Optima Energy Site Audit-Medium Property

• Property Name

• Location
  Address

• Primary Site Contact Name and Title

• Primary Site Contact Phone Number and Email

• Secondary Site Contact Name, Title, Phone Number

• Conducted on

  Date

• Prepared by

1

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

2

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

3

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

4

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

5

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

6

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

7

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

8

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

9

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

10

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

11

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

12

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

13

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

14

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

15

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

16

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

17

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

18

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

19

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

20

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

21

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

22

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

23

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

24

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes

25

• Pictures ( At least 3)

  Media

• Floor Number

• Location

• Existing Fixture

• Existing Lamp Base

• Existing Lamp Wattage

• Lamps Per Fixture

• Fixture Count

• Hours of Operation

• Emergency Ballasts?

• Emergency Fixture Count

• Mechanical Cooling-A/C?

• Lift Required?

• Notes