8
Site Installation Report
Section 1.- Site Summary
Customer Name
Site Address
Customer Phone Number
Customer Email
Installation Contractor
Section 2.- Installation Details
Qty. of Modems/Gateways (Coordinators)
Shipped
Installed
Qty. of Load Controllers
Shipped
Installed
Qty. of 4-Pole Relays
Shipped
Installed
Qty. of Transformers
Shipped
Installed
Qty. of Antennas
Shipped
Installed
Section 3.- Installation Issues
Facility Roof Access Delays: (Ex.: Security, Escort. Clearances, etc.)
List of any RTU #s not operational/disrepair:
(Ex.: RTUs shut down, locked out for service, obvious mechanical problems, etc.)
Customer Name (Print Name)
Installer Name (Print Name)
Signature
Signature
Date
Date
