Information
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Order Number
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Customer
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Address
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Conducted on
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Prepared by
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Local Customer Contact
Light Levels & Testing
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At LGX
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At equipment
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Test Results (Attach results to CPE page with this PDF)
Power and Equipment
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What is the ground reading?
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Is this AC or DC power?
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Is this on a SL owned UPS?
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Location of Gear: RR or Room
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Pictures
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Make/Model of Gear Installed
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Customer Handoff Port
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Is the handoff Optical or Electrical?
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Is the Handoff port clearly labeled or marked?
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Who is responsible for the handoff cable?
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Gate Code
Enterprise only
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Was a CAT5 jumper left in place?
Other
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Asset Tags and Serial Numbers
Additional site comments
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Any additional site comments?
Sign Off
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Installer's signature