802.11a/bg/n WLAN + Bluetooth PCI-E Mini Card

Broadcom Corporation - Class II Permissive Change

270 Innovation Drive


broadcom.com

Listed Certified Devices

Brand Device Name Model Type Certification Date
Broadcom Corporation 802.11a/bg/n WLAN + Bluetooth PCI-E Mini Card BRCM1058 FCC ID 2016-02-11
FCC Application Details
Equipment802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD
FRN0007091952
Grantee CodeQDS
Product Code-BRCM1058
Applicant BusinessBroadcom Corporation
Business Address270 Innovation Drive , San Jose, California United States 95134
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
TCB Email[email protected]
ApplicantAnne Liang – Manager, Compliance Engineering
Applicant Phone
Applicant Fax408-543-3377
Applicant Email[email protected]
Applicant MailStop
Test FirmCompliance Certification Services
Test Firm ContactThu Chan
Test Firm Phone
Test Firm Fax510-661-0888
Test Firm Email[email protected]
Certified ByAyako Kanamatsu – Agent
Broadcom Corporation 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD BRCM1058 FCC ID 2014-02-20
FCC Application Details
Equipment802.11abgn WLAN+BLUETOOTH PCI-E MINICARD
FRN0007091952
Grantee CodeQDS
Product Code-BRCM1058
Applicant BusinessBroadcom Corporation
Business Address270 Innovation Drive , San Jose, California United States 95134
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
TCB Email[email protected]
ApplicantAnne Liang – Manager, Compliance Engineering
Applicant Phone
Applicant Fax408-543-3377
Applicant Email[email protected]
Applicant MailStop
Test FirmSporton International Inc.
Test Firm ContactAlex Chen
Test Firm Phone 650
Test Firm Fax886-3-327-0973
Test Firm Email[email protected]
Certified ByJONES TSAI – DIRECTOR
Broadcom Corporation 802.11abgn WLAN+BLUETOOTH PCI-E MINICARD BRCM1058 FCC ID 2014-02-19
FCC Application Details
Equipment802.11a/bg/n WLAN + Bluetooth PCI-E Mini Card
FRN0007091952
Grantee CodeQDS
Product Code-BRCM1058
Applicant BusinessBroadcom Corporation
Business Address270 Innovation Drive , San Jose, California United States 95134
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
TCB Email[email protected]
ApplicantAnne Liang – Manager, Compliance Engineering
Applicant Phone
Applicant Fax408-543-3377
Applicant Email[email protected]
Applicant MailStop
Test FirmUL Verification Services Inc. (formerly UL CCS)
Test Firm ContactJay Kogoma
Test Firm Phone
Test Firm Fax000-000-0000
Test Firm Email[email protected]
Certified ByAna Aumentado –
Broadcom Corporation 802.11abgn WLAN+BLUETOOTH PCI-E MINICARD BRCM1058 FCC ID 2014-02-14
FCC Application Details
Equipment802.11abgn WLAN+BLUETOOTH PCI-E MINICARD
FRN0007091952
Grantee CodeQDS
Product Code-BRCM1058
Applicant BusinessBroadcom Corporation
Business Address270 Innovation Drive , San Jose, California United States 95134
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
TCB Email[email protected]
ApplicantAnne Liang – Manager, Compliance Engineering
Applicant Phone
Applicant Fax408-543-3377
Applicant Email[email protected]
Applicant MailStop
Test FirmSporton International Inc.
Test Firm ContactAlex Chen
Test Firm Phone 650
Test Firm Fax886-3-327-0973
Test Firm Email[email protected]
Certified ByJONES TSAI – DIRECTOR

Further Details May Be Available From: fcc.id/QDSBRCM1058 or fcc.report/FCC-ID/QDSBRCM1058


DescriptionExhibit TypeFile TypeDisplay TypeFile SizeSubmission DateDate Available

Document 2901524
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15U21619-E2V1 FCC MPE Report 0204.pdf
RF Exposure InfoAdobe Acrobat PDFpdf240.96 K2016-02-112016-02-11

Document 2901523
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15U21619-E1V4 FCC C2PC SETUP PHOTOS UNII WLAN 0209.pdf
Test Setup PhotosAdobe Acrobat PDFpdf669.64 K2016-02-112016-02-11

Document 2901522
Mirror: FCCID.io - 2901522
15U21619-E1V4 FCC C2PC REPORT UNII WLAN 0209.pdf
Test ReportAdobe Acrobat PDFpdf3.81 M2016-02-112016-02-11

Document 2901521
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FCC Agent Authorization Letter (UL) Sept 2015.pdf
Cover Letter(s)Adobe Acrobat PDFpdf537.37 K2016-02-112016-02-11

Document 2901520
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BCM943228HMB FCC conf req (New FCC UNII rule).pdf
Cover Letter(s)Adobe Acrobat PDFpdf29.88 K2016-02-112016-02-11

Document 2901519
Mirror: FCCID.io - 2901519
BCM943228HMB FCC C2PC (New FCC UNII rule).pdf
Cover Letter(s)Adobe Acrobat PDFpdf24.49 K2016-02-112016-02-11

Document 2208698
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RF Exposure Rev
RF Exposure InfoAdobe Acrobat PDFpdf1.54 M2014-03-062014-02-19

Document 2208697
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Test Report DTS 2.4 Rev
Test ReportAdobe Acrobat PDFpdf2.01 M2014-03-062014-02-19

Document 2208696
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Test Report DTS 5.8 Rev
Test ReportAdobe Acrobat PDFpdf1.52 M2014-03-062014-02-19

Document 2208695
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Test Report DTS 4.0 Rev
Test ReportAdobe Acrobat PDFpdf759.9 K2014-03-062014-02-19

Document 2208694
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Test Report Rev
Test ReportAdobe Acrobat PDFpdf783.33 K2014-03-062014-02-14

Document 2208693
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Test Report NII Rev
Test ReportAdobe Acrobat PDFpdf4.12 M2014-03-062014-02-14

Document 2208692
Mirror: FCCID.io - 2208692
RF Exposure Rev
RF Exposure InfoAdobe Acrobat PDFpdf1.54 M2014-03-062014-02-14

Document 2202634
Mirror: FCCID.io - 2202634
BT DSS Test Report
Test ReportAdobe Acrobat PDFpdf1.13 M2014-02-272014-02-20

Document 2202633
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UNII Test report
Test ReportAdobe Acrobat PDFpdf3.74 M2014-02-272014-02-20

Document 2202632
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BLE DTS Test Report
Test ReportAdobe Acrobat PDFpdf897.71 K2014-02-272014-02-20

Document 2202631
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DTS Test Report
Test ReportAdobe Acrobat PDFpdf3.26 M2014-02-272014-02-20

Document 2196297
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Confidentiality
Cover Letter(s)Adobe Acrobat PDFpdf33.16 K2014-02-202014-02-20

Document 2196296
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Authorization
Cover Letter(s)Adobe Acrobat PDFpdf62.62 K2014-02-202014-02-20

Document 2196295
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C2PC Letter
Cover Letter(s)Adobe Acrobat PDFpdf24.17 K2014-02-202014-02-20

Document 2196294
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RF Exposure
RF Exposure InfoAdobe Acrobat PDFpdf258.66 K2014-02-202014-02-20

Document 2196292
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BT Test Setup Photo
Test Setup PhotosAdobe Acrobat PDFpdf333.2 K2014-02-202014-08-12

Document 2192726
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Label Info
ID Label/Location InfoAdobe Acrobat PDFpdf156.06 K2014-02-182014-02-19

Document 2192722
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RF Exposure Appendix C
RF Exposure InfoAdobe Acrobat PDFpdf3.4 M2014-02-182014-02-19

Document 2192721
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RF Exposure Appendix B
RF Exposure InfoAdobe Acrobat PDFpdf536.07 K2014-02-182014-02-19

Document 2192720
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RF Exposure Appendix A
RF Exposure InfoAdobe Acrobat PDFpdf1.63 M2014-02-182014-02-19

Document 2192718
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POA
Cover Letter(s)Adobe Acrobat PDFpdf27.17 K2014-02-182014-02-19

Document 2192717
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Confidential Letter
Cover Letter(s)Adobe Acrobat PDFpdf34.91 K2014-02-182014-02-19

Document 2192716
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Class II Letter
Cover Letter(s)Adobe Acrobat PDFpdf28.36 K2014-02-182014-02-19

Document 2192715
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User Manual Regulatory
Users ManualAdobe Acrobat PDFpdf461.56 K2014-02-182014-08-12

Document 2192714
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User Manual
Users ManualAdobe Acrobat PDFpdf4.62 M2014-02-182014-08-12

Document 2192713
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Test Setup Photos RF Exp
Test Setup PhotosAdobe Acrobat PDFpdf212.46 K2014-02-182014-08-12

Document 2192712
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Test Setup Photos WLAN
Test Setup PhotosAdobe Acrobat PDFpdf299.09 K2014-02-182014-08-12

Document 2192711
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Test Setup Photos DTS BT 4.0
Test Setup PhotosAdobe Acrobat PDFpdf294.09 K2014-02-182014-08-12

Document 2192710
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Test Setup Photos DTS
Test Setup PhotosAdobe Acrobat PDFpdf294.08 K2014-02-182014-08-12

Document 2192709
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Internal Photos
Internal PhotosAdobe Acrobat PDFpdf1.12 M2014-02-182014-08-12

Document 2192708
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External Photos
External PhotosAdobe Acrobat PDFpdf1.49 M2014-02-182014-08-12

Document 2189212
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Confidentiality
Cover Letter(s)Adobe Acrobat PDFpdf33.16 K2014-02-132014-02-20

Document 2189211
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Authorization
Cover Letter(s)Adobe Acrobat PDFpdf62.62 K2014-02-132014-02-20

Document 2189210
Mirror: FCCID.io - 2189210
C2PC Letter
Cover Letter(s)Adobe Acrobat PDFpdf24.17 K2014-02-132014-02-20

Document 2189209
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RF Exposure
RF Exposure InfoAdobe Acrobat PDFpdf258.66 K2014-02-132014-02-20

Document 2189207
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UNII test setup photo
Test Setup PhotosAdobe Acrobat PDFpdf651.27 K2014-02-132014-08-12

Document 2189030
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confidentilaity
Cover Letter(s)Adobe Acrobat PDFpdf33.16 K2014-02-132014-02-20

Document 2188857
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Authorization
Cover Letter(s)Adobe Acrobat PDFpdf62.62 K2014-02-132014-02-20

Document 2188856
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C2PC letter
Cover Letter(s)Adobe Acrobat PDFpdf24.17 K2014-02-132014-02-20

Document 2188855
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RF Exposure report
RF Exposure InfoAdobe Acrobat PDFpdf258.66 K2014-02-132014-02-20

Document 2188849
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BT DSS Test setup photo
Test Setup PhotosAdobe Acrobat PDFpdf333.01 K2014-02-132014-08-12

Document 2188848
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DTS test setup photo
Test Setup PhotosAdobe Acrobat PDFpdf651.32 K2014-02-132014-08-12

Document 2188678
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Label Info
ID Label/Location InfoAdobe Acrobat PDFpdf156.06 K2014-02-132014-02-14

Document 2188676
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POA
Cover Letter(s)Adobe Acrobat PDFpdf27.17 K2014-02-132014-02-14

Document 2188675
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Confidential letter
Cover Letter(s)Adobe Acrobat PDFpdf34.91 K2014-02-132014-02-14

Document 2188674
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Class II Change Letter
Cover Letter(s)Adobe Acrobat PDFpdf28.36 K2014-02-132014-02-14

Document 2188673
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User Manual Regulatory
Users ManualAdobe Acrobat PDFpdf461.56 K2014-02-132014-08-13

Document 2188668
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User Manual Host
Users ManualAdobe Acrobat PDFpdf4.62 M2014-02-132014-08-13

Document 2188665
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Test Setup Photos
Test Setup PhotosAdobe Acrobat PDFpdf293.17 K2014-02-132014-08-13

Document 2188662
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Internal Photos
Internal PhotosAdobe Acrobat PDFpdf1.12 M2014-02-132014-08-13

Document 2188657
Mirror: FCCID.io - 2188657
External Photos
External PhotosAdobe Acrobat PDFpdf1.49 M2014-02-132014-08-13

Document 2188628
Mirror: FCCID.io - 2188628
Label Info
ID Label/Location InfoAdobe Acrobat PDFpdf156.06 K2014-02-132014-02-14

Document 2188626
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RF Exposure Appendix C
RF Exposure InfoAdobe Acrobat PDFpdf3.4 M2014-02-132014-02-14

Document 2188625
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RF Exposure Appendix B
RF Exposure InfoAdobe Acrobat PDFpdf536.07 K2014-02-132014-02-14

Document 2188624
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RF Exposure Appendix A
RF Exposure InfoAdobe Acrobat PDFpdf1.63 M2014-02-132014-02-14

Document 2188613
Mirror: FCCID.io - 2188613
POA
Cover Letter(s)Adobe Acrobat PDFpdf27.17 K2014-02-132014-02-14

Document 2188612
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Confidential Letter
Cover Letter(s)Adobe Acrobat PDFpdf34.91 K2014-02-132014-02-14

Document 2188611
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Class II Change Letter
Cover Letter(s)Adobe Acrobat PDFpdf28.36 K2014-02-132014-02-14

Document 2188610
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User Manual Regulatory Notice
Users ManualAdobe Acrobat PDFpdf461.56 K2014-02-132014-08-12

Document 2188609
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User Manual Host
Users ManualAdobe Acrobat PDFpdf4.62 M2014-02-132014-08-12

Document 2188608
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Test Setup Photos NII
Test Setup PhotosAdobe Acrobat PDFpdf299.08 K2014-02-132014-08-12

Document 2188607
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Test Setup Photos RF
Test Setup PhotosAdobe Acrobat PDFpdf212.46 K2014-02-132014-08-12

Document 2188606
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Internal Photos
Internal PhotosAdobe Acrobat PDFpdf1.12 M2014-02-132014-08-12

Document 2188605
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External Photos
External PhotosAdobe Acrobat PDFpdf1.49 M2014-02-132014-08-12

KDB 594280 D02 v01r03 U-NII Device SW Security Statement (BRCM).pdf
Operational DescriptionAdobe Acrobat PDF76.33 K2016-02-11

Test Report
Test ReportAdobe Acrobat PDF768.62 K2014-02-132014-02-14

Operational Description
Operational DescriptionAdobe Acrobat PDF73.03 K2014-02-20

Operational Description Antenna Report High-Tek
Operational DescriptionAdobe Acrobat PDF1.11 M2014-02-13

Antenna spec. operational Description
Operational DescriptionAdobe Acrobat PDF1.16 M2014-02-13

UNII test report
Test ReportAdobe Acrobat PDF3.74 M2014-02-132014-02-20

Operational Description Antenna Report WNC
Operational DescriptionAdobe Acrobat PDF1.81 M2014-02-13

confidentilaity
External PhotosAdobe Acrobat PDF33.16 K2014-02-132014-02-20

RF Exposure
RF Exposure InfoAdobe Acrobat PDF1.54 M2014-02-132014-02-14

Test Report DTS
Test ReportAdobe Acrobat PDF2.01 M2014-02-182014-02-19

Test Report DTS 4.0
Test ReportAdobe Acrobat PDF759.6 K2014-02-182014-02-19

Test Report WLAN
Test ReportAdobe Acrobat PDF1.52 M2014-02-182014-02-19

BT RF Test Report
SchematicsAdobe Acrobat PDF1.13 M2014-02-202014-02-20

BT DSS test report
Test ReportAdobe Acrobat PDF1.13 M2014-02-132014-02-20

BT DTS test report
Test ReportAdobe Acrobat PDF893.95 K2014-02-132014-02-20

BCM943228HMB Operational Description_FCC_updated.pdf
Operational DescriptionAdobe Acrobat PDF188.49 K2016-02-11

DTS test report
Test ReportAdobe Acrobat PDF3.26 M2014-02-132014-02-20

UNII test setup photo
Test Setup PhotosAdobe Acrobat PDF651.27 K2014-02-132014-08-12

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