GA TECHNICAL SITE SURVEY

Personal Details

Full Name

Email Address

Phone Number

A. Floor Plan Available

B. Cable Type

C. Ceiling Type

D. Floor Type

Number Of Floors (D)

E. Length Of Cable Runs

(E2) Number Of Cable Runs

F1. Fiber

F2. Copper

H. Floor Layout

J. Number Of Wall Locations

K. Sleeves

K1. Size

K1-2. Sleeves QTY

M. Plywood Required

N. Are There Power Poles

N1. QTY of Power Poles

O. Certification Required

P. Approximate Ceiling Height

Bill of Material (Description, color, quantity, & manufacture, and machinery required ex. lift)

Other Cable Specifications

Notes (Additional information required to complete job, (NOTES SHOULD INCLUDE WHICH SECTION YOU ARE REFERRING TO): EX; (E) I need longer cables than what is listed

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