220915-03.TR05-FCC SAR WLAN AX201D2WL Low Sku

edgarisx

RF Exposure SAR

Intel Corporation AX201D2L Intel Wireless AX201 PD9AX201D2L PD9AX201D2L ax201d2l

GetApplicationAttachment.html?id=6268422
CERTIFICATE #3478.01

TEST REPORT

EUT Description Brand Name Model Name FCC ID Date of Test Start/End
Features
Description

WLAN and BT, 2x2 PCIe M.2 SD 1216 adapter card, LTE Coexistence
Intel® Wi-Fi 6 AX201
AX201D2WL PD9AX201D2L 2022-10-27 / 2022-10-28 802.11 a/b/g/n/ac, Dual Band, 2x2 Wi-Fi + Bluetooth® 5 (see section 5) WLAN module + Skycross antenna

Applicant Address Contact Person Telephone/Fax/ Email

Intel Mobile Communications 100 Center Point Circle, Suite 200 / Columbia, SC 29210 / United States Steven Hackett steven.c.hackett@intel.com

Reference Standards RF Exposure Environment Exposure Conditions
Maximum SAR Result & Limit Min. test separation distance

FCC 47 CFR Part §2.1093 (see section 1)
Portable devices - General population/uncontrolled exposure

Body worn

SAR Result

SAR Limit

0.38 W/kg (1g)

1.6 W/kg (1g)

5mm to phantom

Test Report identification

220915-03.TR05

Rev. 00

Revision Control

This test report revision replaces any previous test report revision

(see section 8)

The test results relate only to the samples tested.

Reference to accreditation shall be used only by full reproduction of test report.

Issued by
Digitally signed by Edgar GARCIA Date: 2022.11.03 16:23:45 +01'00'
Edgar Garcia (Test Engineer)

Reviewed by
Date: 2022.11.03 16:35:06 +01'00'
Zayd OUACHICHA (Technical Manager)

Intel Corporation S.A.S ­ WRF Lab 425 rue de Goa ­ Le Cargo B6 - 06600 Antibes, France
Tel. +33493001400 / Fax +33493001401
Reference:WRF-DCS-TF-019 Version: 008 Application Date: 10/17/2022

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Test Report N° 220915-03.TR05
Table of Contents

Rev. 00

1. Standards, reference documents and applicable test methods ......................................................................... 3
2. General conditions, competences and guarantees ............................................................................................. 3
3. Environmental Conditions ...................................................................................................................................... 4
4. Test samples ............................................................................................................................................................ 4
5. EUT Features ............................................................................................................................................................ 5
6. Remarks and comments ......................................................................................................................................... 7
7. Test Verdicts summary ........................................................................................................................................... 7
8. Document Revision History .................................................................................................................................... 7
Annex A. Test & System Description ....................................................................................................................... 8
SAR DEFINITION................................................................................................................................................... 8 SPEAG SAR MEASUREMENT SYSTEM .................................................................................................................. 9 A.2.1 SAR Measurement Setup ............................................................................................................................................ 9 A.2.2 E-Field Measurement Probe...................................................................................................................................... 10 A.2.3 Flat Phantom ............................................................................................................................................................. 10 A.2.4 Device Positioner....................................................................................................................................................... 11 DATA EVALUATION .............................................................................................................................................. 12 SYSTEM AND LIQUID CHECK ................................................................................................................................ 14 A.4.1 System Check ........................................................................................................................................................... 14 A.4.2 Liquid Check.............................................................................................................................................................. 15 TEST EQUIPMENT LIST ........................................................................................................................................ 16 A.5.1 Tissue Simulant Liquid .............................................................................................................................................. 16 MEASUREMENT UNCERTAINTY EVALUATION ......................................................................................................... 16 RF EXPOSURE LIMITS ......................................................................................................................................... 18
Annex B. Test Results ............................................................................................................................................. 19
TEST CONDITIONS............................................................................................................................................... 19 B.1.1 Test SAR Test positions relative to the phantom....................................................................................................... 19 B.1.2 Test signal, Output power and Test Frequencies ...................................................................................................... 19 B.1.3 Evaluation Exclusion and Test Reductions................................................................................................................ 20
CONDUCTED POWER MEASUREMENTS................................................................................................................. 22 B.2.1 WLAN 5GHz (U-NII) .................................................................................................................................................. 22
SYSTEM CHECK MEASUREMENTS ........................................................................................................................ 23 SAR TEST RESULTS ........................................................................................................................................... 24 B.4.1 802.11a/n/ac/ax­ U-NII-4........................................................................................................................................... 24 B.4.1 SAR Measurement Variability.................................................................................................................................... 24 B.4.1 Simultaneous Transmission SAR Evaluation............................................................................................................. 25
Annex C. Test System Plots.................................................................................................................................... 26
Annex D. TSL Dielectric Parameters...................................................................................................................... 29
BODY 5200MHZ-5900MHZ ................................................................................................................................ 29
Annex E. Calibration Certificates ........................................................................................................................... 30
Annex F. Photographs ............................................................................................................................................ 31
TEST SAMPLE ..................................................................................................................................................... 31 TEST POSITIONS.................................................................................................................................................. 32 ANTENNA HOST PLATFORM LOCATION AND ADJACENT EDGE POSITIONS RELATIVE TO THE BODY............................... 33 PHANTOM LIQUID LEVEL DURING MEASUREMENTS ................................................................................................. 34

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1. Standards, reference documents and applicable test methods

FCC

1. FCC Title 47 CFR Part §2.1093 ­ Radiofrequency radiation exposure evaluation: portable devices. 2020-10-01 Edition
2. FCC OET KDB 447498 D04 v01 General RF Exposure Guidance v01­ RF Exposure Procedures and Equipment Authorization Policies for Mobile and Portable Devices.
3. FCC OET KDB 616217 D04 v01r02 ­ SAR Evaluation Considerations for Laptop, Notebook, Netbook and Tablet Computers.
4. FCC OET KDB 865664 D01 v01r04 ­ SAR Measurement Requirements for 100 MHz to 6 GHz. 5. FCC OET KDB 865664 D02 v01r02 ­ RF Exposure Compliance Reporting and Documentation Considerations. 6. FCC OET KDB 941225 D05 v02r05 ­ SAR Evaluation Considerations for LTE Devices. 7. FCC OET KDB 941225 D01 v03r01 ­ 3G SAR Measurement Procedures. 8. IEEE Std 1528-2013 ­ IEEE Recommended Practice Determining the Peak Spatial-Average Specific Absorption
Rate (SAR) in the Human Head from Wireless Communication Devices: Measurement Techniques...

2. General conditions, competences and guarantees
 Tests performed under FCC standards identified in section 1 are covered by A2LA accreditation.  Intel Corporation SAS Wireless RF Lab (Intel WRF Lab) is an ISO/IEC 17025:2017 laboratory accredited by the
American Association for Laboratory Accreditation (A2LA) with the certificate number 3478.01.  Intel Corporation SAS Wireless RF Lab (Intel WRF Lab) is an Accredited Test Firm recognized by the FCC, with
Designation Number FR0011.  Intel WRF Lab only provides testing services and is committed to providing reliable, unbiased test results and
interpretations.  Intel WRF Lab is liable to the client for the maintenance of the confidentiality of all information related to the
item under test and the results of the test.  Intel WRF Lab has developed calibration and proficiency programs for its measurement equipment to ensure
correlated and reliable results to its customers.  This report is only referred to the item that has undergone the test.  This report does not imply an approval of the product by the Certification Bodies or competent Authorities.

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3. Environmental Conditions
 At the site where the measurements were performed the following limits were not exceeded during the tests:

Temperature Humidity
Liquid Temperature

22.8ºC ± 2ºC 54.1% ± 10% 20.7ºC ± 2ºC

4. Test samples

Sample

Control #

210209-01.S05

#01 180717-03.S16 210903-02.S53 180201-02.S24 180201-02.S25

Description WLAN and BT, 2x2 PCIe M.2 SD 1216 adapter card, LTE
Coexistence EXTENDER SNJ A4
Laptop
Reference Antenna
Reference Antenna

Model
AX201D2WL
PCB00651_01 -
WIMAX/WLAN WIMAX/WLAN

Serial #
WFM: A0E70BB3E1D8
6510818-183 j71v562 -

Date of receipt
2021-07-19
21-08-2018 06-10-2021 14-02-2018 14-02-2018

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5. EUT Features
The herein information is provided by the customer.

Intel WRF Lab declines any responsibility for the accuracy of the stated customer provided information, especially if it has any impact on the correctness of test results presented in this report.

Brand Name Model Name Software Version Driver Version Prototype / Production Host Identification
Supported Radios
Antenna Information

Intel® Wi-Fi 6 AX201

AX201D2WL DRTU. 99.2100.51.0-11333 99.0.62.2 Production Engineering sample

802.11b/g/n/ax 802.11a/n/ac/ax
Bluetooth 5

2.4GHz (2400.0 ­ 2483.5 MHz)
5.2GHz (5150.0 ­ 5350.0 MHz) 5.6GHz (5470.0 ­ 5725.0 MHz) 5.8GHz (5725.0 ­ 5895.0 MHz)
2.4GHz (2400.0 ­ 2483.5 MHz)

Transmitter Manufacturer Antenna type Part number

Main SkyCross PIFA n/a

Aux SkyCross PIFA n/a

Simultaneous Transmission Configurations
Additional Information

See Annex F for more details on antennas location.
WLAN 2.4GHz Main + BT Aux WLAN 2.4GHz Aux + WLAN 2.4GHz Main WLAN 5GHz Main + BT Aux WLAN 5GHz Aux + WLAN 5GHz Main WLAN 5GHz Aux + WLAN 5GHz Main + BT Aux
No WWAN transmitter is considered in this report
5.60-5.65 GHz band (TDWR) is supported by the device
Band gap is supported by the device

Supported Radios Mode

Duty Cycle

802.11a/n/ac/ax

100%

Modulation
BPSK QPSK 16QAM 64QAM 256QAM

Band 5.8GHz

UL Freq Range (MHz)

Measured Max. Conducted
Power (dBm)

5725-5895

13.44

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Maximum Output power specification + Tune up tolerance limit

Equipment Class U-NII-4

Mode
802.11a 802.11n20 802.11ax20 802.11n40 802.11ax40 802.11ac80 802.11ax80 802.11ac160 802.11ax160

BW (MHz)
20 20 20 40 40 80 80 160 160

Rev. 00

SISO mode

Aux
13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50

Main
13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50

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6. Remarks and comments
1. The conducted values are obtained by applying the BIOS SAR power values to the AX201D2WL Intel module
installed in the Engineering sample identified in this report, as requested by the customer 2. This report is limited to UNII-4 band. For all other bands, DTS, UNII-1, UNII-2A, UNII-2C, UNII-3 and BT please
refer to the following report: 180717-04.TR10 - FCC-ISED, SAR SKU, HrP 1216 LTE (AX201D2WL) 3. Only the plots for the test positions with the highest measured SAR per band/mode are included in Annex C as
required per FCC OET KDB 865664 D02, paragraph 2.3.8.

7. Test Verdicts summary
The statement of conformity to applicable standards in the table below are based on the measured values, without taking into account the measurement uncertainties.

Standard 802.11a/n/ac/ax

Band U-NII-4

Highest Reported SAR (1g) (W/kg) 0.38

Verdict P

P: Pass F: Fail NM: Not Measured NA: Not Applicable

According to the FCC OET KDB 690783 D01, this is the summary of the values for the Grant Listing:

Exposure Condition Body Worn
Simultaneous Tx

Highest Reported SAR (1g) (W/kg) Equipment Class
DSS 0.08 Sum-SAR: 0.75 SPLSR: NA

U-NII 0.38 Sum-SAR: 0.75 SPLSR: NA

Considering the results of the performed test according to FCC 47CFR Part 2.1093 and ISED RSS 102, Issue 5 the item under test is IN COMPLIANCE with the requested specifications specified in Section1. Standards, reference documents and applicable test methods

8. Document Revision History

Revision # Rev. 00

Modified by F. MALIKA

Revision Details First Issue

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Annex A. Test & System Description

SAR Definition
Specific Absorption rate is defined as the time derivative of the incremental energy (dW) absorbed by (dissipated in) and incremental mass (dm) contained in a volume element (dV) of a given density ().

   

 = ·

=·

    · 

SAR is expressed in units of watts per kilogram (W/kg). SAR can be related to the electric field at a point by ||
 = 

Where:

 = Conductivity of the tissue (S/m)
 = Mass density of the tissue (kg/m3) E = RMS electric field strength (V/m)

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SPEAG SAR Measurement System A.2.1 SAR Measurement Setup
The DASY6 system for performing compliance tests consists of the following items:

Rev. 00

 A standard high precision 6-axis robot (Staübli TX/RX family) with controller, teach pendant and software. It includes an arm extension for accommodating the data acquisition electronics (DAE)
 An isotropic field probe optimized and calibrated for the targeted measurements.  A data acquisition electronics (DAE) which performs the signal amplification, signal multiplexing, AD-conversion,
offset measurements, mechanical surface detection, collision detection, etc. The unit is battery powered with standard or rechargeable batteries. The signal is optically transmitted to the EOC.  The Electro-optical Converter (EOC) performs the conversion from optical to electrical signals for the digital communication to the DAE. The EOC signal is transmitted to the measurement server.  The function of the measurement server is to perform the time critical tasks such as signal filtering, control of the robot operation and fast movements interrupts.  The Light Beam used is for probe alignment. This improves the (absolute) accuracy of the probe positioning.  A computer running Win7 professional operating system and the DASY6 software.  Remote control and teach pendant as well as additional circuitry for robot safety such as warning lamps, etc.  The phantom, the device holder and other accessories according to the targeted measurement.  MAIA is a hardware interface (Antenna) used to evaluate the modulation and audio interference characteristics of RF signals.  ANT is an ultra-wideband antenna for use with the base station simulators over 698 MHz to 6GHz.  The base station simulator is an equipment used for SAR cellular tests in order to emulate the cellular signals characteristics and behavior between a regular base station and the equipment under test.  Tissue simulating liquid.  System Validation dipoles.  Network emulator or RF test tool
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A.2.2 E-Field Measurement Probe
The probe is constructed using three orthogonal dipole sensors arranged on an interlocking, triangular prism core. The probe has built-in shielding against static charges and is contained within a PEEK cylindrical enclosure material at the tip.

The probe's characteristics are:
Frequency Range Length Probe tip external diameter Typical distance between dipoles and the probe tip Axial Isotropy (in human-equivalent liquids) Hemispherical Isotropy (in human-equivalent liquids) Linearity Maximum operating SAR Lower SAR detection threshold

30MHz ­ 6GHz 337 mm 2.5 mm 1 mm ±0.3 dB ±0.5 dB ±0.2 dB 100 W/kg
0.001 W/kg

Rev. 00

A.2.3 Flat Phantom
Phantom for compliance testing of handheld and body-mounted wireless devices in the frequency range of 30 MHz to 6 GHz. ELI is fully compatible with the IEC 62209-2 standard and all known tissue simulating liquids. ELI has been optimized regarding its performance and can be integrated into our standard phantom tables. A cover prevents evaporation of the liquid. Reference markings on the phantom allow installation of the complete setup, including all predefined phantom positions and measurement grids, by teaching three points. The phantom is compatible with all SPEAG dosimetric probes and dipoles.
The phantom's characteristics are:

Material

Vinylester, glass fiber reinforced (VE-GF)

Shell thickness 2 mm ± 0.2 mm

Filling volume 30 Liters approx.

Dimensions

Major axis: 600mm / Minor axis: 400mm

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A.2.4 Device Positioner
The SAR in the phantom is approximately inversely proportional to the square of the distance between the source and the liquid surface. For a source at 5 mm distance, a positioning uncertainty of 0.5 mm would produce a SAR uncertainty of 20%. Accurate device positioning is therefore crucial for accurate and repeatable measurements. The positions in which the devices must be measured are defined by the standards.
The DASY device holder is designed to cope with the different positions given in the standard. It has two scales for device rotation (with respect to the body axis) and device inclination (with respect to the line between the ear reference points). The rotation center for both scales is the ear reference point (ERP). Thus the device needs no repositioning when changing the angles.
The DASY device holder is constructed of low-loss POM material having the following dielectric parameters: relative permittivity =3 and loss tangent =0.02. The amount of dielectric material has been reduced in the closest vicinity of the device, since measurements have suggested that the influence of the clamp on the test results could thus be lowered.
A simple but effective and easy-to-use extension for the Mounting Device; facilitates testing of larger devices according to IEC 62209-2 (e.g., laptops, cameras, etc.); lightweight and fits easily on the upper part of the Mounting Device in place of the phone positioner. The extension is fully compatible with the Twin SAM, ELI and other Flat Phantoms.

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Data Evaluation

Rev. 00

 Power Reference measurement
The robot measures the E field in a specified reference position that can be either the selected section's grid reference point or a user point in this section at 4mm of the inner surface of the phantom, 2mm for frequencies above 3GHz.
 Area Scan
Measurement procedures for evaluating SAR from wireless handsets typically start with a coarse measurement grid to determine the approximate location of the local peak SAR values. This is known as the area-scan procedure. The SAR distribution is scanned along the inside surface of one side of the phantom head, at least for an area larger than the projection of the handset and antenna. The distance between the measured points and phantom surface should be less than 8 mm, and should remain constant (with variation less than ± 1 mm) during the entire scan in order to determine the locations of the local peak SAR with sufficient accuracy. The angle between the probe axis and the surface normal line is recommended but not required to be less than 30°. If this angle is larger than 30° and the closest point on the probe-tip housing to the phantom surface is closer than a probe diameter, the boundary effect may become larger and polarization dependent. This additional uncertainty needs to be analyzed and accounted for. To achieve this, modified test procedures and additional uncertainty analyses not described in this recommended practice may be required. The measurement and interpolation point spacing should be chosen such as to allow identification of the local peak locations to within one-half of the linear dimension of a side of the zoom-scan volume. Because a local peak having specific amplitude and steep gradients may produce a lower peak spatial-average SAR compared to peaks with slightly lower amplitude and less steep gradients, it is necessary to evaluate these other peaks as well. However, since the spatial gradients of local SAR peaks are a function of the wavelength inside the tissue-equivalent liquid and the incident magnetic field strength, it is not necessary to evaluate local peaks that are less than 2 dB or more below the global maximum peak. Two-dimensional spline algorithms (Brishoual et al. 2001; Press et al., 1996) are typically used to determine the peaks and gradients within the scanned area. If a peak is found at a distance from the scan border of less than one-half the edge dimension of the desired 1 g or 10 g cube, the measurement area should be enlarged if possible.
 Zoom Scan
To evaluate the peak spatial-average SAR values for 1 g or 10 g cubes, fine resolution volume scans, called zoom scans, are performed at the peak SAR locations identified during the area scan. The minimum zoom scan volume size should extend at least 1.5 times the edge dimension of a 1 g cube in all directions from the center of the scan volume, for both 1 g and 10 g peak spatial-average SAR evaluations. Along the phantom curved surfaces, the front face of the volume facing the tissue/liquid interface conforms to the curved boundary, to ensure that all SAR peaks are captured. The back face should be equally distorted to maintain the correct averaging mass. The flatness and orientation of the four side faces are unchanged from that of a cube whose orientation is within ± 30° of the line normal to the phantom at the center of the cube face next to the phantom surface. The peak local SAR locations that were determined in the area scan (interpolated values) should be used for the centers of the zoom scans. If a scan volume cannot be centered due to proximity of a phantom shape feature, the probe should be tilted to allow scan volume enlargement. If probe tilt is not feasible, the zoom-scan origin may be shifted, but not by more than half of the 1 g or 10 g cube edge dimension.
After the zoom-scan measurement, extrapolations from the closest measured points to the surface, for example along lines parallel to the zoom-scan centerline, and interpolations to a finer resolution between all measured and extrapolated points are performed. Extrapolation algorithm considerations are described in 6.5.3, and 3-D spline methods (Brishoual et al., 2001; Kreyszig, 1983; Press et al., 1996) can be used for interpolation. The peak spatial-average SAR is finally determined by a numerical averaging of the local SAR values in the interpolation grid, using for example a trapezoidal algorithm for the integration (averaging).
In some areas of the phantom, such as the jaw and upper head regions, the angle of the probe with respect to the line normal to the surface may be relatively large, e.g., greater than ± 30º, which could increase the boundary effect error to a larger level. In these cases, during the zoom scan a change in the orientation of the probe, the phantom, or both is recommended but not required for the duration of the zoom scan, so that the angle between the probe axis and the line normal to the surface is within 30º for all measurement points.

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 Power Drift measurement
The robot re-measures the E-Field in the same reference location measured at the Power Reference. The drift measurement gives the field difference in dB from the first to the last reference reading. This allows a user to monitor the power drift of the device under test that must remain within a maximum variation of ±5%.
 Post-processing
The procedure for spatial peak SAR evaluation has been implemented according to the IEEE1528 and IEC 62209-1/2 standards. It can be conducted for 1g and 10g.
The software allows evaluations that combine measured data and robot positions, such as:
 Maximum search  Extrapolation  Boundary correction  Peak search for averaged SAR
Interpolation between the measured points is performed when the resolution of the grid is not fine enough to compute the average SAR over a given mass.
Extrapolation routines are used to obtain SAR values between the lowest measurement points and the inner phantom surface. The extrapolation is determined by the surface detection distance and the probe sensor offset. Several measurements at different distances are necessary for the extrapolation.

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System and Liquid Check

A.4.1 System Check
The system performance check verifies that the system operates within its specifications. System and operator errors can be detected and corrected. It is recommended that the system performance check be performed prior to any usage of the system in order to guarantee reproducible results.
The system performance check uses normal SAR measurements in a simplified setup with a well characterized source. This setup was selected to give a high sensitivity to all parameters that might fail or vary over time. The system check does not intend to replace the calibration of the components, but indicates situations where the system uncertainty is exceeded due to drift or failure.
In the simplified setup for system check, the EUT is replaced by a calibrated dipole and the power source is replaced by a controlled continuous wave generated by a signal generator. The calibrated dipole must be placed beneath the flat phantom section of the phantom at the correct distance.

The equipment setup is shown below:  Signal Generator  Amplifier  Directional coupler  Power meter  Calibrated dipole
First, the power meter PM1 (including attenuator Att1) is connected to the cable to measure the forward power at the location of the connector (x) to the system check source. The signal generator is adjusted for the desired forward power at the connector as read by power meter PM1 after attenuation Att1 and also as coupled through Att2 to PM2. After connecting the cable to the source, the signal generator is readjusted for the same reading at power meter PM2. SAR results are normalized to a forward power of 1W to compare the values with the calibration reports results as described at IEEE 1528, IEC 62209 and IEC/IEEE 62209-1528:2020 standards
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A.4.2 Liquid Check
The dielectric parameters check is done prior to the use of the tissue simulating liquid. The verification is made by comparing the relative permittivity and conductivity to the values recommended by the applicable standards.
The liquid verification was performed using the following test setup:
 VNA (Vector Network Analyzer)  Open-Short-Load calibration kit  RF Cable  Open-Ended Coaxial probe  DAK software tool  SAR Liquid  De-ionized water  Thermometer
These are the target dielectric properties of the tissue-equivalent liquid material as defined in FCC OET KDB 865664 D01.

Frequency (MHz) 150 300 450 835 900 1450
1800-2000 2450 3000 5800

Body SAR

r (F/m)

 (S/m)

61.9

0.80

58.2

0.92

56.7

0.94

55.2

0.97

55.0

1.05

54.0

1.30

53.3

1.52

52.7

1.95

52.0

2.73

48.2

6.00

(r = relative permittivity,  = conductivity and  = 1000 kg/m3)

The measurement system implement a SAR error compensation algorithm as documented in IEEE Std 1528-2013 and IEC/IEEE 62209-1528:2020 (equivalent to draft standard IEEE P1528-2011) to automatically compensate the measured SAR results for deviations between the measured and required tissue dielectric parameters (applied to only scale up the measured SAR, and not downward) so, according to FCC OET KDB 865664 D01, the tolerance for r and  may be relaxed to ± 10%.

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Test Equipment List

Rev. 00

SAR system #1

ID #

Device

001-000 001-001 001-002 001-003 001-004 001-005
001-006
003-016
001-008
001-009 001-010

6-Axis Robot
SAM PHANTOM
Light Beam Unit
Laptop Holder
Robot Controller
Electro Optical Converter
Dosimetric EField probe 750-
5800MHz
Data Acquisition Electronics
Oval Flat Phantom
Measurement Software
MAIA Antenna

Type/Model TX60 Lspeag Twin SAM V5.0
LB5/80 N/A
CS8C EOC60
EX3DV4
DAEip
ELI V8.0
DASY6 V16.0 MAIA

Serial Number Manufacturer

F12/5MZ3A1/A/01 1838 N/A N/A
F12/5MZ3A1/C/01

STAÜBLI SPEAG Di-soric SPEAG STAÜBLI

1076

SPEAG

Cal. Date
NA NA NA NA NA
NA

7325

SPEAG

2021-12-15

1705 2059 9-618AE2F1 1255

SPEAG SPEAG SPEAG SPEAG

2022-04-28 NA NA NA

Shared equipment

ID #

Device

123-000 124-000
099-000
369-000 077-000

USB Power Sensor USB Power Sensor
Liquid measurement SW Dielectric Probe Kit
Coupler

078-000

RF Cable

079-000 126-000 327-000 089-000 068-000

RF Cable
Vector Signal Generator
Temp & Humidity Logger Vector
Reflectometer R140 5GHz System
Validation Dipole

Type/Model NRP-Z81 NRP-Z81 DAK-3.5 V2.6.0.5 DAK-3.5
CD0.5-8-20-30 ST-18/SMAm/SMAm/48
ST-18/SMAm/SMAm/48
ESG E4438C
RA32E-TH1-RAS
PLANAR R140
D5GHzv2

Serial Number
102278 102279

Manufacture r
R&S
R&S

9-2687B491

SPEAG

1309 1251-002
-
-

SPEAG
Amd-group
Huber & Suhner Huber & Suhner

MY45092885

Agilent

RA32-F0DED9 AVTECH

0190616

R&S

1164

SPEAG

Cal. Date 2021-04-13 2021-04-13
NA 2021-03-10 2022-08-26 2022-08-26
2022-08-26
2021-05-27
2021-03-09
2021-09-02
2021-05-18

Cal. Due Date NA NA NA NA NA NA
2022-12-15
2023-04-28
NA
NA NA
Cal. Due Date 2023-04-13 2023-04-13 NA 2023-03-10 2023-01-26 2023-01-26
2023-01-26
2023-05-27
2023-03-09
2023-09-02
2023-03-17

A.5.1 Tissue Simulant Liquid

TSL

Manufacturer / Model

Body WideBand

SPEAG MBBL600-6000V6 Batch 180206-04

Freq Range (MHz)
600-6000

Main Ingredients
Ethanediol, Sodium petroleum sulfonate, Hexylene Glycol / 2-Methyl-pentane-2.4-
diol, Alkoxylated alcohol

Measurement Uncertainty Evaluation
The system uncertainty evaluation is shown in the table below with a coverage factor of k = 2 to indicate a 95% level of confidence:

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RF Exposure Limits
SAR assessments have been made in line with the requirements of FCC 47CFR Part 2.1093 and ISED RSS 102 issue 5 on the limitation of exposure of the general population / uncontrolled exposure for portable devices.

Exposure Type
Peak spatial-average SAR (averaged over any 1 gram of tissue) Whole body average SAR Peak spatial-average SAR (extremities) (averaged over any 10 grams of tissue)

General Population / Uncontrolled Environment
1.6 W/kg 0.08 W/kg 4.0 W/kg

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Annex B. Test Results

Rev. 00

The herein test results were performed by: Test case measurement Conducted measurement SAR measurement

Test Personnel F. Heurtematte
F. Malika

Test Conditions
B.1.1 Test SAR Test positions relative to the phantom
The device under test was an Intel® Wi-Fi 6 AX201 card Engineering sample) using a set of Sky-Cross antennas. The card was operated utilizing proprietary software (DRTU version DRTU. 99.2100.51.0-11333) and each channel was measured using a broadband power meter to determine the maximum average power.
The SAR Test Exclusion Threshold in FCC OET KDB 447498 can be applied to determine SAR test exclusion for adjacent edge configurations. All six sides of the antenna were tested for SAR compliance with the antenna placed at 5mm beneath the phantom. The adjacent edges of the antenna were positioned perpendicular to the phantom.
Considering the antenna location diagrams in Annex F and the test exclusions described before, the surfaces/edges to be measured for each antenna are:
Considering the antenna location diagrams in Annex F and the test exclusions described before, the surfaces/edges to be measured for each antenna are:

Antenna Position

AUX
 Front face  Back Face  Top edge  Bottom edge  Left edge  Right edge

MAIN
 Front face  Back Face  Top edge  Bottom edge  Left edge  Right edge

See B.1.3.1 for a more detailed list of the applied reductions. See F.2 Test positions section for more information on the tested positions

B.1.2 Test signal, Output power and Test Frequencies
For 802.11 transmission modes the device was put into operation by using an own control software to program the test mode required to select the continuous transmission with 100% duty cycle. The output power of the device was set to transmit at maximum power for all tests.

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Test Report N° 220915-03.TR05
B.1.3 Evaluation Exclusion and Test Reductions

Rev. 00

B.1.3.1 SAR evaluation exclusion

The SAR Test Exclusion Threshold in FCC OET KDB 447498 can be applied to determine SAR test exclusion for adjacent edge configurations. For 100MHz to 6GHz and test separation distances 50mm, the 1-g and 10-g SAR test exclusion thresholds are determined by the following formula:

[(max. power of channel, including tune - up tolerance, mW)/(min. test separation distance, mm)]  ( )

(1)

 3.0  1 ,   7.5  10  

Where:  f(GHz) is the RF channel transmit frequency in GHz  Power and distance are rounded to the nearest mW and mm before calculation  The result is rounded to one decimal place for comparison  The values 3.0 and 7.5 are referred to as numeric thresholds

The test exclusions are applicable only when the minimum test separation distance is  50 mm, and for transmission frequencies between 100 MHz and 6 GHz. When the minimum test separation distance is < 5 mm, a distance of 5 mm is applied to determine SAR test exclusion.

For test separation distances > 50 mm, the 1-g and 10-g SAR test exclusion thresholds are determined using the following formulas:

       50   (1) + (   - 50 )  ( /150),

(2)

 100  1500

       50   (1) + (   - 50 )  10),

(3)

 1500   6

LAN Antenna

Band Name

Output power

Bottom Edge Front Face Left Edge Right Edge Top Edge Back Face
Bottom Edge Left Edge Front Face Right Edge Top Edge
Back Face
mW
dBm

WLAN Aux
WLAN Main

UNII-4 13.50 22.39 <50 UNII-4 13.50 22.39 <50

<50 <50 <50 <50 <50 <50 <50 <50 <50 <50

T T T T T T T T T T T T

T: Tested position R: Reduced

See Annex F for a more detailed explanation of the separation distance related to the platform.

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Test Report N° 220915-03.TR05

Rev. 00

B.1.3.2 General SAR test reduction
According to FCC OET KDB 447498, testing of other required channels within the operating mode of a frequency band is not required when the reported 1-g or 10-g SAR for the mid-band or highest output power channel is:
·  0.8 W/kg or 2.0 W/kg, for 1-g or 10-g respectively, when the transmission band is  100 MHz ·  0.6 W/kg or 1.5 W/kg, for 1-g or 10-g respectively, when the transmission band is between 100 MHz and 200 MHz ·  0.4 W/kg or 1.0 W/kg, for 1-g or 10-g respectively, when the transmission band is  200 MHz

WLAN SAR Test reduction
Transmission Mode

SAR test exclusion/reduction

DSSS

According to FCC OET KDB 248227 D01, SAR is measured for 2.4 GHz 802.11b, SAR test reduction is determined according to the following:
 When the reported SAR of the highest measured maximum output power channel for the exposure configuration is  0.8 W/kg, no further SAR testing is required for 802.11b DSSS in that exposure configuration.
 When the reported SAR is > 0.8 W/kg, SAR is required for that exposure configuration using the next highest measured output power channel. When any reported SAR is > 1.2 W/kg, SAR is required for the third channel.

According to FCC OET KDB 248227 D01, SAR is not required for 2.4 GHz OFDM conditions when the highest reported SAR for DSSS is adjusted by the ratio of OFDM to DSSS specified maximum output power and the adjusted SAR is  1.2 W/kg.
According to FCC OET KDB 248227 D01, 802.11a/g/n/ac modes have the same specified maximum output power, largest channel bandwidth, lowest order modulation and lowest data rate, the lowest order 802.11 mode is selected; i.e., 802.11a is chosen over 802.11n then 802.11ac or 802.11g is chosen over 802.11n.

OFDM

According to FCC OET KDB 248227 D01, an initial test configuration is determined for OFDM and DSSS transmission modes according to the channel bandwidth, modulation and data rate combination(s) with the highest maximum output power specified for production units in each standalone and aggregated frequency band. SAR is measured using the highest measured maximum output power channel. SAR test reduction for subsequent highest output test channels is determined according to reported SAR of the initial test configuration.
The initial test configuration for 5 GHz OFDM transmission modes is determined by the 802.11 configuration with the highest maximum output power specified for production units, including tuneup tolerance, in each standalone and aggregated frequency band. SAR for the initial test configuration is measured using the highest maximum output power channel determined by the default power measurement procedures.

According to FCC OET KDB 248227 D01, when the reported SAR of the initial test configuration is > 0.8 W/kg, SAR measurement is required for subsequent next highest measured output power channel(s) in the initial test configuration until reported SAR is  1.2 W/kg or all required channels are tested.

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Test Report N° 220915-03.TR05
Conducted Power Measurements
B.2.1 WLAN 5GHz (U-NII)

Rev. 00

B.2.1.1 5.8GHz (U-NII-4)

Band

Mode

Data Rate

802.11a 6Mbps

802.11n20 HT0

5.8GHz (U-NII-4)

802.11ax20 HE0

802.11n40 HT0

802.11ax40 HE0

802.11ac80 802.11ax80 802.11ac160 802.11ax160
Initial test configuration

VHT0 MCS0 VHT0 MSC0

Ch #
169 173 177 169 173 177 169 173 177
167 175 167 175
171 171 163 163

Freq (MHz)
5845 5865 5885 5845 5865 5885 5845 5865 5885 5835 5875 5835 5875 5855 5855 5815 5815

Avg Pwr (dBm)
NR1
13.44
NR1

Aux
Tune-up Pwr (dBm)
13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50

Main

Avg Pwr (dBm)

Tune-up Pwr (dBm)

NR1
12.94
NR1

13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50

SAR Test?
No4,6
Yes No4,6

1. NR: Not Required 2. The initial test configuration for 2.4 GHz and 5 GHz OFDM transmission modes is determined by the 802.11 configuration with the highest
maximum output power specified for production units, including tune-up tolerance, in each standalone and aggregated frequency band. SAR for the initial test configuration is measured using the highest maximum output power channel determined by the default power measurement procedures. When multiple transmission modes (802.11a/g/n/ac) have the same specified maximum output power, largest channel bandwidth, lowest order modulation and lowest data rate, lowest order 802.11 mode is selected (i.e. a, g, n, ac then ax) 3. Additional conducted power measurement is required when reported SAR is > 1.2W/kg. In case the subsequent test configuration and the channel bandwidth is smaller than the initial test configuration, all channels that overlap with the larger channel bandwidth in the initial configuration should be tested. 4. When the reported SAR of the initial test configuration is > 0.8W/kg, SAR measurement is required for the subsequent next highest measured output power channel(s) in the initial test configuration until reported SAR is 1.2W/kg or all required channels are tested. 5. When the highest reported SAR for the initial test configuration (when applicable, include subsequent highest output channels), according to the initial test position or fixed exposure requirements, is adjusted by the ratio of the subsequent test configuration to the initial test configuration specified maximum output power and the adjusted SAR is 1.2 W/kg, SAR is not required for that subsequent test configuration. 6. SAR for subsequent highest measured maximum output power channels in the subsequent test configuration is required only when the reported SAR of the preceding higher maximum output power channel(s) in the subsequent test configuration is >1.2 W/kg or until all required channels are tested.

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Test Report N° 220915-03.TR05

Rev. 00

Tissue Parameters Measurement Body TSL

Freq.(MHz) 5800

Target Parameters

'(F/m) 48.20

(S/m) 6.00

See Annex D for more details

Measured TSL Parameters

'(F/m)

(S/m)

48.55

6.44

Deviation (%)

Deviation ' Deviation 

0.73

7.33

Date 2022-10-26

System Check Measurements

Body Measurements

Frequency (MHz)

Average

1g 5800
10g

Target SAR (W/Kg)
73.40 20.00

Measured SAR
(W/Kg)
75.20
21.80

Forwarded power (mW)
50

Deviation to target (%)
2.45 9.00

Limit (%) ±10

Date 2022-10-27

See Annex C for more details.

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Test Report N° 220915-03.TR05
SAR Test Results

Rev. 00

B.4.1 802.11a/n/ac/ax­ U-NII-4

Ant.

Mode Data rate

BW Ch (MHz) #

Aux

802.11ac VHT0

160

163

Main

802.11ac VHT0

160

163

Freq (MHz) 5815
5815

Position

Correct. Factor (dB)

Front face

Back Face

Top edge 0.06
Bottom edge

Left edge

Right edge

Front face

Back Face

Top edge

0.56

Bottom edge

Left edge

Right edge

SAR 1g (W/kg)
0.31 0.21 0.25 0.05 0.28 0.03 0.33 0.22 0.24 0.04 0.33 0.01

Reported SAR 1g (W/kg)

Plot #

0.31

0.21

0.25

0.05

0.28

0.03

0.38

0.25

0.27

0.05

0.38

1

0.01

B.4.1 SAR Measurement Variability
According to FCC OET KDB 865664, SAR Measurement variability is assessed when the maximum initial measured SAR is >=0.8 W/kg for a certain band/mode.
As all measured SAR results are below 0.8W/kg, therefore SAR variability is not required.

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Test Report N° 220915-03.TR05
B.4.1 Simultaneous Transmission SAR Evaluation

Rev. 00

According to FCC OET KDB 447498, when the sum of 1g SAR for all simultaneously transmitting antennas in an operating mode and exposure condition combination is within the SAR limit, SAR test exclusion applies to that simultaneous transmission configuration.

All the values stated in the table below are the worst case found for standalone measurement with disregard of the transmission mode or channel where the worst case was found

Antenna Aux Main

Position
Front face Back Face Top edge Bottom edge Left edge Right edge Front face Back Face Top edge Bottom edge Left edge Right edge

Highest Reported SAR (1g) (W/kg)

WLAN 5GHz

Bluetooth

0.31

0.06

0.21

0.08

0.25

0.02

0.05

0.01

0.28

0.05

0.03

0.01

0.38

0.25

0.27

0.05

0.38

0.01

* For DTS and BT values refer to the following report: 180717-04.TR10 - FCC-ISED, SAR SKU, HrP 1216 LTE (AX201D2WL)

Position Left Edge Front Face Back Face Top Edge Bottom Edge Right Edge

Simultaneous Tx Antenna Combination

Aux

Main

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz + BT

WLAN 5GHz

BT

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz + BT

WLAN 5GHz

BT

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz + BT

WLAN 5GHz

BT

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz + BT

WLAN 5GHz

BT

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz + BT

WLAN 5GHz

BT

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz

WLAN 5GHz + BT

WLAN 5GHz

BT

WLAN 5GHz

 SAR 1g (W/kg)
0.66 0.71 0.43 0.69 0.75 0.44 0.46 0.54 0.33 0.52 0.54 0.29 0.10 0.11 0.06 0.04 0.05 0.02

Limit (W/kg) 1.6

Considering the results described above and according to the simultaneous transmission SAR test exclusion considerations described in FCC OET KDB 447498, no SAR to Peak Location Separation Ratio is required

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Test Report N° 220915-03.TR05
Annex C. Test System Plots

Rev. 00

1. U-NII-4 - 802.11ac160, CH163, Main ­Left Edge .................................................................................................. 27 2. System Check Body Liquid 5800MHz .................................................................................................................. 28

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Test Report N° 220915-03.TR05

Rev. 00

1. U-NII-4 - 802.11ac160, CH163, Main ­Left Edge

Device under Test Properties

Model, Manufacturer AX201D2WL Intel

Dimensions [mm] 40.0 x 74.0 x 9.0

IMEI A0E70BB3E1D8

DUT Type WLAN module + Reference antenna

Exposure Conditions

Phantom

Position, Test Band

Section, TSL Distance [mm]

Group, UID

Flat, MSL

EDGE LEFT, 5.00

Custom Band

CW, 10554-AAD

Frequency [MHz], Channel Number 5815.0, 5815000

Conversion Factor
4.0

TSL Conductivity [S/m]
6.46

TSL Permittivity
48.5

Hardware Setup
Phantom ELI V8.0 (20deg probe tilt)

TSL, Measured Date MBBL-600-6000 , 2022-Oct-26

Scan Setup
Grid Extents [mm] Grid Steps [mm] Sensor Surface [mm] Graded Grid Grading Ratio MAIA Surface Detection Scan Method

Area Scan 112.0 x 120.0
8.0 x 10.0 3.0
Yes 1.5 Confirmed by MAIA VMS + 6p Measured

Zoom Scan 22.0 x 22.0 x 22.0
4.0 x 4.0 x 1.4 1.4
Yes 1.4 Confirmed by MAIA VMS + 6p Measured

Probe, Calibration Date EX3DV4 - SN7325, 2021-12-15

DAE, Calibration Date DAE4ip Sn1705, 2022-04-28

Measurement Results

Area Scan

Date

2022-10-27, 17:03

psSAR1g [W/Kg]

0.292

psSAR10g

0.097

[W/Kg]

Power Drift [dB]

-0.09

Power Scaling

Disabled

Scaling Factor

[dB]

TSL Correction

Positive only

M2/M1 [%]

Dist 3dB Peak

[mm]

Zoom Scan 2022-10-27, 17:11
0.330 0.101
-0.02 Disabled
Positive only 57.9 7.9

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Test Report N° 220915-03.TR05

Rev. 00

2. System Check Body Liquid 5800MHz

Device under Test Properties

Model, Manufacturer D5.0GHzV2, SPEAG

Dimensions [mm] 50.0 x 10.0 x 8.0

IMEI 1164

DUT Type Validation Dipole

Exposure Conditions

Phantom

Position, Test Band

Section, TSL Distance [mm]

Flat,

,

MSL

Group, UID
, 0--

Frequency [MHz], Channel Number 5800.0, 0

Conversion Factor
4.0

TSL Conductivity [S/m]
6.44

TSL Permittivity
48.5

Hardware Setup
Phantom

TSL, Measured Date

ELI V8.0 (20deg probe tilt)

MBBL-600-6000 , 2022-Oct-26

Scan Setup
Grid Extents [mm] Grid Steps [mm] Sensor Surface [mm] Graded Grid Grading Ratio MAIA Surface Detection Scan Method

Area Scan 40.0 x 80.0 10.0 x 10.0
3.0
Yes 1.5 Confirmed by MAIA VMS + 6p Measured

Zoom Scan 22.0 x 22.0 x 22.0
4.0 x 4.0 x 1.4 1.4
Yes 1.4 Confirmed by MAIA VMS + 6p Measured

Probe, Calibration Date

DAE, Calibration Date

EX3DV4 - SN7325, 2021-12-15

DAE4ip Sn1705, 2022-04-28

Measurement Results

Area Scan

Date

2022-10-27, 15:04

psSAR1g [W/Kg]

3.18

psSAR10g

0.989

[W/Kg]

Power Drift [dB]

-0.05

Power Scaling

Disabled

Scaling Factor

[dB]

TSL Correction

Positive only

M2/M1 [%]

Dist 3dB Peak

[mm]

Zoom Scan 2022-10-27, 15:11
3.76 1.09
-0.03 Disabled
Positive only 55.9 7.9

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Test Report N° 220915-03.TR05

Rev. 00

Annex D. TSL Dielectric Parameters

Body 5200MHz-5900MHz

Freq.(MHz)
5200 5250 5300 5350 5400 5450 5500 5550 5600 5650 5700 5750 5800 5850 5900

'(F/m) 49.01 48.95 48.88 48.81 48.74 48.67 48.61 48.54 48.47 48.40 48.34 48.27 48.20 48.13 48.06

Target

(S/m) 5.30 5.36 5.42 5.47 5.53 5.59 5.65 5.71 5.77 5.82 5.88 5.94 6.00 6.06 6.12

Measured 2022-10-26

'1(F/m)

1(S/m)

49.82

5.57

49.71

5.65

49.59

5.73

49.52

5.80

49.46

5.88

49.36

5.93

49.26

6.00

49.19

6.05

49.14

6.13

49.00

6.21

48.86

6.29

48.73

6.37

48.55

6.44

48.36

6.52

48.22

6.61

Permittivity

Conductivity

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