Technical Site Survey Report

New Site

PT. Telkomsel
Team Survey
No Name Company Date Signature

1 Zulkarnain TSEL 26/04/2019

2 Fathan WMI 26/04/2019

TSSR Site Name : COK225 Combat Wakerleli

Site ID : COK225

New Site : Combat Wakerleli

Survey Result : Accepted Rejected

Comments (if rejected) :

……………………………………………………………………………………………………..

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Manager Branch Ambon Manager NSA Ambon

----------------------------- ………………………
Manager MD Puma Manager RAE Puma

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019

 Technical Site Survey Report
New Site
1. General Site Information
New / Existing Site Information

ID of Site Candidate COK225

Name of Site Candidate Combat Wakerleli

Site Address Wakarleli, Moa Lakor, Maluku Barat Daya Regency, Maluku
Site Information

Post Code
City Province Kab. Maluku Barat Daya
Visit Date 26/04/2019
Nominal Longitude /
Latitude
Long : 127.807343° Lat : -8.146044° (SML015)
GPS Survey Longitude /
Long : 127.788714° Lat : -8.165752°
Latitude
Distance from Nominal 3 KM at 43°
Survey Route
(Describe how to find site)
Map
Property Owner Pak Next (KADES WAKERLELI)

Address Wakarleli, Moa Lakor, Maluku Barat Daya Regency, Maluku

Telephone / No. / Hp.

0821 4771 3676
/Fax
Access To Site

24 Hour Access to site No

available Yes
Use Public Access Length 10 m Width 10 m
Use Private Access Length 1.m Width 1m
Access Road
Build Separate Length Width
Acces
Parking Available No Sufficient Space No
Yes for crane lift? Yes
Is the site owner/land lord gives the key to access the site? No
Yes

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019

 Comment
Wakarleli, Moa Lakor, Maluku Barat Daya Regency, Maluku

Technical Site Survey Report

New Site

2. Site Layout / DenahLokasi

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019

 Technical Site Survey Report
New Site
Distance To Nominal Site Coordinate Proposed Site

Site View Pole PLN Existing

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019

 Acces view 1 Acces view 2

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019

 Tampak depan Tampak belakang

Tampak samping kiri Tampak samping kanan

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019

Site ID : COK225 Site Name : Combat Wakerleli
PO Sitac : Wakerleli

Utara

Bagian lahan yang disewakan

Akses
jalan Jalan
6x6m

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019

 Technical Site Survey Report
New Site
0° 30°

60° 90°

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019

 120° 150°

180° 210°

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019

 240° 270°

300° 330°

TSSR Name : Candidat COK225 Combat Wakerleli

New Site : Combat Wakerleli

Date of Issue : 26/04/2019