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Site #
Site Name
Site Address
Date
Site Type
Select One
Co-location
Water Tank
New Build
Other
COW
Roof Top
Structure Type
Select One
Monopole Tower
Water Tank
Lattice Tower
Guyed Tower
Other
Roof Top
COW
Flag Pole
Church Steeple
Pine Tree Mono
Palm Tree Mono
Wood Pole
Client Name
Start Time
Stop Time
Total Hours
Man Lift Company
Man Lift Price
Email Address
Market
Crew Member Names
Equipment Used
Safety Issues
Start Mileage Stop Mileage
Description of work
Down Time
Weather Conditions
Summary of Deficiencies Major and Minor
Photos
- Take photos of all discrepancies
Materials Used
Model Numbers of Equipment Installed and Replaced
Total Jumpers Installed
Total Coax Installed
Total Coax Removed
Total Antennas Installed
Total Antennas Removed
Total Ground Bars Installed Top
Total Ground Bars Installed Bottom
Total RET Cables Installed
Total Connectors Installed
Total Mounts Installed
Total Snap Inn Installed
Total Duplexers Installed
Total Diplexers Installed
Total TMA/LNA Installed
