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Street address:
City, State, Zip
LCON name:
Site survey completed by:
Date site survey completed:
Network SPOC name:
Product:
Building Demarcation:
Local Switch: EXISTING NEW Location: MPOP/Telco Room
CPE: EXISTING NEW Location: MPOP/Telco Room
Grounding Bar within 6 ft of the local switch location that is bonded to a building ground source by a stran
source in order of preference: driven ground system, metallic water pipe, continuous and bonded building
This type of grounding is not required for CPE equipment; a grounded power outlet (receptacle) is sufficie
Backboard or Relay Rack Requirements: (select all that apply)
Local Switch: BB EXISTING NEW NOT REQUIRED 4'x4'x3/4"
RR
EXISTING NEW NOT REQUIRED 19" RR
Comments:
Entrance Facility (Property Line to MPOP/Telco Room) Requirements: (select all that apply)
New Entrance Type: New conduit and cable New direct-buried cable Cable in existing and/or in new ID
Approximate distance from last utility vault to MPOP/Telco Room:
Clear Path (MPOP/Telco Room to Customer Suite/APOP) Requirements: (select all that apply)
Fiber Requirement: N/A New Conduit New Fiber Cable/Jumper Riser
Comments:
Electrical Requirement: N/A New Cat5e New Cat6
Comments:
Environmental Requirements
Yes
Room meets environmental requirements: No
1. Temperature: HVAC systemsTemperature:
sufficient to maintain a 55°F to
HVAC systems 85°F. to maintain a 55°F to 85°F.
sufficient
2. Ventilation sufficient to exchange air at least once every two hours.
3. Fire Detector and Extinguisher Recommended - CenturyLink prefers not to place equipment if equipme
4. Sufficient Lighting: Intensity of 50 ft-candles at 3 ft is recommended.
5. Room should be clear of obstructions, water, chemical and dust free, and able to support 650 lbf.
Commercial Customer Premises & Carrier Hotels Electronic Equipment Environmental Specificat
Embedded Documents and Additional Notes (position cursor over comment for instruction to embed do
Business name:
Building #:
Suite #:
LCON PH #:
PH #:
SST ID:
Network SPOC PH #:
MTU/GPON:
y)
MPOP/Telco Room Customer Suite #of receptacles: