FCC ID QDS-BRCM1026

QDSBRCM1026, QDS BRCM1026, QDS-BRCM1026, QDS-BRCM1O26, QDS-BRCMI026, QD5-BRCM1026, ODS-BRCM1026, 0DS-BRCM1026

Broadcom Corporation Bluetooth Transceiver Module BRCM1026

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: QDS-BRCM1026 is QDS. The remaining characters of the FCC ID, -BRCM1026, 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: Bluetooth Transceiver Module

App # Purpose Date Unique ID
1 Original Equipment 2007-06-01 Z6Go8L4gT65QEG+HuAE/Dg==
2 Class II Permissive Change 2007-10-09 TLh8QzzhYg8pN9Mse7urfA==

Operating Frequencies

Frequency RangePower OutputRule Parts App #
2.402-2.48 GHz Bluetooth2.73 mW15C 2.1
2.402-2.48 GHz Bluetooth2.73 mW15C 1.1

Exhibits

Available Exhibits

App #Document Type Submitted
Available
2 Class II permissive change letterCover Letter(s)
Adobe Acrobat PDF (20 kB)		 2007-10-09
2007-10-09
2 Confidential request letterCover Letter(s)
Adobe Acrobat PDF (26 kB)		 2007-10-09
2007-10-09
2 Authorization letterCover Letter(s)
Adobe Acrobat PDF (80 kB)		 2007-10-09
2007-10-09
2 Test reportTest Report
Adobe Acrobat PDF (579 kB)		 2007-10-09
2007-10-09
2 Test setup photosTest Setup Photos
Adobe Acrobat PDF (134 kB)		 2007-10-09
2007-10-09
1 Test ReportTest Report
Adobe Acrobat PDF (757 kB)		 2007-06-01
2007-06-01
1 Installer InstructionsUsers Manual
Adobe Acrobat PDF (357 kB)		 2007-06-01
2007-06-01
1 Confidentiality RequestCover Letter(s)
Adobe Acrobat PDF (17 kB)		 2007-06-01
2007-06-01
1 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (138 kB)		 2007-06-01
2007-06-01
1 Internal PhotosInternal Photos
Adobe Acrobat PDF (154 kB)		 2007-06-01
2007-06-01
1 LabelID Label/Location Info
Adobe Acrobat PDF (60 kB)		 2007-06-01
2007-06-01
1 External PhotosExternal Photos
Adobe Acrobat PDF (289 kB)		 2007-06-01
2007-06-01
1 Modular Approval InfoCover Letter(s)
Adobe Acrobat PDF (13 kB)		 2007-06-01
2007-06-01

APP # 2 (2007-10-09)

App # Document Type Submitted
Available
2 Class II permissive change letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)		 2007-10-09 00:00:00
2007-10-09 00:00:00
2 Confidential request letter Cover Letter(s)
Adobe Acrobat PDF (26 kB)		 2007-10-09 00:00:00
2007-10-09 00:00:00
2 Authorization letter Cover Letter(s)
Adobe Acrobat PDF (80 kB)		 2007-10-09 00:00:00
2007-10-09 00:00:00
2 Test report Test Report
Adobe Acrobat PDF (579 kB)		 2007-10-09 00:00:00
2007-10-09 00:00:00
2 Test setup photos Test Setup Photos
Adobe Acrobat PDF (134 kB)		 2007-10-09 00:00:00
2007-10-09 00:00:00

APP # 1 (2007-06-01)

App # Document Type Submitted
Available
1 Test Report Test Report
Adobe Acrobat PDF (757 kB)		 2007-06-01 00:00:00
2007-06-01 00:00:00
1 Installer Instructions Users Manual
Adobe Acrobat PDF (357 kB)		 2007-06-01 00:00:00
2007-06-01 00:00:00
1 Confidentiality Request Cover Letter(s)
Adobe Acrobat PDF (17 kB)		 2007-06-01 00:00:00
2007-06-01 00:00:00
1 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (138 kB)		 2007-06-01 00:00:00
2007-06-01 00:00:00
1 Internal Photos Internal Photos
Adobe Acrobat PDF (154 kB)		 2007-06-01 00:00:00
2007-06-01 00:00:00
1 Label ID Label/Location Info
Adobe Acrobat PDF (60 kB)		 2007-06-01 00:00:00
2007-06-01 00:00:00
1 External Photos External Photos
Adobe Acrobat PDF (289 kB)		 2007-06-01 00:00:00
2007-06-01 00:00:00
1 Modular Approval Info Cover Letter(s)
Adobe Acrobat PDF (13 kB)		 2007-06-01 00:00:00
2007-06-01 00:00:00
1 Operational Decription Operational Description
Adobe Acrobat PDF (112 kB)		 2007-06-01 00:00:00
N/A
1 Block Diagram Block Diagram
Adobe Acrobat PDF (53 kB)		 2007-06-01 00:00:00
N/A
1 Schematics Schematics
Adobe Acrobat PDF (125 kB)		 2007-06-01 00:00:00
N/A

APP # 2 (2007-10-09)

App # Document Type Submitted
Available
2 Antenna list Parts List/Tune Up Info
Adobe Acrobat PDF (38 kB)		 2007-10-09 00:00:00
N/A

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1026
Unique Application Identifier: Z6Go8L4gT65QEG+HuAE/Dg==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: gerald.schmidt@ict.cetecom.de
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1026

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: ComplianceEngineering-list-CA-list@broadcom.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?:   No
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):  
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:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Bluetooth Transceiver Module

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

Modular Equipment
Modular Type:  Limited 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:   Cetecom Inc.
First Name:   Lothar
Last Name:   Schmidt
Telephone Number: 408-586-6200 Extension:
Fax Number:  510-252-0559
E-mail:  lothar.schmidt@cetecomusa.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Limited Modular Approval. Power Output listed is conducted. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter. OEM integrators must be provided with antenna installation instructions. This OEM module is approved for use in products operating as mobile and portable transmitting device with respect to 2.1091 and 2.1093. OEM integrators and 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:  Lothar Schmidt
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1026
Unique Application Identifier: TLh8QzzhYg8pN9Mse7urfA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: mike.kuo@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1026

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: ComplianceEngineering-list-CA-list@broadcom.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?:   No
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):  
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:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Bluetooth Transceiver Module

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

Modular Equipment
Modular Type:  Limited 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:   Compliance Certification Services
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension: 104
Fax Number:  510-661-0888
E-mail:  bjudge@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change. Limited modular approval. Output power listed is conducted. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter. OEM integrators and 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:  Dan Lawless
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: 10/09/2007

Application Dated: 10/09/2007
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-BRCM1026
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: Bluetooth Transceiver Module
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
15C 2402.0  -  2480.0 0.00273  

Class II permissive change. Limited modular approval. Output power listed is conducted. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter. OEM integrators and 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

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States 		  Date of Grant: 10/09/2007

Application Dated: 10/09/2007
 
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-BRCM1026
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: Bluetooth Transceiver Module
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
15C 2402.0  -  2480.0 0.00273  

Class II permissive change. Limited modular approval. Output power listed is conducted. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter. OEM integrators and End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance.



Mail To:


EA735653
TCB GRANT OF EQUIPMENT
AUTHORIZATION 		TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  CETECOM ICT Services GmbH
Untertuerkheimer Strasse 6-10
66117 Saarbruecken,
Germany 		Date of Grant: 06/01/2007

Application Dated: 06/01/2007
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-BRCM1026
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: Bluetooth Transceiver Module
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
15C 2402.0  -  2480.0 0.00273  

Limited Modular Approval.

Power Output listed is conducted.

Approval is limited to OEM installation only. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter.

OEM integrators must be provided with antenna installation instructions. This OEM module is approved for use in products operating as mobile and portable transmitting device with respect to 2.1091 and 2.1093. OEM integrators and End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance.


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