802.11a/g/n/ac WLAN + BT PCI-E Custom Combo 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/g/n/ac WLAN + BT PCI-E Custom Combo Card BRCM1069 FCC ID 2016-01-14
FCC Application Details
Equipment802.11a/g/n/ac WLAN + BT PCI-E Custom Combo Card
FRN0007091952
Grantee CodeQDS
Product Code-BRCM1069
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 ByLISA NGUYEN –

Further Details May Be Available From: fcc.id/QDSBRCM1069 or fcc.report/FCC-ID/QDSBRCM1069


DescriptionExhibit TypeFile TypeDisplay TypeFile SizeSubmission DateDate Available

Document 2866785
Mirror: FCCID.io - 2866785
15U22131-E1V2 FCC Report_C2PC_5.8 New Rules
Test ReportAdobe Acrobat PDFpdf4.24 M2016-01-082016-01-14

Document 2866784
Mirror: FCCID.io - 2866784
15U22131-E1V2 FCC Setup Photos_C2PC_5.8 New Rules
Test Setup PhotosAdobe Acrobat PDFpdf509.23 K2016-01-082016-07-05

Document 2866781
Mirror: FCCID.io - 2866781
LOA UL Verification Services Feb 2015
Cover Letter(s)Adobe Acrobat PDFpdf95.59 K2016-01-082016-01-14

Document 2866780
Mirror: FCCID.io - 2866780
FCC Agent Authorization Letter_BRCM
Cover Letter(s)Adobe Acrobat PDFpdf62.62 K2016-01-082016-01-14

Document 2866779
Mirror: FCCID.io - 2866779
BCM94360CS FCC conf req (New FCC UNII rule)
Cover Letter(s)Adobe Acrobat PDFpdf257.21 K2016-01-082016-01-14

Document 2866778
Mirror: FCCID.io - 2866778
BCM94360CS FCC C2PC (New FCC UNII rule)
Cover Letter(s)Adobe Acrobat PDFpdf204.2 K2016-01-082016-01-14

BCM94360CS FCC operational_description new UNII C2PC 12_28_2015
Operational DescriptionAdobe Acrobat PDF1.73 M2016-01-08

KDB 594280 D02 U-NII Device SW Security Statement DB x29c
Operational DescriptionAdobe Acrobat PDF348 K2016-01-08

KDB 594280 D02 v01r03 U-NII Device SW Security Statement (BRCM)
Operational DescriptionAdobe Acrobat PDF76.33 K2016-01-14

Related FCC IDs: