FCC ID QDS-BRCM1066
802.11a/g/n WLAN + BT PCI-E Custom Combo Card
by Broadcom Corporation
Grantee Code: QDS Product Code: BRCM1066
Latest application date: 2012-07-19
FCC ID Device Details
| FCC ID | QDS-BRCM1066 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | QDS |
| Product Code | BRCM1066 |
| Applicant Business | Broadcom Corporation 🇺🇸 |
| Related Domains |  broadcom.com |
| Equipment Class | 802.11a/g/n WLAN + BT PCI-E Custom Combo Card |
| Test Firm | Compliance Certification Services |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 2402-2480 MHz | Original Equipment | 2012-07-19 |
| 2402-2480 MHz | Original Equipment | 2012-07-19 |
| 5180-5240 MHz | Original Equipment | 2012-07-19 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| Installation Guide | Users Manual | 2012-12-30 | PDF 161.5 KB |
| Installer Guide | Users Manual | 2012-12-30 | PDF 161.5 KB |
| Integrator Instructions | Users Manual | 2012-12-30 | PDF 161.5 KB |
| User Manual | Users Manual | 2012-12-30 | PDF 608.7 KB |
| Internal Photo | Internal Photos | 2012-12-30 | PDF 1,015.5 KB |
| Internal Photos | Internal Photos | 2012-12-30 | PDF 1,015.5 KB |
| External Photo | External Photos | 2012-12-30 | PDF 1.3 MB |
| External Photos | External Photos | 2012-12-30 | PDF 1.3 MB |
| ID Label and Location | ID Label/Location Info | 2012-07-19 | PDF 27.6 KB |
| Test Set Up (LE) | Test Setup Photos | 2012-12-30 | PDF 409.4 KB |
| Test Set Up (revised) | Test Setup Photos | 2012-12-30 | PDF 500.1 KB |
| Test Set Up Photos | Test Setup Photos | 2012-12-30 | PDF 235.9 KB |
| Test Set Up Photos (WLAN) | Test Setup Photos | 2012-12-30 | PDF 346.8 KB |
| Test Set-Up Photos | Test Setup Photos | 2012-12-30 | PDF 412.4 KB |
| Test Report | Test Report | 2012-07-19 | PDF 1.5 MB |
| Test Report | Test Report | 2012-07-19 | PDF 402.2 KB |
| Test Report (Bluetooth LE) | Test Report | 2012-07-19 | PDF 860.7 KB |
| Test Report (WLAN) - Revised | Test Report | 2012-07-19 | PDF 4.4 MB |
| Test Report (revised) 1 of 3 | Test Report | 2012-07-19 | PDF 2.9 MB |
| Test Report (revised) 2 of 3 | Test Report | 2012-07-19 | PDF 2.9 MB |
| Test Report (revised) 3 of 3 | Test Report | 2012-07-19 | PDF 3.2 MB |
| Passive Scanning Channel attestation | Attestation Statements | 2012-07-19 | PDF 23.2 KB |
| Passive scanning channel attestation | Attestation Statements | 2012-07-19 | PDF 23.2 KB |
| TCB Q&A - Revised | Attestation Statements | 2012-07-19 | PDF 204.8 KB |
| Agent Authorization | Cover Letter(s) | 2012-07-19 | PDF 62.6 KB |
| Confidentiaility Request | Cover Letter(s) | 2012-07-19 | PDF 31.8 KB |
| Modular Approval Cover Letter | Cover Letter(s) | 2012-07-19 | PDF 29 KB |
| Modular Approval requirements | Cover Letter(s) | 2012-07-19 | PDF 29 KB |
| TCB Q&A - Revised | Cover Letter(s) | 2012-07-19 | PDF 204.8 KB |
| MPE | RF Exposure Info | 2012-07-19 | PDF 210.4 KB |
Application Information
| Application ID | tUv2Paf92dJvvSljhb1YYQ== |
|---|---|
| Final Action Date | 2012-07-19 |
| Application Purpose | Original Equipment |
| Applicant FRN | 0007091952 |
| Model | -BRCM1066 |
| Frequency Range | 2402-2480 MHz |
| Equipment Class | DTS - Digital Transmission System |
| Device Description | 802.11a/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 | Aliza Aliza Aliza, UL CCS, aliza.zaffar@ul.com  , (510) 771-1000 |
| Technical Contact | Aliza Zaffar, Compliance Certification Services, aliza.zaffar@ul.com , (510)771-1000 |
| Test Firm | Thu Chan, Compliance Certification Services, thu.chan@ccsemc.com  , 510-771-1122 |
| TCB Email | certnotice@ccsemc.com |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| Short-Term Confidentiality | Yes |
| Short-Term Confidentiality Date | 12/30/2012 |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Single Modular Approval |
| 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 |
| Grant Comments | Output power is conducted. Device operates with specific antennas in MIMO configurations as described in this filing. 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 co-located or operating in conjunction with any other antenna or transmitter. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance. |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| tUv2Paf92dJvvSljhb1YYQ== | 2012-07-19 | Original Equipment |
| ZFdzqD1+9us51/BlGvcC0Q== | 2012-07-19 | Original Equipment |
| C6erSIj1/pPHzXaXHb2xQQ== | 2012-07-19 | Original Equipment |
| 62MW6iBUwETms2Ha49yo/Q== | 2012-07-19 | Original Equipment |
Equipment Authorization
Grants
TCB Grant - Application ZFdzqD1+9us51/BlGvcC0Q==
| 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: 07/19/2012 Application Dated: 07/03/2012 |
| 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-BRCM1066 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Part 15 Class B Computing Device Peripheral |
| Notes: | 802.11a/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 ZFdzqD1+9us51/BlGvcC0Q==
| 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: 07/19/2012 Application Dated: 07/03/2012 |
| 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-BRCM1066 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Part 15 Class B Computing Device Peripheral |
| Notes: | 802.11a/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: 07/19/2012 Application Dated: 07/03/2012 |
| 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-BRCM1066 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | 802.11a/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 | 0.51642 | ||
| CC MO | 15C | 5745.0 - 5825.0 | 0.25319 | ||
| CC | 15C | 2402.0 - 2480.0 | 0.00528 |
| Output power is conducted. Device operates with specific antennas in MIMO configurations as described in this filing. 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 co-located or operating in conjunction with any other antenna or transmitter. OEM integrators must be provided with antenna installation instructions. 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 tUv2Paf92dJvvSljhb1YYQ==
| 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: 07/19/2012 Application Dated: 07/03/2012 |
| 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-BRCM1066 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | 802.11a/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 | 0.51642 | ||
| CC MO | 15C | 5745.0 - 5825.0 | 0.25319 | ||
| CC | 15C | 2402.0 - 2480.0 | 0.00528 |
| Output power is conducted. Device operates with specific antennas in MIMO configurations as described in this filing. 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 co-located or operating in conjunction with any other antenna or transmitter. OEM integrators must be provided with antenna installation instructions. 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: 07/19/2012 Application Dated: 07/03/2012 |
| 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-BRCM1066 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | 802.11a/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 | 15C | 2402.0 - 2480.0 | 0.00586 |
| Output power is conducted. 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 co-located or operating in conjunction with any other antenna or transmitter. OEM integrators must be provided with antenna installation instructions. 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. |
EAS Grant - Application C6erSIj1/pPHzXaXHb2xQQ==
| 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: 07/19/2012 Application Dated: 07/03/2012 |
| 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-BRCM1066 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | 802.11a/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 | 15C | 2402.0 - 2480.0 | 0.00586 |
| Output power is conducted. 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 co-located or operating in conjunction with any other antenna or transmitter. OEM integrators must be provided with antenna installation instructions. 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. |
| 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: 07/19/2012 Application Dated: 07/03/2012 |
| 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-BRCM1066 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Unlicensed National Information Infrastructure TX |
| Notes: | 802.11a/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 | 0.04988 | ||
| CC MO | 15E | 5260.0 - 5320.0 | 0.16508 | ||
| CC MO | 15E | 5500.0 - 5700.0 | 0.24049 |
| Output power is conducted. Operations in 5.15-5.25 GHz band are for indoor use only. Device operates with specific antennas in MIMO configurations as described in this filing. 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 co-located or operating in conjunction with any other antenna or transmitter. OEM integrators must be provided with antenna installation instructions. 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 62MW6iBUwETms2Ha49yo/Q==
| 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: 07/19/2012 Application Dated: 07/03/2012 |
| 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-BRCM1066 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | Unlicensed National Information Infrastructure TX |
| Notes: | 802.11a/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 | 0.04988 | ||
| CC MO | 15E | 5260.0 - 5320.0 | 0.16508 | ||
| CC MO | 15E | 5500.0 - 5700.0 | 0.24049 |
| Output power is conducted. Operations in 5.15-5.25 GHz band are for indoor use only. Device operates with specific antennas in MIMO configurations as described in this filing. 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 co-located or operating in conjunction with any other antenna or transmitter. OEM integrators must be provided with antenna installation instructions. 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: |