Title Page
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Store No.
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CLIENT
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Site / Store Name
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Survey Commenced on
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Conducted by
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Location
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ATL Surveyor - Name
Survey Details
Site Detail
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Existing System Type?
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Are There Any Any Height Restrictions Within Car Park
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Exit & Route Images - Record of Each Exit & Route - Drawing to be marked up with corresponding image number
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Transmitter Location - Provide GEO, Photos & Description
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Cellular Signal Level @ Location - Record of Bar Strength
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Existing Transmitter Status - Provide Type & Detail
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Twisted Pair Saw Cut Meterage
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Single Antenna Cable Saw Cut Meterage
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Landscaping Meterage
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Conduit Meterage
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Cold Pour Meterage (1 Pail/Tub = 50 Meters)
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Sealant Meterage (1 Tube = 5 Meters)
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Wheel Type
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Trolley & Fork Type - Record Bolt Type, Length etc & Include Photo
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Request Asbestos Record Detail
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Survey Overview & All Additional Comments
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Provide Marked up Plan View of Whole Site
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Estimated Time on Site to Complete - Example 2 men, 5 days
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Current Trolley Count
Sign Off Detail
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Survey Concluded at ?
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Store Manager / Site Contact Name
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Store Manager / Site Contact Sign
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ATL Surveyor Sign