Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
VBS Programming Options
Rampart Programming Options - FILL OUT FORM COMPLETELY, DO NOT LEAVE ANY QUESTIONS "BLANK' OR UN-ANSWERED" (TAKE PICTURES IF POSSIBLE)
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Enter Translator Button Number
Sync Interlock
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Sync - Enter ID#
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Ilock - Enter ID#
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EFO Sync - Enter ID#
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Enter any Additional comments if need. Take pictures.
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Enter Any Comments. T
Comm Loss
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Enable Manual Operation - Enter Delay Time (seconds)
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Trigger EFO - Enter Delay Time (seconds)
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Do Nothing - Enter Delay Time (seconds)
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Blast Wave - Not used
Enviro Settings
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Sandy
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Hot
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Cold
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Wet
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B45 Dry
Barrier Setting
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AC Present
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Hi Lo Pressure Switch
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Fluid Reservoir
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Phase Monitor
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Motor Overload
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Manual Gate Arm Control
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Non Secure Limit Switch
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Secure Limit Switch
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Card Reader Input Switch
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Traffic Safety Switch 3
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Traffic Safety Switch 2
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Traffic Safety Switch 1
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Manual Non Secure Switch
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Manual EFO Rest Switch
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Manual EFO Switch
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Manual Secure Switch
ELECTRONIC SIGNATURE ACKNOWLEDGEMENT
ELECTRONIC SIGNATURE ACKNOWLEDGE, I agree that my Electronic signature is a Legally and Binding Equivalent to my handwritten signature. Whenever I execute an Electronic Signature, it has the same validity and meaning as my Handwritten Signature. I will not at ANY time in the furture, REPUDIATE the meaning of my Electronic Signature or Claim that my Electronic Signature is not Legally Binding.
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Nasatka Representive Signature
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Customer Representive or Authorized Representive Signature