Title Page
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Conducted on
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Prepared by
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Location
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Order Number
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Date of Install
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Installed by:
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CPE Name
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CPE Address
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Description of Location of Gear
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Asset Tag Numbers & Serial Numbers
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Carrier Type
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Gate Code Lock Combo
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Type of Power
- AC
- DC -48
- DC +24
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Ground Reading
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Photos of Install
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RX at LGX
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TX at Equipment
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RX at Equipment
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Signature of Completion