |
|---|---|
| Final Action Date | 2012-06-17 |
| Application Purpose | Original Equipment |
| Applicant FRN | 0007091952 |
| Model | -BRCM1064 |
| Equipment Class | JBP - Part 15 Class B Computing Device Peripheral |
| Device Description | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Responsible Party | Daniel Lawless, Director of Engineering, System Operations, ComplianceEngineering-list-CA-list@broadcom.com , 408-543-3300 |
| Agent | Claire Claire Claire, Compliance Certification Services, claire.hoque@ul.com  , (510) 771-1000 |
| Technical Contact | Claire Hoque, Compliance Certification Services, claire.hoque@ul.com , (510)771-1000 |
| Test Firm | Barbara Judge, Compliance Certification Services (UL CCS), barbara.judge@ccsemc.com  , 510-771-1104 |
| TCB Email | certnotice@ccsemc.com |
| TCB Scope | A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices |
| Short-Term Confidentiality | Yes |
| Short-Term Confidentiality Date | 12/14/2012 |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Does not apply |
| Composite Device | Yes |
| Composite Part | No |
| Cognitive Radio | No |
| Authorization Waiver | No |
| Authorization Waiver Approved | No |
| Section 5301 Certification | Yes |
| Related OET Knowledge DataBase Inquiry | No |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| zB7uhtMpS1VGxgvBI2ZIyw== | 2012-06-17 | Original Equipment |
| pvEJBNdzSz/e+yfTOA//NA== | 2012-06-17 | Original Equipment |
| K1qur+efTA7dKLTLQRIkRQ== | 2012-06-17 | Original Equipment |
| +4BXtfq/qaGscxu1oRKDcQ== | 2012-06-17 | Original Equipment |
Equipment Authorization
Grants
TCB Grant - Application zB7uhtMpS1VGxgvBI2ZIyw==
| 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: 06/17/2012 Application Dated: 06/16/2012 |
| Broadcom Corporation |
| 190 Mathilda Place |
| Sunnyvale, CA 94086 |
| Attention: Daniel Lawless , Director of Engineering, System Operations |
| 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: | QDS-BRCM1064 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Part 15 Class B Computing Device Peripheral |
| Notes: | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15B | - |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
EAS Grant - Application zB7uhtMpS1VGxgvBI2ZIyw==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Broadcom Corporation 190 Mathilda Place Sunnyvale, CA 94086 United States |
Date of Grant: 06/17/2012 Application Dated: 06/16/2012 |
| Attention: Daniel Lawless , Director of Engineering, System Operations |
| 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: | QDS-BRCM1064 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Part 15 Class B Computing Device Peripheral |
| Notes: | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15B | - |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| Mail To: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 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: 06/17/2012 Application Dated: 06/17/2012 |
| Broadcom Corporation |
| 190 Mathilda Place |
| Sunnyvale, CA 94086 |
| Attention: Daniel Lawless , Director of Engineering, System Operations |
| 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: | QDS-BRCM1064 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Unlicensed National Information Infrastructure TX |
| Notes: | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC MO | 15E | 5180.0 - 5240.0 | 0.049 | ||
| CC MO | 15E | 5260.0 - 5320.0 | 0.168 | ||
| CC MO | 15E | 5500.0 - 5700.0 | 0.188 |
| Output power is conducted. Operations in 5.15-5.25 GHz and 5.47-5.725 GHz bands are for indoor use only. Device operates with specific antennas in MIMO configurations as described in this filing. Device supports 20MHz and 40MHz channel bandwidths in 802.11n operating modes. The antenna(s) used for this transmitter 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 within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| MO: | This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing. |
EAS Grant - Application pvEJBNdzSz/e+yfTOA//NA==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Broadcom Corporation 190 Mathilda Place Sunnyvale, CA 94086 United States |
Date of Grant: 06/17/2012 Application Dated: 06/17/2012 |
| Attention: Daniel Lawless , Director of Engineering, System Operations |
| 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: | QDS-BRCM1064 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Unlicensed National Information Infrastructure TX |
| Notes: | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC MO | 15E | 5180.0 - 5240.0 | 0.049 | ||
| CC MO | 15E | 5260.0 - 5320.0 | 0.168 | ||
| CC MO | 15E | 5500.0 - 5700.0 | 0.188 |
| Output power is conducted. Operations in 5.15-5.25 GHz and 5.47-5.725 GHz bands are for indoor use only. Device operates with specific antennas in MIMO configurations as described in this filing. Device supports 20MHz and 40MHz channel bandwidths in 802.11n operating modes. The antenna(s) used for this transmitter 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 within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| MO: | This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing. |
| Mail To: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 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: 06/17/2012 Application Dated: 06/16/2012 |
| Broadcom Corporation |
| 190 Mathilda Place |
| Sunnyvale, CA 94086 |
| Attention: Daniel Lawless , Director of Engineering, System Operations |
| 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: | QDS-BRCM1064 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC MO | 15C | 2412.0 - 2462.0 | 0.24 | ||
| CC MO | 15C | 5745.0 - 5825.0 | 0.228 | ||
| CC | 15C | 2402.0 - 2480.0 | 0.006 |
| Output power is conducted. Device operates with specific antennas in MIMO configurations as described in this filing. Device supports 20MHz and 40MHz channel bandwidths in 802.11n operating modes. The antenna(s) used for this transmitter 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 within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| MO: | This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing. |
EAS Grant - Application K1qur+efTA7dKLTLQRIkRQ==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Broadcom Corporation 190 Mathilda Place Sunnyvale, CA 94086 United States |
Date of Grant: 06/17/2012 Application Dated: 06/16/2012 |
| Attention: Daniel Lawless , Director of Engineering, System Operations |
| 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: | QDS-BRCM1064 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC MO | 15C | 2412.0 - 2462.0 | 0.24 | ||
| CC MO | 15C | 5745.0 - 5825.0 | 0.228 | ||
| CC | 15C | 2402.0 - 2480.0 | 0.006 |
| Output power is conducted. Device operates with specific antennas in MIMO configurations as described in this filing. Device supports 20MHz and 40MHz channel bandwidths in 802.11n operating modes. The antenna(s) used for this transmitter 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 within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| MO: | This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing. |
| Mail To: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 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: 06/17/2012 Application Dated: 06/16/2012 |
| Broadcom Corporation |
| 190 Mathilda Place |
| Sunnyvale, CA 94086 |
| Attention: Daniel Lawless , Director of Engineering, System Operations |
| 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: | QDS-BRCM1064 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Modular Type: | Limited Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2402.0 - 2480.0 | 0.0082 |
| Output power is conducted. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
EAS Grant - Application +4BXtfq/qaGscxu1oRKDcQ==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Broadcom Corporation 190 Mathilda Place Sunnyvale, CA 94086 United States |
Date of Grant: 06/17/2012 Application Dated: 06/16/2012 |
| Attention: Daniel Lawless , Director of Engineering, System Operations |
| 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: | QDS-BRCM1064 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | 802.11a/b/g/n WLAN + BT PCI-E Custom Combo Card |
| Modular Type: | Limited Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2402.0 - 2480.0 | 0.0082 |
| Output power is conducted. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| Mail To: |