Site Survey Form
BTCPower, Inc.
1719 S. Grand Ave. Santa Ana, CA 92705
09-Mar-20
Annex A
–
Site Survey Form
Page
58
of
59
BTCPower EVSE Charger Connectivity
Newly Installed Unit
Existing Installed Unit
Model Number
Description
MM
DD
YYYY
Date
Unit ID
Serial Number
Charger Location Data
Address:
(Street, City, State, & Zip Code)
GPS Coordinates:
Latitude:
Longitude:
Description of Location:
Outdoor
Inside Building
In Parking
Structure
Obstruction:
Trees
Buildings
Hills
Power Lines
Others (please specify): ___________________
Cellular Signal Strength Measurement (using SureCall device)
RSSI
Requirement:
-69 dBm (minimum)
RSRP
Requirement:
-100 dBm (minimum)
RSRQ
Requirement:
-11 dBm (minimum)
SINR
Requirement:
> 6 dB
Wi-Fi Signal Strength Measurement (using Bullet M2 HP device)
RSSI
Requirement:
-62 dBm (minimum)
SINR
Requirement:
> 10 dB
